General Information
Address (if different from mailing address)
Part 2: Determine your FUTA tax before adjustments. If any
line does NOT apply, leave it blank.
Part 3: Determine your adjustments. If any line does NOT
apply, leave it blank.
Part 4: Determine your FUTA tax and balance due or
overpayment. If any line does NOT apply, leave it blank.
Part 5: Report your FUTA tax liability
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
Email Information
Insert the e-mail address to which you want to receive your 940 form