Form 944-Ss - Employer'S Annual Federal Tax Return - 2011 Page 3

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Form 944-V(SS),
Payment Voucher
Purpose of Form
instructions. Do not use Form 944-V(SS) to make federal
tax deposits.
Complete Form 944-V(SS), Payment Voucher, if you are
Caution. Use Form 944-V(SS) when making any payment
making a payment with Form 944-SS, Employer’s
with Form 944-SS. However, if you pay an amount with
ANNUAL Federal Tax Return. We will use the completed
Form 944-SS that should have been deposited, you may
voucher to credit your payment more promptly and
be subject to a penalty. See Deposit Penalties in section 8
accurately, and to improve our service to you.
of Pub. 80 (Circular SS).
If you have your return prepared by a third party and
Specific Instructions
make a payment with that return, please provide this
payment voucher to the return preparer.
Box 1—Employer identification number (EIN). If you do
Making Payments With Form 944-SS
not have an EIN, you may apply for one online. Go to
IRS.gov and click on the Apply for an Employer
To avoid a penalty, make your payment with your 2011
Identification Number (EIN) Online link. You may also
Form 944-SS only if one of the following applies.
apply for an EIN by calling 1-800-829-4933, or you can
• Your net taxes for the year (line 7 on Form 944-SS) are
fax or mail Form SS-4, Application for Employer
less than $2,500 and you are paying in full with a timely
Identification Number. If you have not received your EIN
filed return.
by the due date of Form 944-SS, write “Applied For” and
the date you applied in this entry space.
• You already deposited the taxes you owed for the first,
second, and third quarters of 2011, and the tax you owe
Box 2—Amount paid. Enter the amount paid with Form
for the fourth quarter of 2011 is less than $2,500, and you
944-SS.
are paying, in full, the tax you owe for the fourth quarter
Box 3—Name and address. Enter your name and
of 2011 with a timely filed return.
address as shown on Form 944-SS.
• 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
the “United States Treasury” and write your EIN, “Form
Rule. See section 8 of Pub. 80 (Circular SS), Federal Tax
944-SS,” and “2011” on your check or money order. Do
Guide for Employers in the U.S. Virgin Islands, Guam,
not send cash. Do not staple Form 944-V(SS) or your
American Samoa, and the Commonwealth of the
payment to Form 944-SS (or to each other).
Northern Mariana Islands, for details. In this case, the
• Detach Form 944-V(SS) and send it with your payment
amount of your payment may be $2,500 or more.
and Form 944-SS to the address provided in the
Otherwise, you must make deposits by electronic funds
Instructions for Form 944-SS.
transfer. See section 8 of Pub. 80 (Circular SS) for deposit
Note. You must also complete the entity information
above Part 1 on Form 944-SS.
Detach Here and Mail With Your Payment and Form 944-SS.
944-V(SS)
Payment Voucher
OMB No. 1545-2010
2011
Department of the Treasury
Do not staple this voucher or your payment to Form 944-SS.
Internal Revenue Service
Enter your employer identification
2
1
Dollars
Cents
number (EIN).
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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