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Form
944 for 2021:
Employer’s ANNUAL Federal Tax Return
Department of the Treasury — Internal Revenue Service
OMB No. 1545-2007
Who Must File Form 944
—
Employer identification number (EIN)
You must file annual Form 944
instead of filing quarterly Forms 941
only if the IRS notified you in
writing.
Name (not your trade name)
Trade name (if any)
Address
Number
City
DRAFT AS OF
June 30, 2021
DO NOT FILE
Go to www.irs.gov/Form944 for
instructions and the latest
information.
Street
Suite or room number
ZIP code
State
Foreign country name
Foreign postal code
Foreign province/county
Read the separate instructions before you complete Form 944. Type or print within the boxes.
Answer these questions for this year. Employers in American Samoa, Guam, the Commonwealth of the Northern
Part 1: 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.
1
Wages, tips, and other compensation
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1
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2
Federal income tax withheld from wages, tips, and other compensation .
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2
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3
If no wages, tips, and other compensation are subject to social security or Medicare tax
3
Check and go to line 5.
4
Taxable social security and Medicare wages and tips:
Column 1
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Column 2
4a Taxable social security wages*
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×
0.124 =
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4a (i) Qualified sick leave wages*
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×
0.062 =
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4a (ii) Qualified family leave wages*
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×
0.062 =
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4b Taxable social security tips
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×
0.124 =
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4c Taxable Medicare wages & tips
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×
0.029 =
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4d Taxable wages & tips subject
to Additional Medicare Tax
withholding . . . . . .
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×
0.009 =
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* Include taxable qualified sick
and family leave wages for leave
taken after March 31, 2021, on
line 4a. Use lines 4a(i) and 4a(ii)
only to report wages paid for
leave taken before April 1, 2021.
4e Total social security and Medicare taxes. Add Column 2 from lines 4a, 4a(i), 4a(ii), 4b, 4c, and 4d
4e
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5
Total taxes before adjustments. Add lines 2 and 4e
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5
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6
Current year’s adjustments (see instructions)
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6
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7
Total taxes after adjustments. Combine lines 5 and 6
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7
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8a
Qualified small business payroll tax credit for increasing research activities. Attach Form 8974
8a
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8b
Nonrefundable portion of credit for qualified sick and family leave wages for leave taken
before April 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . .
8b
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8c
Nonrefundable portion of employee retention credit
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8c
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8d
Nonrefundable portion of credit for qualified sick and family leave wages for leave taken
after March 31, 2021 . . . . . . . . . . . . . . . . . . . . . . .
8d
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You MUST complete all three pages of Form 944 and SIGN it.
For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher.
Next ■▶
Cat. No. 39316N
Form 944 (2021)
Name (not your trade name)
Employer identification number (EIN)
Part 1: Answer these questions for this year. (continued)
.
8e
Nonrefundable portion of COBRA premium assistance credit
8f
Number of individuals provided COBRA premium assistance
8g
Total nonrefundable credits. Add lines 8a, 8b, 8c, 8d, and 8e
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8g
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9
Total taxes after adjustments and nonrefundable credits. Subtract line 8g from line 7
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9
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10a
Total deposits for this year, including overpayment applied from a prior year and
overpayments applied from Form 944-X, 944-X (SP), 941-X, or 941-X (PR)
. . . . . 10a
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10b
Reserved for future use .
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10c
Reserved for future use .
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10d
Refundable portion of credit for qualified sick and family leave wages for leave taken
before April 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . . 10d
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10e
Refundable portion of employee retention credit
. 10e
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10f
Refundable portion of credit for qualified sick and family leave wages for leave taken
after March 31, 2021 . . . . . . . . . . . . . . . . . . . . . . . 10f
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10g
Refundable portion of COBRA premium assistance credit .
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10h
Total deposits and refundable credits. Add lines 10a, 10d, 10e, 10f, and 10g
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10i
Total advances received from filing Form(s) 7200 for the year
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10i
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10j
Total deposits and refundable credits less advances. Subtract line 10i from line 10h
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10j
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11
Balance due. If line 9 is more than line 10j, enter the difference and see instructions .
