Schedule R (Form 940) - Allocation Schedule For Aggregate Form 940 Filers Page 2

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Page
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Continuation Sheet for Schedule R (Form 940)
(Rev. December 2017)
Report for calendar year:
(Same as Form 940):
Employer identification number (EIN)
Name as shown on Form 940
Type of filer (check one):
Section 3504 Agent
Certified Professional Employer Organization (CPEO)
(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
State
Client’s Employer
Type of wages, tips, and
Total taxable FUTA
Total adjustments
Credit reduction amount
Total FUTA tax
Total FUTA tax deposits
abbreviation
Identification Number
other compensation
wages allocated to
to FUTA tax
allocated to the
after adjustments
from Form 940, line 13,
from Form
(EIN)
(CPEO use only)
the listed client EIN
allocated to the
listed client EIN from
allocated to the
plus any payment made
940, line 1a,
from Form 940, line 7
listed client EIN from
Form 940, line 11
listed client EIN from
with the return allocated
or Schedule A
Form 940, line 9 or line 10
Form 940, line 12
to the listed client EIN
(Form 940)
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Subtotals for clients. Add lines
1 through 22. Include the
subtotals from line 23 on
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Schedule R (Form 940), line 17.
Schedule R (Form 940) (Rev. 12-2017)

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