Form M-942 - Employer'S Monthly Return Of Income Taxes Withheld
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1M-942
MASSACHUSETTS DEPARTMENT OF REVENUE
EMPLOYER’S MONTHLY RETURN OF INCOME TAXES WITHHELD
W42
YOU MUST FILE THIS FORM EVEN THOUGH NO TAX MAY BE DUE.
NUMBER OF EMPLOYEES FROM
FEDERAL IDENTIFICATION NUMBER
BE SURE THIS RETURN COVERS
FOR MONTH/YEAR
WHOM TAXES WERE WITHHELD:
THE CORRECT PERIOD
Note: An entry must be made in each line. Enter “0,” if applicable.
Check here if EFT payment.
BUSINESS NAME
1. AMOUNT WITHHELD
IF ANY
INFOR-
MATION IS
BUSINESS ADDRESS
2. ADJUSTMENT FOR PRIOR
AMOUNT WITHHELD*
INCORRECT,
SEE
CITY/TOWN
STATE
ZIP
INSTRUC-
3. AMOUNT DUE AFTER ADJUST-
MENT (NOT LESS THAN “0”)
TIONS.
Check if final return and you wish to close your withholding tax account.
4. PENALTIES
5. INTEREST
Return is due with payment on or before the 15th day of the month following the month indicated above, except during
6. TOTAL AMOUNT DUE
March, June, September and December — then due the last day of the following month. Make check payable to Com-
(ADD LINES 3, 4 AND 5)
monwealth of Massachusetts. Mail to: Massachusetts Department of Revenue, PO Box 7038, Boston, MA 02204.
I declare under the penalties of perjury that this return (including any accompanying schedules and statements) has
CHECK HERE IF USING THE BACK OF THIS FORM:
been examined by me and to the best of my knowledge and belief is a true, correct and complete return.
*Explain any adjustment on reverse or it will be disallowed.
Signature
Title
Date
STATE REASON FOR ADJUSTMENT REQUEST:
LINE 2 ADJUSTMENT INFORMATION
AS REPORTED
CORRECTED
AMOUNT
WITHHELD
ADJUSTMENT
PRIOR PERIOD
AMOUNT
PAID
REPORTED UNDER
FED. IDENT. NO.
REPORTING
PERIOD IN ERROR
88M 7/00 00-B02
printed on recycled paper
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