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940 for 2022: Employer's Annual Federal Unemployment (FUTA) Tax Return 8501,23 OME No. 1545-0028 Employer identification number (EIN) Name (not your trade name) Trade name (if ary) Address Type of Return (Check all that apply) la. Amended b. Successor employer c. No payments to employees in 2022 d. Final: Business closed or stopped paying wages Go to www. Irs. gov/Form940 for instructions and the latest information. Read the separate instructions before you complete this form. Please type or print within the boxes. Part 1: Tell us about your return. If any line does NOT apply, leave it blank. See instructions before completing Part 1. 1a If you had to pay state unemployment tax in one state only, enter the state abbreviation. 1b If you had to pay state unemployment tax in more than one state, you are a multi-state employer 2 If you paid wages in a state that is subject to CREOIT REDUCTION. 1 a 1b 2 Check hero. Complete Schedule A form 940 ) 1 Check here. Complete Schedule A (Form 940), Part 2: Determine your FUTA tax before adjustments. If any line does NOT apply, leave it blank. 3 Total payments to all employees 4 Payments exempt from FUTA tax Check all that apply: 4a Fringe benefits 4b 3 4. 40 4d Retirement/Pension Dependent care 5 Total of payments made to each employee in excess of $7,000 5 6 Subtotal (line 4+ line 5= line 6 ) . 7 Total taxable FUTA wages (line 3 line 6= line 7). See instructions. 8 FUTA tax before adjustments (ine 70.006= line 8 ) Part 3: Determine your adjustments. If any line does NOT apply, leave it blank. 9 If ALL of the taxable FUTA wages you paid were excluded from state unemployment tax, multiply line 7 by 0.054 (line 70.054= line 9 ). Go to line 12 10 If SOME of the taxable FUTA wages you paid were excluded from state unemployment tax, OR you paid ANY state unemployment tax late (after the due date for filing Form 940), complete the worksheet in the instructions. Enter the amount from line 7 of the worksheet 9 6 7 112000 8 672. - If line 14 is more than $500, you must deposit your tax. - If line 14 is $500 or less, you may pay with this return. See instructions. 14 15 Overpayment. If line 13 is more than line 12, enter the excess on line 15 and check a box below 15 You MUST complete both pages of this form and SIGN it. Check one: Apply to next return. Send a refund. or Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 112340 Form 940(2022) 850212 Name (not your trade name) Employer identification number (EIM) Part 5: Report your FUTA tax liability by quarter only if line 12 is more than $500. If not, go to Part 6 . 16 Report the amount of your FUTA tax liability for each quarter, do NOT enter the amount you deposited. If you had no liability for a quarter, leave the line blank. 16a 1st quarter (January 1March31). . . . . . . . 16a 16b 2nd quarter (April 1 - June 30) . . . . . . . . 16b 16c 3rd quarter (July 1 -September 30 ) . . . . . . . 16c 16d 4th quarter (October 1-December 31) . . . . . . . 16d 17 Total tax liability for the year (lines 16a+16b+16c+16d= line 17) 17 Total must equal line 12. Part 6: 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 7: Sign here. You MUST complete both pages of this form and SIGN it. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and staternents, and to the best of my knowledge and belief, it is true, correct, and complete, and that no part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments made to employees. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign your Print your name here name here Print your title here 940 for 2022: Employer's Annual Federal Unemployment (FUTA) Tax Return 8501,23 OME No. 1545-0028 Employer identification number (EIN) Name (not your trade name) Trade name (if ary) Address Type of Return (Check all that apply) la. Amended b. Successor employer c. No payments to employees in 2022 d. Final: Business closed or stopped paying wages Go to www. Irs. gov/Form940 for instructions and the latest information. Read the separate instructions before you complete this form. Please type or print within the boxes. Part 1: Tell us about your return. If any line does NOT apply, leave it blank. See instructions before completing Part 1. 1a If you had to pay state unemployment tax in one state only, enter the state abbreviation. 1b If you had to pay state unemployment tax in more than one state, you are a multi-state employer 2 If you paid wages in a state that is subject to CREOIT REDUCTION. 1 a 1b 2 Check hero. Complete Schedule A form 940 ) 1 Check here. Complete Schedule A (Form 940), Part 2: Determine your FUTA tax before adjustments. If any line does NOT apply, leave it blank. 3 Total payments to all employees 4 Payments exempt from FUTA tax Check all that apply: 4a Fringe benefits 4b 3 4. 40 4d Retirement/Pension Dependent care 5 Total of payments made to each employee in excess of $7,000 5 6 Subtotal (line 4+ line 5= line 6 ) . 7 Total taxable FUTA wages (line 3 line 6= line 7). See instructions. 8 FUTA tax before adjustments (ine 70.006= line 8 ) Part 3: Determine your adjustments. If any line does NOT apply, leave it blank. 9 If ALL of the taxable FUTA wages you paid were excluded from state unemployment tax, multiply line 7 by 0.054 (line 70.054= line 9 ). Go to line 12 10 If SOME of the taxable FUTA wages you paid were excluded from state unemployment tax, OR you paid ANY state unemployment tax late (after the due date for filing Form 940), complete the worksheet in the instructions. Enter the amount from line 7 of the worksheet 9 6 7 112000 8 672. - If line 14 is more than $500, you must deposit your tax. - If line 14 is $500 or less, you may pay with this return. See instructions. 14 15 Overpayment. If line 13 is more than line 12, enter the excess on line 15 and check a box below 15 You MUST complete both pages of this form and SIGN it. Check one: Apply to next return. Send a refund. or Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 112340 Form 940(2022) 850212 Name (not your trade name) Employer identification number (EIM) Part 5: Report your FUTA tax liability by quarter only if line 12 is more than $500. If not, go to Part 6 . 16 Report the amount of your FUTA tax liability for each quarter, do NOT enter the amount you deposited. If you had no liability for a quarter, leave the line blank. 16a 1st quarter (January 1March31). . . . . . . . 16a 16b 2nd quarter (April 1 - June 30) . . . . . . . . 16b 16c 3rd quarter (July 1 -September 30 ) . . . . . . . 16c 16d 4th quarter (October 1-December 31) . . . . . . . 16d 17 Total tax liability for the year (lines 16a+16b+16c+16d= line 17) 17 Total must equal line 12. Part 6: 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 7: Sign here. You MUST complete both pages of this form and SIGN it. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and staternents, and to the best of my knowledge and belief, it is true, correct, and complete, and that no part of any payment made to a state unemployment fund claimed as a credit was, or is to be, deducted from the payments made to employees. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign your Print your name here name here Print your title here