Form 941 SS V 941 SS V Payment Voucher

Form 941-V(SS),

Payment Voucher

Purpose of Form

Complete Form 941-V(SS) if you’re making a payment with Form 941-SS. We will use the completed voucher to credit your payment more promptly and accurately, and to improve our service to you.

Making Payments With Form 941-SS

To avoid a penalty, make your payment with Form 941-SS only if:

• Your total taxes after adjustments and nonrefundable credits (Form 941-SS, line 12) for either the current quarter or the preceding quarter are less than $2,500, you didn’t incur a $100,000 next-day deposit obligation during the current quarter, and you’re paying in full with a timely filed return; or

• You’re a monthly schedule depositor making a payment in accordance with the Accuracy of Deposits Rule. See section 8 of Pub. 80 for details. In this case, the amount of your payment may be $2,500 or more.

Otherwise, you must make deposits by electronic funds transfer. See section 8 of Pub. 80 for deposit instructions. Don’t use Form 941-V(SS) to make federal tax deposits.

Use Form 941-V(SS) when making any

Specific Instructions

Box 1—Employer identification number (EIN). If you don’t have an EIN, you may apply for one online by visiting the IRS website at www.irs.gov/EIN. You may also apply for an EIN by faxing or mailing Form SS-4 to the IRS. If you haven’t received your EIN by the due date of Form 941-SS, write “Applied For” and the date you applied in this entry space.

Box 2—Amount paid. Enter the amount paid with Form 941-SS.

Box 3—Tax period. Darken the circle identifying the quarter for which the payment is made. Darken only one circle.

Box 4—Name and address. Enter your name and address as shown on Form 941-SS.

• Enclose your check or money order payable to “United States Treasury.” Be sure to enter your EIN, “Form 941-SS,” and the tax period (“1st Quarter 2020,” “2nd Quarter 2020,” “3rd Quarter 2020,” or “4th Quarter 2020”) on your check or money order. Don’t send cash. Don’t staple Form 941-V(SS) or your payment to Form 941-SS (or to each other).

• Detach Form 941-V(SS) and send it with your

_▲!

CAUTION

penalty.

payment with Form 941-SS. However, if you pay an amount with Form 941-SS that should’ve been deposited, you may be subject to a

See Deposit Penalties in section 8 of Pub. 80.

payment and Form 941-SS to the address in the Instructions for Form 941-SS.

Note: You must also complete the entity information above Part 1 on Form 941-SS.

Form

_✁ ^▼ Detach Here and Mail With Your Payment and Form 941-SS. ^▼

941-V(SS) Department of the Treasury Internal Revenue Service		Payment Voucher ▶ Don’t staple this voucher or your payment to Form 941-SS.			OMB No. 1545-0029
					2020
1 Enter your employer identification number (EIN).			2 Enter the amount of your payment. ▶ Make your check or money order payable to “United States Treasury”	Dollars		Cents
3 Tax Period			4 Enter your business name (individual name if sole proprietor). Enter your address. Enter your city, state, and ZIP code; or your city, foreign country name, foreign province/county, and foreign postal code.
1st Quarter	3rd Quarter
2nd Quarter	4th Quarter