Form 941 is a report of employee taxes that are withheld from their wages and paid over to the IRS. This form is used to report federal employment taxes, including income tax withholding, Social Security and Medicare taxes, and unemployment taxes. Most businesses use Form 941 to file their annualEmployment Tax Return. There are certain business entities that are not required to file Form 941. These include churches, governments, the United States military, foreign governments or international organizations, Indian tribal governments, and qualified pension plans. Check the instructions for Form 941 for a complete list of entities that do not have to file this form. Form 941 must be filed whether or not any wages were paid during the quarter. The due date for
| Question | Answer |
|---|---|
| Form Name | Ar941M Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | ar941m, ar941m form, ar941m formpdffillercom, ar941m 2019 |
AR941M
Monthly Wage Withholding Report
INSTRUCTIONS
PERIOD COVERED AND DUE DATE:
Enter the reporting period and due date for this coupon. You can only report one period per coupon. All new accounts are reported and paid on the 15th of the following month. There is no quarterly iling.
ID NUMBER:
Enter your Federal Identiication Number. Include two zeros (00) on the end of your FEIN (ex:
TAX WITHHELD:
Enter the total amount of Arkansas Income Tax withheld for this monthly reporting period only.
AMOUNT PAID:
Enter the amount paid for this monthly reporting period only.
ADJUSTMENTS:
Do not make any adjustments for prior periods on this form. You must ile an amended report, Form AR941X, for any prior period changes and include a detailed explanation of any prior period adjustment.
MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO:
Department of Finance and Administration
MAIL TO:
Individual Income Tax Section
Withholding Branch
P.O. Box 9941
Little Rock, Arkansas
ADDITIONAL INFORMATION:
To CHANGE YOUR ADDRESS or to CLOSE YOUR BUSINESS for Withholding purposes, please complete and submit the appropriate forms. These forms can be found on our website at www.arkansas.gov/dfa or they will be mailed to you by contacting (501)
PRIOR YEAR AR941M COUPON
DUE ON THE 15TH DAY OF THE MONTH FOLLOWING THE REPORTING PERIOD
You must cut along the dotted line or the processing of your payment will be delayed.
AR941M |
State of Arkansas |
Tax Year ________ |
1811 |
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Monthly Wage Withholding Report |
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(R 01/08/06) |
(9999) |
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I declare under penalties of perjury that I have examined this return and to the best of my knowledge and belief, it is a true, correct and complete return.
Signature ________________________________________________________ Date __________________________ |
Phone __________________________ |
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Federal Employer Identiication Number |
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FOR OFFICE USE ONLY |
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Period Covered |
Due Date |
A |
B |
REF ID |
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Tax Withheld
Tax Paid
$
$
Include Cents (ex. 1,234,567.89)
Include Cents (ex. 1,234,567.89)
Name of Corporation
Attn
Address
City, State, Zip