Did you pay all wages in states or territories other than the U.S. Virgin Islands? 

OMB No. 1545-0028 Employer’s Annual Federal

Unemployment (FUTA) Tax Return Form 940

Department of the Treasury

Internal Revenue Service © For Paperwork Reduction Act Notice, see separate instructions.

T

FF

FD If incorrect,

make any

necessary

change.

FP

I

T

Yes No

If you will not have to file returns in the future, check here, complete, and sign the return ©

Computation of Taxable Wages

1 Total payments (including exempt payments) during the calendar year for services of employees 1

Amount paid Exempt payments. (Explain each exemption shown, attach additional

sheets if necessary.) ©

2

2

Payments of more than $7,000 for services. Enter only amounts over

the first $7,000 paid to each employee. Do not include payments

from line 2. The $7,000 amount is the Federal wage base. Your state

wage base may be different. Do not use the state wage limitation

3

3

4 Total exempt payments (add lines 2 and 3) 4

5 Total taxable wages (subtract line 4 from line 1, enter result, and go to Part II ) © 5

Form 940 (1993)

©

Part I

If this is an Amended Return, check here ©

A Are you required to pay unemployment contributions to only one state? (If no, skip questions B through D.)

B

C

D

Be sure to complete both sides of this return and sign in the space provided on the back.

Did you pay all state unemployment contributions by January 31, 1994? (If a 0% experience rate is granted,

check “Yes.”) (If no, skip questions C and D.)

Were all wages that were taxable for FUTA tax also taxable for your state’s unemployment tax? (If no, skip D.)

If you answered “No” to any of these questions, you must file Form 940. If you answered “Yes” to all the

questions, you may file Form 940-EZ, which is a simplified version of Form 940. You can get Form 940-EZ by

calling 1-800-TAX-FORM (1-800-829-3676).

Yes No

Yes No

Yes No

Cat. No. 11234O

940-V

Department of the Treasury

Internal Revenue Service

1993 Form 940 Payment Voucher

(Enter below the amount paid with this return. If any of the preprinted information is incorrect, make the changes on

Form 940, not on the payment voucher.)

● Make check or money order payable to the

Internal Revenue Service. Do not send cash.

Form

● If Part II, line 9, is $100 or less, include but do

not staple your payment with this return.

Form 940-V (1993)

DO NOT DETACH

● If Part II, line 9, is over $100, you must deposit

the amount due with Form 8109.

● Enter amount paid with return $

E

F
Tax Due or Refund

1 Gross FUTA tax. Multiply the wages in Part l, line 5, by .062 1

2 Maximum credit. Multiply the wages in Part l, line 5, by .054 2

3

Total FUTA tax (subtract line 6 from line 1)

Total FUTA tax deposited for the year, including any overpayment applied from a prior year

5

6

Balance due (subtract line 8 from line 7). This should be $100 or less. Pay to the Internal Revenue

Service. See page 2 of the separate instructions for details ©

6

7

Overpayment (subtract line 7 from line 8). Check if it is to be: Applied to next return,

or Refunded ©

7

Record of Quarterly Federal Unemployment Tax Liability ( Do not include state liability)

Quarter First Second Third Fourth Total for year

Liability for quarter

(a)

Name

of

state

(i)

Contributions

actually paid

to state

(h)

Additional credit

(col. (f) minus col.(g)).

If 0 or less, enter 0.

(g)

Contributions

payable at experience

rate (col. (c) x col. (e))

(f)

Contributions if

rate had been 5.4%

(col. (c) x .054)

(e)

State experience

rate

(b)

State reporting number(s)

as shown on employer’s

state contribution returns

(c)

Taxable payroll

(as defined in state act)

(d)

State experience rate period

From To

Totals ©

Total tentative credit (add line 3a, columns (h) and (i) only—see instructions for limitations on late payments) ©

Form 940 (1993) Page 2

Part III

Computation of tentative credit (Note: All taxpayers must complete the applicable columns.)

3a

3b

4

9

8

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, 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 to employees.

