Form 940 Draft - Employer'S Annual Federal Unemployment (Futa) Tax Return - 2011 Page 4

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Form 940-V,
Payment Voucher
What Is Form 940-V?
Box 2. Enter the amount of your payment. Be sure to
put dollars and cents in the appropriate spaces.
Form 940-V is a transmittal form for your check or
Box 3. Enter your business name and complete
money order. Using Form 940-V allows us to process
address exactly as they appear on your Form 940.
your payment more accurately and efficiently. If you
have any balance due of $500 or less on your 2011
How Should You Prepare Your Payment?
Form 940, fill out Form 940-V and send it with your
check or money order.
• Make your check or money order payable to the United
States Treasury. Do not send cash.
Note. If your balance is more than $500, see When
Must You Deposit Your FUTA Tax? in the Instructions
• On the memo line of your check or money order,
for Form 940.
write:
— your EIN,
How Do You Fill Out Form 940-V?
— Form 940, and
Type or print clearly.
— 2011.
Box 1. Enter your employer identification number (EIN).
• Carefully detach Form 940-V along the dotted line.
Do not enter your social security number (SSN). If you do
not have an EIN, you may apply for one online. Go to
• Do not staple your payment to the voucher.
IRS.gov and click on the Apply for an Employer
• Mail your 2011 Form 940, your payment, and Form
Identification Number (EIN) Online link. You may also
940-V to the address shown in the table in the
apply for an EIN by calling 1-800-829-4933, or you can
Instructions for Form 940.
fax or mail Form SS-4, Application for Employer
Identification Number. If you have not received your EIN
by the due date of Form 940, write “Applied For” and the
date you applied in this entry space.
Detach Here and Mail With Your Payment and Form 940.
940-V
Payment Voucher
OMB No. 1545-0028
2011
Department of the Treasury
Do not staple or attach this voucher to your payment.
Internal Revenue Service
1 Enter your employer identification number (EIN).
Dollars
Cents
2
Enter the amount of your payment.
3 Enter your business name (individual name if sole proprietor).
Enter your address.
Enter your city, state, and ZIP code.

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