944 Form

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1/4 Personal Information

Part 1: Answer these questions for this year

Employers in American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, the U.S. Virgin Islands, and Puerto Rico can skip lines 1 and 2, unless you have employees who are subject to U.S. income tax withholding.

Part 3: Tell us about your business

If your business does NOT apply, leave it blank.

Line 9: Monthly Tax Liability (For semiweekly schedule depositors or if liability exceeds $100,000 on any day)

If line 9 is $2,500 or more, enter your tax liability for each month. If you're a semiweekly schedule depositor or you become one because you accumulated $100,000 or more of liability on any day during the deposit period, you must complete Form 945-A instead of the boxes below.

Part 4: May we speak with your third-party designee?

Part 5: Sign here.

944-V: Payment Voucher

4/4 Submit

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