Form 940 OTC payment voucher

Version B, Cycle 8

Form 940-V,
Payment Voucher
What Is Form 940-V?
Form 940-V is a transmittal form for your check or
money order. Using Form 940-V allows us to process
your payment more accurately and efficiently. If you
have any balance due of $500 or less on your 2011
Form 940, fill out Form 940-V and send it with your
check or money order.
Note. If your balance is more than $500, see When
Must You Deposit Your FUTA Tax? in the Instructions
for Form 940.

How Do You Fill Out Form 940-V?
Type or print clearly.
Box 1. Enter your employer identification number (EIN).
Do not enter your social security number (SSN). If you do
not have an EIN, you may apply for one online. Go to
IRS.gov and click on the Apply for an Employer
Identification Number (EIN) Online link. You may also
apply for an EIN by calling 1-800-829-4933, or you can
fax or mail Form SS-4, Application for Employer
Identification Number. If you have not received your EIN
by the due date of Form 940, write “Applied For” and the
date you applied in this entry space.

Box 2. Enter the amount of your payment. Be sure to
put dollars and cents in the appropriate spaces.
Box 3. Enter your business name and complete
address exactly as they appear on your Form 940.

How Should You Prepare Your Payment?
• Make your check or money order payable to the United
States Treasury. Do not send cash.
• On the memo line of your check or money order,
write:
— your EIN,
— Form 940, and
— 2011.
• Carefully detach Form 940-V along the dotted line.
• Do not staple your payment to the voucher.
• Mail your 2011 Form 940, your payment, and Form
940-V to the address shown in the table in the
Instructions for Form 940.

DRAFT AS OF
August 17, 2011

Form

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Detach Here and Mail With Your Payment and Form 940.

940-V

Department of the Treasury
Internal Revenue Service

1 Enter your employer identification number (EIN).

▼

Payment Voucher
▶ Do

2011
Dollars

Enter the amount of your payment. ▶
3

OMB No. 1545-0028

not staple or attach this voucher to your payment.

2

Enter your business name (individual name if sole proprietor).
Enter your address.
Enter your city, state, and ZIP code.

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Cents