943 SCH R Allocation Schedule for Aggregate Form 943 Filers

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Allocation Schedule for Aggregate Form 943 Filers

(Rev. December 2023)

Department of the Treasury — Internal Revenue Service

Employer identification number (EIN)

430423

Schedule R (Form 943):

OMB No. 1545-0035

Report for calendar year:

—

(Same as Form 943):

Name as shown on Form 943

2023
Type of filer (check one):

Section 3504 Agent

CPEO

Other Third Party

Read the instructions before you complete Schedule R. Type or print within the boxes. Complete a separate line for the amounts
allocated to each of your clients. The term “client” as used on this form includes the term “customer.” See the instructions.
(a) Client’s EIN

(b) Type of wages
(CPEO only)

(c) Form 943, line 1

(d) Form 943, line 2

of all Continuation Sheets for Schedule R

8 Enter Form 943 amounts for your employees
9 Totals. Add lines 6, 7, and 8.

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(r) Form 943, line 19

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(f) Form 943, line 2b

(g) Form 943, line 4

(h) Form 943, line 6

DRAFT AS OF
August 4, 2023
DO NOT FILE

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6 Subtotals for clients. Add lines 1 through 5
7 Enter the combined subtotal from line 9

(j) Form 943, line 12a

(e) Form 943, line 2a

(k) Form 943, line 12b

(l) Form 943, line 12d

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(w) Form 943, line 26

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Cat. No. 69329E

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(q) Form 943, line 18

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(y) Reserved for
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Schedule R (Form 943) (Rev. 12-2023)

Page

of

430523

Continuation Sheet for Schedule R (Form 943)
(Rev. December 2023)
Employer identification number (EIN)

Report for calendar year:

—

(Same as Form 943):

Name as shown on Form 943

2023
Type of filer (check one):

(a) Client’s EIN

Section 3504 Agent

(b) Type of wages
(CPEO only)

1
2
3
4
5
6
7
8

CPEO

(c) Form 943, line 1

Other Third Party

(d) Form 943, line 2

(e) Form 943, line 2a

(f) Form 943, line 2b

(g) Form 943, line 4

DRAFT AS OF
August 4, 2023
DO NOT FILE

(h) Form 943, line 6

(i) Form 943, line 8

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9 Subtotals for clients. Add lines 1 through
8. Include the subtotals from this line on
Schedule R, Page 1, line 7.
(j) Form 943, line 12a

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(y) Reserved for
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Schedule R (Form 943) (Rev. 12-2023)