Form Mo-941f Draft - Employer'S Withholding Tax Final Report - 2012
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1FORM
MO‑941F
MISSOURI DEPARTMENT OF REVENUE
(REV. 08-2012)
EMPLOYER’S WITHHOLDING TAX FINAL REPORT
Transient Employers Only
If you are a Transient Employer and have filed a final return, paid all
COMPLETE THE FOLLOWING IF YOUR BUSINESS IS SOLD, BANKRUPT,
taxes, penalties and interest due, and have a Transient Bond on file, you
OUT OF BUSINESS, OR WITHHOLDING HAS DISCONTINUED.
may request a return of the bond by completing the following.
Amount of Bond
BUSINESS NAME
$
Return Bond to:
Name
Title
MO TAX I.D. NUMBER
DATE OF LAST PAYROLL (MM/DD/YYYY)
Address
City
State
Zip
__ __ __ __ __ __ __ __
__ __ / __ __ / __ __ __ __
Signature
Date
PLEASE CHECK THE BOX THAT APPLIES TO THE REASON YOU ARE FILING THIS REPORT
INCORPORATED
MERGED
PERSON TO CONTACT IF FURTHER INFORMATION IS NEEDED
OUT OF BUSINESS
SOLD
NAME
PHONE NUMBER
NO EMPLOYEES
OTHER (EXPLAIN):
(_ _ _) _ _ _ - _ _ _ _
DATE CLOSED (MM/DD/YYYY)
IF BUSINESS CLOSED
Mail
to:
Missouri
Department
of
Revenue,
Taxation
Division,
P.O.
Box 3300, Jefferson City, MO 65105-3300.
__ __ / __ __ / __ __ __ __
CLOSING A WITHHOLDING TAX ACCOUNT
You must notify the Missouri Department of Revenue
Failure to notify the Department that you have closed your
to close your employer withholding tax account. The
account will cause non-filer notices and estimated tax
Department will not automatically close the account because
liabilities to be issued. If you receive a non-filer notice,
you stop making payments and stop filing returns.
you must complete a return and remit the actual amount
of tax withheld or submit a zero return, whichever applies.
If any of the following apply, you should complete Form
Failure to do so will result in further collection activity on the
MO-941F to close your employer withholding tax account:
estimated tax liability, until your account is resolved.
• You no longer do business in the state of Missouri.
Mail your Form MO-941F, Employer’s Withholding Final
Re port to the Missouri Department of Reve nue, Taxation
• You no longer have employees working in the state of
Division, P.O. Box 3300, Jefferson City, MO 65105-3300.
Missouri.
PLEASE NOTE: If you are also registered for sales tax, a
• You have any change of ownership.
separate final sales tax return must be filed in order to close
• Your FEIN has been changed and you have been issued
your sales tax account.
a new federal employer withholding tax identification
For more information, visit
number.
(08-2012)
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