Form 943 - Employer'S Annual Federal Tax Return For Agricultural Employees - 2012 Page 2
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1
2Form 943-V,
Payment Voucher
Specific Instructions
Purpose of Form
Complete Form 943-V, Payment Voucher, if you are
Box 1—Employer identification number (EIN). If you do
making a payment with Form 943, Employer’s Annual
not have an EIN, you may apply for one online. Go to
Federal Tax Return for Agricultural Employees. We will
IRS.gov and click on the Apply for an EIN Online link
use the completed voucher to credit your payment more
under “Tools.” You may also apply for an EIN by calling
promptly and accurately, and to improve our service to
1-800-829-4933, or you can fax or mail Form SS-4,
you.
Application for Employer Identification Number. If you
have not received your EIN by the due date of Form 943,
Making Payment With Form 943
write “Applied For” and the date you applied in this entry
space.
To avoid a penalty, make your payment with your 2012
Form 943 only if:
Box 2—Amount paid. Enter the amount paid with
Form 943.
• Your total taxes after adjustments for the year (Form
943, line 9) are less than $2,500 and you are paying in full
Box 3—Name and address. Enter your name and
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
the “United States Treasury.” Be sure to enter your EIN,
Rule. See section 7 of Pub. 51 (Circular A), Agricultural
“Form 943,” and “2012” on your check or money order.
Employer’s Tax Guide, for details. In this case, the
Do not send cash. Do not attach Form 943-V or your
amount of your payment may be $2,500 or more.
payment to Form 943 (or to each other).
Otherwise, you must make deposits by electronic funds
• Detach Form 943-V and send it with your payment and
transfer. See section 7 of Pub. 51 (Circular A) for deposit
Form 943 to the address provided in the Instructions for
instructions. Do not use Form 943-V to make federal tax
Form 943.
deposits.
Note. You must also complete the entity information
Caution. Use Form 943-V when making any payment with
above line 1 on Form 943.
Form 943. However, if you pay an amount with Form 943
that should have been deposited, you may be subject to a
penalty. See Deposit Penalties in section 7 of Pub. 51
(Circular A).
✁
Detach Here and Mail With Your Payment and Form 943.
▼
▼
943-V
Payment Voucher
OMB No. 1545-0035
Form
2012
Do not attach this voucher or your payment to Form 943.
Department of the Treasury
▶
Internal Revenue Service
Enter the amount of your payment
. .
Dollars
Cents
1 Enter your employer identification number (EIN).
▶
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, state, and ZIP code.
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