Form Tc-941 - Utah Withholding Return
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1
2Clear form
94181
Utah State Tax Commission
TC-941
Utah Withholding Return
Rev. 12/09
9998
Check here to stop
Utah Account ID
receiving paper forms
Check here to close
Federal EIN
Name and address
your account
Tax Period (mmddyyyy)
From
To
Due Date (mmddyyyy)
Check if AMENDED
(replacement, not net difference)
1. Utah wages, compensation, and distributions for this period
1
.
2. Federal income tax withheld this period for Utah employees
2
.
.
3. Utah tax withheld this period
3
Pay online at
taxexpress.utah.gov
, or use the TC-941PC (coupon) available at
tax.utah.gov/forms
.
Under penalties provided by law, I declare, to the best of my knowledge, this return is true and correct.
Phone
Signature
Date
X
YOU CAN SAVE MONEY!
See the instructions and learn about
taxexpress.utah.gov
!
_________________
USTC use only
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Parent category: Financial