Signature © Title (Owner, etc.) © Date ©

8

9

Credit: Enter the smaller of the amount in Part II, line 2, or line 3b

10

10

Part II

Note: The additional credit shown in column (h) is limited to 3% of the taxable payroll for the U.S. Virgin Islands. Use 3% (.03) in

column (f). See Part II, line 3, columns (f) and (h), on page 4 of the separate instructions.
Did you pay all wages in states or territories other than the U.S. Virgin Islands? 

OMB No. 1545-0028 Employer’s Annual Federal

Unemployment (FUTA) Tax Return Form 940

Department of the Treasury

Internal Revenue Service © For Paperwork Reduction Act Notice, see separate instructions.

Yes No

If you will not have to file returns in the future, check here, complete, and sign the return ©

Computation of Taxable Wages

1 Total payments (including exempt payments) during the calendar year for services of employees 1

Amount paid Exempt payments. (Explain each exemption shown, attach additional

sheets if necessary.) ©

2

2

Payments of more than $7,000 for services. Enter only amounts over

the first $7,000 paid to each employee. Do not include payments

from line 2. The $7,000 amount is the Federal wage base. Your state

wage base may be different. Do not use the state wage limitation

3

3

4 Total exempt payments (add lines 2 and 3) 4

5 Total taxable wages (subtract line 4 from line 1, enter result, and go to Part II) © 5

Form 940 (1993)

Part I

If this is an Amended Return, check here ©

A Are you required to pay unemployment contributions to only one state? (If no, skip questions B through D.)

B

C

D

Did you pay all state unemployment contributions by January 31, 1994? (If a 0% experience rate is granted,

check “Yes.”) (If no, skip questions C and D.)

Were all wages that were taxable for FUTA tax also taxable for your state’s unemployment tax? (If no, skip D.)

If you answered “No” to any of these questions, you must file Form 940. If you answered “Yes” to all the

questions, you may file Form 940-EZ, which is a simplified version of Form 940. You can get Form 940-EZ by

calling 1-800-TAX-FORM (1-800-829-3676).

Yes No

Yes No

Yes No

E

F
Computation of tentative credit (Note: All taxpayers must complete the applicable columns.)

Credit: Enter the smaller of the amount in Part II, line 2, or line 3b

Note: The additional credit shown in column (h) is limited to 3% of the taxable payroll for the U.S. Virgin Islands. Use 3% (.03) in

column (f). See Part II, line 3, columns (f) and (h), on page 4 of the separate instructions.

Note: You must keep this copy and a copy of each related schedule or statement for 4 years after the date the tax is due or paid,

whichever is later. These copies must be available for inspection by the IRS. See Circular E, Employer’s Tax Guide, and Pub. 937,

Employment Taxes and Information Returns, for more information. Household employers should see Pub. 926, Employment Taxes for

Household Employers.

Tax Due or Refund

1 Gross FUTA tax. Multiply the wages in Part l, line 5, by .062 1

2 Maximum credit. Multiply the wages in Part l, line 5, by .054 2

3

Total FUTA tax (subtract line 6 from line 1)

Total FUTA tax deposited for the year, including any overpayment applied from a prior year

5

6

Balance due (subtract line 8 from line 7). This should be $100 or less. Pay to the Internal Revenue

Service. See page 2 of the separate instructions for details ©

6

7

Overpayment (subtract line 7 from line 8). Check if it is to be: Applied to next return,

or Refunded ©

7

Record of Quarterly Federal Unemployment Tax Liability ( Do not include state liability)

Quarter First Second Third Fourth Total for year

Liability for quarter

(a)

Name

of

state

(i)

Contributions

actually paid

to state

(h)

Additional credit

(col. (f) minus col.(g)).

If 0 or less, enter 0.

(g)

Contributions

payable at experience

rate (col. (c) x col. (e))

(f)

Contributions if

rate had been 5.4%

(col. (c) x .054)

(e)

State experience

rate

(b)

State reporting number(s)

as shown on employer’s

state contribution returns

(c)

Taxable payroll

(as defined in state act)

(d)

State experience rate period

From To

Totals ©

Total tentative credit (add line 3a, columns (h) and (i) only—see instructions for limitations on late payments) ©

Form 940 (1993) Page 4

Part III

3a

3b

4

9

8

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, 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 to employees.

Signature © Title (Owner, etc.) © Date ©

8

9

10

10

Part II