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11
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12
Overpayment. If line 10j is more than line 9, enter the difference
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8e
DRAFT AS OF
June 30, 2021
DO NOT FILE
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Check one:
Apply to next return.
Send a refund.
Part 2: Tell us about your deposit schedule and tax liability for this year.
13 Check one:
Line 9 is less than $2,500. Go to Part 3.
Line 9 is $2,500 or more. Enter your tax liability for each month. If you’re a semiweekly schedule depositor or
you became one because you accumulated $100,000 or more of liability on any day during a deposit period,
you must complete Form 945-A instead of the boxes below.
Jan.
Apr.
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13a
13c
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13f
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13i
▶
You MUST complete all three pages of Form 944 and SIGN it.
.
13k
Sept.
Total liability for year. Add lines 13a through 13l. Total must equal line 9.
Page 2
Nov.
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13h
June
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13j
Aug.
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13e
Mar.
Oct.
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13g
May
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13b
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13d
Feb.
July
Dec.
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13m
13l
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Next ■▶
Form 944 (2021)
Name (not your trade name)
Employer identification number (EIN)
Part 3: Tell us about your business. If any question does NOT apply to your business, leave it blank.
14
If your business has closed or you stopped paying wages
enter the final date you paid wages
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Check here, and
; also attach a statement to your return. See instructions.
DRAFT AS OF
June 30, 2021
DO NOT FILE
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15
Qualified health plan expenses allocable to qualified sick leave wages for leave taken before April 1, 2021
15
16
Qualified health plan expenses allocable to qualified family leave wages for leave taken before April 1, 2021
16
17
Qualified wages for the employee retention credit
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18
Qualified health plan expenses for the employee retention credit
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19
Qualified sick leave wages for leave taken after March 31, 2021
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19
20
Qualified health plan expenses allocable to qualified sick leave wages reported on line 19
20
21
Amounts under certain collectively bargained agreements allocable to qualified sick
leave wages reported on line 19 . . . . . . . . . . . . . . . . . .
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22
Qualified family leave wages for leave taken after March 31, 2021
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23
Qualified health plan expenses allocable to qualified family leave wages reported on line 22
23
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24
Amounts under certain collectively bargained agreements allocable to qualified family
leave wages reported on line 22 . . . . . . . . . . . . . . . . . . .
24
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If you're eligible for the employee retention credit in the third quarter solely because
your business is a recovery startup business, enter the total of any amounts included on
lines 8c and 10e for the third quarter
. . . . . . . . . . . . . . . . .
25
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If you're eligible for the employee retention credit in the fourth quarter solely because
your business is a recovery startup business, enter the total of any amounts included on
lines 8c and 10e for the fourth quarter . . . . . . . . . . . . . . . . .
26
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26
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Part 4: May we speak with your third-party designee?
Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions for details.
Yes. Designee’s name and phone number
Select a 5-digit personal identification number (PIN) to use when talking to the IRS.
No.
Part 5: Sign here. You MUST complete all three pages of Form 944 and SIGN it.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
✗
Print your
name here
Sign your
name here
Print your
title here
Date
Best daytime phone
Paid Preparer Use Only
Check if you’re self-employed
Preparer’s name
PTIN
Preparer’s signature
Date
Firm’s name (or yours
if self-employed)
EIN
Address
Phone
City
Page 3
State
ZIP code
Form 944 (2021)
DRAFT AS OF
June 30, 2021
DO NOT FILE
This page intentionally left blank
Form 944-V,
Payment Voucher
Purpose of Form
Complete Form 944-V if you’re making a payment with
Form 944. We will use the completed voucher to credit
your payment more promptly and accurately, and to
improve our service to you.
Use Form 944-V when making any payment with
Form 944. However, if you pay an amount with
Form 944 that should’ve been deposited, you
CAUTION
may be subject to a penalty. See section 11 of
Pub. 15, section 8 of Pub. 80, or section 11 of Pub. 179
for details.
!
▲
DRAFT AS OF
June 30, 2021
DO NOT FILE
Making Payments With Form 944
To avoid a penalty, make your payment with your 2021
Form 944 only if one of the following applies.
