Form 941 - Employer'S Quarterly Federal Tax Return, Form 941-V - Payment Voucher - 2017 Page 3
Download a blank fillable Form 941 - Employer'S Quarterly Federal Tax Return, Form 941-V - Payment Voucher - 2017 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 941 - Employer'S Quarterly Federal Tax Return, Form 941-V - Payment Voucher - 2017 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Form 941-V,
Payment Voucher
Purpose of Form
Specific Instructions
Box 1—Employer identification number (EIN). If you
Complete Form 941-V if you're making a payment with
don't have an EIN, you may apply for one online by
Form 941. We will use the completed voucher to credit
visiting the IRS website at You may also
your payment more promptly and accurately, and to
apply for an EIN by faxing or mailing Form SS-4 to the
improve our service to you.
IRS. If you haven't received your EIN by the due date of
Making Payments With Form 941
Form 941, write “Applied For” and the date you applied in
this entry space.
To avoid a penalty, make your payment with Form 941
Box 2—Amount paid. Enter the amount paid with
only if:
Form 941.
• Your total taxes for either the current quarter (Form 941,
Box 3—Tax period. Darken the circle identifying the
line 12) or the preceding quarter (Form 941, line 12 (line
quarter for which the payment is made. Darken only
10 if the preceding quarter was the fourth quarter of
one circle.
2016)) are less than $2,500, you didn't incur a $100,000
next-day deposit obligation during the current quarter,
Box 4—Name and address. Enter your name and
and you're paying in full with a timely filed return; or
address as shown on Form 941.
• You are a monthly schedule depositor making a
• Enclose your check or money order made payable to
payment in accordance with the Accuracy of Deposits
“United States Treasury.” Be sure to enter your
Rule. See section 11 of Pub. 15 for details. In this case,
EIN, “Form 941,” and the tax period (“1st Quarter 2017,”
the amount of your payment may be $2,500 or more.
“2nd Quarter 2017,” “3rd Quarter 2017,” or “4th Quarter
2017”) on your check or money order. Don't send cash.
Otherwise, you must make deposits by electronic funds
Don't staple Form 941-V or your payment to Form 941 (or
transfer. See section 11 of Pub. 15 for deposit
to each other).
instructions. Don't use Form 941-V to make federal tax
deposits.
• Detach Form 941-V and send it with your payment
and Form 941 to the address in the Instructions for
Use Form 941-V when making any payment with
▲
!
Form 941.
Form 941. However, if you pay an amount with
CAUTION
Form 941 that should've been deposited, you
Note: You must also complete the entity information
may be subject to a penalty. See Deposit Penalties in
above Part 1 on Form 941.
section 11 of Pub. 15.
✁
Detach Here and Mail With Your Payment and Form 941.
▼
▼
941-V
Payment Voucher
OMB No. 1545-0029
2017
Department of the Treasury
Don't staple this voucher or your payment to Form 941.
▶
Internal Revenue Service
1 Enter your employer identification
2
Dollars
Cents
number (EIN).
Enter the amount of your payment.
▶
Make your check or money order payable to “United States Treasury”
4 Enter your business name (individual name if sole proprietor).
3 Tax Period
1st
3rd
Enter your address.
Quarter
Quarter
2nd
4th
Enter your city, state, and ZIP code or your city, foreign country name, foreign province/county, and foreign postal code.
Quarter
Quarter
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial