Form 943 - Employer'S Annual Federal Tax Return For Agricultural Employees - 2015 Page 2
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1
2Form 943-V,
Payment Voucher
Specific Instructions
Purpose of Form
Complete Form 943-V if you are making a payment with
Box 1—Employer identification number (EIN). If you
Form 943. We will use the completed voucher to credit
don't have an EIN, you may apply for one online. Go to
your payment more promptly and accurately, and to
IRS.gov and type “EIN” in the search box. You may also
improve our service to you.
apply for an EIN by faxing or mailing Form SS-4 to the
IRS. If you haven't received your EIN by the due date of
Making Payment With Form 943
Form 943, write “Applied For” and the date you applied in
To avoid a penalty, make your payment with your 2015
this entry space.
Form 943 only if:
Box 2—Amount paid. Enter the amount paid with
• Your total taxes after adjustments for the year (Form
Form 943.
943, line 11) are less than $2,500 and you are paying in
Box 3—Name and address. Enter your name and
full with a timely filed return, or
address as shown on Form 943.
• 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 EIN,
Rule. See section 7 of Pub. 51 for details. In this case, the
“Form 943,” and “2015” on your check or money order.
amount of your payment may be $2,500 or more.
Don't send cash. Don't attach Form 943-V or your
Otherwise, you must make deposits by electronic funds
payment to Form 943 (or to each other).
transfer. See section 7 of Pub. 51 for deposit instructions.
• Detach Form 943-V and send it with your payment and
Don't use Form 943-V to make federal tax deposits.
Form 943 to the address provided in the Instructions for
▲
Form 943.
!
Use Form 943-V when making any payment with
Form 943. However, if you pay an amount with
Note: You must also complete the entity information
CAUTION
Form 943 that should have been deposited, you may be
above line 1 on Form 943.
subject to a penalty. See Deposit Penalties in section 7 of
Pub. 51.
✁
Detach Here and Mail With Your Payment and Form 943.
▼
▼
943-V
Payment Voucher
OMB No. 1545-0035
Form
2015
Don't attach this voucher or your payment to Form 943.
Department of the Treasury
▶
Internal Revenue Service
1 Enter your employer identification number (EIN).
Enter the amount of your payment . . .
Dollars
Cents
▶
2
Make your check or money order payable to “United States Treasury”
Enter your business name (individual name if sole proprietor).
3
Enter your address.
Enter your city or town, state or province, country, and ZIP or foreign postal code.
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