• Your net taxes for the year (Form 944, line 9) are less
than $2,500 and you’re paying in full with a timely filed
return.
• Your net taxes for the year (Form 944, line 9) are $2,500
or more and you already deposited the taxes you owed
for the first, second, and third quarters of 2021; your net
taxes for the fourth quarter are less than $2,500; and
you’re paying, in full, the tax you owe for the fourth
quarter of 2021 with a timely filed return.
• You’re a monthly schedule depositor making a payment
in accordance with the Accuracy of Deposits Rule. See
section 11 of Pub. 15, section 8 of Pub. 80, or section 11
of Pub. 179 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 11 of Pub. 15, section 8 of Pub. 80,
or section 11 of Pub. 179 for deposit instructions. Don’t
use Form 944-V to make federal tax deposits.
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 944, write “Applied For” and the date you applied in
this entry space.
Box 2—Amount paid. Enter the amount paid with Form
944.
Box 3—Name and address. Enter your name and
address as shown on Form 944.
• Enclose your check or money order made payable to
“United States Treasury.” Be sure to enter your EIN,
“Form 944,” and “2021” on your check or money order.
Don’t send cash. Don’t staple Form 944-V or your
payment to Form 944 (or to each other).
• Detach Form 944-V and send it with your payment and
Form 944 to the address provided in the Instructions for
Form 944.
Note: You must also complete the entity information
above Part 1 on Form 944.
Detach Here and Mail With Your Payment and Form 944.
Form
944-V
Department of the Treasury
Internal Revenue Service
1
Enter your employer identification
number (EIN).
▼
✃
✁
▼
Payment Voucher
▶ Don’t
OMB No. 1545-2007
2021
staple this voucher or your payment to Form 944.
2
Dollars
Cents
Enter the amount of your payment. ▶
Make your check or money order payable to “United States Treasury”
3
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.
Form 944 (2021)
Privacy Act and Paperwork Reduction Act Notice.
We ask for the information on this form to carry out the
Internal Revenue laws of the United States. We need it to
figure and collect the right amount of tax. Subtitle C,
Employment Taxes, of the Internal Revenue Code
imposes employment taxes on wages and provides for
income tax withholding. This form is used to determine
the amount of the taxes that you owe. Section 6011
requires you to provide the requested information if the
tax is applicable to you. Section 6109 requires you to
provide your identification number. If you fail to provide
this information in a timely manner, or provide false or
fraudulent information, you may be subject to penalties.
You’re not required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books and records relating to a form or
instructions must be retained as long as their contents
may become material in the administration of any Internal
Revenue law.
Generally, tax returns and return information are
confidential, as required by section 6103. However,
section 6103 allows or requires the IRS to disclose or give
the information shown on your tax return to others as
described in the Code. For example, we may disclose
your tax information to the Department of Justice for civil
and criminal litigation, and to cities, states, the District of
Columbia, and U.S. commonwealths and possessions for
use in administering their tax laws. We may also disclose
this information to other countries under a tax treaty, to
federal and state agencies to enforce federal nontax
criminal laws, or to federal law enforcement and
intelligence agencies to combat terrorism.
The time needed to complete and file Form 944 will
vary depending on individual circumstances. The
estimated average time is:
Recordkeeping . . . . . . . . .
16 hr., 44 min.
Learning about the law or the form . . . . 40 min.
Preparing, copying, assembling, and
sending the form to the IRS . . . . . 2 hr., 10 min.
If you have comments concerning the accuracy of
these time estimates or suggestions for making Form 944
simpler, we would be happy to hear from you. You can
send us comments from www.irs.gov/FormComments. Or
you can send your comments to Internal Revenue
Service, Tax Forms and Publications Division, 1111
Constitution Ave. NW, IR-6526, Washington, DC 20224.
Don’t send Form 944 to this address. Instead, see Where
Should You File? in the Instructions for Form 944.
DRAFT AS OF
June 30, 2021
DO NOT FILE
| File Type | application/pdf |
| File Title | 2021 Form 944 |
| Subject | Employer's Annual Federal Tax Return |
| Author | SE:W:CAR:MP |
| File Modified | 2021-06-30 |
| File Created | 2021-06-11 |