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General Information
Mailing Address
Address (if different from mailing address)
Part 1: Tell us about your return. If any line does NOT apply, leave it blank.
Line 1b: If you had to pay state unemployment tax in more than one state, you are a multi-state employer. Check here. Complete Schedule A (Form 940).
Line 2: If you paid wages in a state that is subject to CREDIT REDUCTION. Check here. Complete Schedule A (Form 940).
Part 2: Determine your FUTA tax before adjustments. If any line does NOT apply, leave it blank.
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4a. Fringe Benefits
4b. Group-term life insurance
4c. Retirement/Pension
4d. Dependent Care
4e. Other
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Part 3: Determine your adjustments. If any line does NOT apply, leave it blank.
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Part 4: Determine your FUTA tax and balance due or overpayment. If any line does NOT apply, leave it blank.
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Part 5: Report your FUTA tax liability
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Part 6: May we speak with your third-party designee?
Part 7: Sign here. You MUST complete both pages of this form and SIGN it.
Use your cursor to sign your name above
Use your cursor to sign your name above
Check if self-employed
940-V: Payment Voucher
Do you want to fill-up 940-V Payment Voucher?
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Email Information

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