Schedule A (Form 940) for 2015:
860312
Multi-State Employer and Credit Reduction Information
OMB No. 1545-0028
Department of the Treasury — Internal Revenue Service
See the
instructions on
—
Employer identification number (EIN)
page 2. File this
schedule with
Form 940.
Name (not your trade name)
Place an “X” in the box of EVERY state in which you had to pay state unemployment tax this year. For each state with
a credit reduction rate greater than zero, enter the FUTA taxable wages, multiply by the reduction rate, and enter the
credit reduction amount. Don't include in the FUTA Taxable Wages box wages that were excluded from state
unemployment tax (see the instructions for Step 2). If any states don't apply to you, leave them blank.
Postal
FUTA
Reduction
Postal
FUTA
Reduction
Credit Reduction
Credit Reduction
Abbreviation
Taxable Wages
Abbreviation
Taxable Wages
Rate
Rate
.
.
.
.
AK
NC
× .000
× .000
.
.
.
.
AL
ND
× .000
× .000
.
.
.
.
AR
NE
× .000
× .000
.
.
.
.
AZ
NH
× .000
× .000
.
.
.
.
CA
NJ
× .015
× .000
.
.
.
.
CO
NM
× .000
× .000
.
.
.
.
CT
NV
× .021
× .000
.
.
.
.
DC
NY
× .000
× .000
.
.
.
.
DE
OH
× .000
× .015
.
.
.
.
FL
OK
× .000
× .000
.
.
.
.
GA
OR
× .000
× .000
.
.
.
.
HI
PA
× .000
× .000
.
.
.
.
IA
RI
× .000
× .000
.
.
.
.
ID
SC
× .000
× .000
.
.
.
.
IL
SD
× .000
× .000
.
.
.
.
IN
TN
× .000
× .000
.
.
.
.
KS
TX
× .000
× .000
.
.
.
.
KY
UT
× .000
× .000
.
.
.
.
LA
VA
× .000
× .000
.
.
.
.
MA
VT
× .000
× .000
.
.
.
.
MD
WA
× .000
× .000
.
.
.
.
ME
WI
× .000
× .000
.
.
.
.
MI
WV
× .000
× .000
.
.
.
.
MN
WY
× .000
× .000
.
.
.
.
MO
PR
× .000
× .000
.
.
.
.
MS
VI
× .000
× .015
.
.
MT
× .000
Total Credit Reduction. Add all amounts shown in the Credit Reduction boxes. Enter the total
.
here and on Form 940, line 11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 940.
Cat. No. 16997C
Schedule A (Form 940) 2015