Form M-941w Wd - Employer'S Weekly Payment Of Income Taxes Withheld

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M-941W
MASSACHUSETTS DEPARTMENT OF REVENUE
ENTER PAYMENT DATE
WD
EMPLOYER’S WEEKLY PAYMENT OF INCOME TAXES WITHHELD
FEDERAL IDENTIFICATION NUMBER
BE SURE THIS VOUCHER COVERS
FOR QUARTER
ENTER
THE CORRECT PERIOD
ENDING
AMOUNT
OF PAYMENT
$
Note: You must complete the payment date and
IF ANY
amount boxes above. Payment must correspond
INFOR-
to the preprinted quarter end date.
MATION IS
INCORRECT,
When Massachusetts income tax withheld is
SEE
$500 or more by the 7th, 15th, 22nd and last
INSTRUC-
day of a month, pay over within three business
TIONS.
days thereafter with a completed Form M-941W
for each payment.
MAKE CHECK PAYABLE TO:
COMMONWEALTH OF MASSACHUSETTS
PLEASE USE THE PREADDRESSED
Return this completed form with payment. Make check payable to Commonwealth of
MAILING LABELS IN THIS BOOKLET.
Massachusetts. Mail to: Massachusetts Department of Revenue, PO Box 7034,
Boston, MA 02204-7034.
IMPORTANT: READ INSTRUCTIONS BEFORE COMPLETING RETURN
New owners: Do not use previous owner’s form to file your return. Any change
in ownership or organization requires a new registration. You must file a new
Form TA-1.

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