PDF document
- 1 -

Enlarge image
                                                                                                                                                                                 OMB No. 1545-1430
                                       Annual Return of Withheld Federal Income Tax
Form   945                                                     For withholding reported on Forms 1099 and W-2G. 
Department of the Treasury             For more information on income tax withholding, see Pub. 15 and Pub. 15-A.
Internal Revenue Service                 Go to www.irs.gov/Form945 for instructions and the latest information.                                                                  2022
              Name (as distinguished from trade name)                                             Employer identification number (EIN)
              Trade name, if any                                                                                                                                                 If address is 
  Type                                                                                                                                                                           different 
                                                                                                                                                                                 from prior 
   or         Address (number and street)                                                                                                                                        return, check
  Print 
                                                                                                                                                                                 here. 
              City or town, state or province, country, and ZIP or foreign postal code

  A    If you don’t have to file returns in the future, check here                                and enter date final payments made. 

  1    Federal income tax withheld from pensions, annuities, IRAs, gambling winnings, etc.  .                                                          . .  .     .        1

  2    Backup withholding              . . . . .                          .   . . .   .  .  . .   .    . .        . . . .                 .          . . .  .     .        2

  3    Total taxes. If $2,500 or more, this must equal line 7M below or Form 945-A, line M   .                                                         . .  .     .        3

  4    Total deposits for 2022, including overpayment applied from a prior year and overpayment applied
       from Form 945-X  .              . . . . .                          .   . . .   .  .  . .   .    . .        . . . .                 .          . . .  .     .        4

  5    Balance due. If line 3 is more than line 4, enter the difference and see the separate instructions .                                                                5

  6    Overpayment. If line 4 is more than line 3, enter the difference  .                               .          $ 

                                Check one:                                    Apply to next return.               Send a refund.

• All filers: If line 3 is less than $2,500, don’t complete line 7 or Form 945-A.
• Semiweekly schedule depositors: Complete Form 945-A and check here  .                                             . . .                 .          . . .  .     . .      .  .  .     .  .   .
• Monthly schedule depositors:Complete line 7, entries A through M, and check here  .                                                                . . .  .     . .      .  .  .     .  .   .

  7 Monthly Summary of Federal Tax Liability.  Don’t(                                  complete if you were a semiweekly schedule depositor.)
                                       Tax liability for month                                                    Tax liability for month                                                 Tax liability for month            
A  January  .    .    .                                                   F   June  . .  .  . .                                                      K November     .      .
B  February      .    .                                                   G   July  . .  .  . .                                                      L December     .      .
C  March      .  .    .                                                   H   August  .  .  . .                                                      M Total liability for 
D  April  .   .  .    .                                                     I September   . . .                                                        year (add lines  A
 E May  .     .  .    .                                                   J   October  . .  . .                                                        through L)   .      .
            Do you want to allow another person to discuss this return with the IRS? See separate instructions.                                             Yes. Complete the following.       No.
Third- 
Party 
Designee    Designee’s                                                                      Phone                                                      Personal identification 
            name                                                                            no.                                                        number (PIN)           
            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.
Sign 

Here                                                                                          Print Your 
            Signature                                                                         Name and Title                                                                Date 
                 Print/Type preparer’s name                                       Preparer’s signature                                               Date
Paid                                                                                                                                                                Check          if     PTIN
                                                                                                                                                                    self-employed 
Preparer 
                 Firm’s name                                                                                                                                        Firm’s EIN 
Use Only         Firm’s address                                                                                                                                     Phone no. 
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.                                        Cat. No. 14584B                                              Form 945 (2022)



- 2 -

Enlarge image
Form 945-V, 
Payment Voucher

Purpose of Form                                                         Specific Instructions
Complete Form 945-V if you’re making a payment with                     Box 1—Employer identification number (EIN). If you   
Form 945. We will use the completed voucher to credit                   don’t have an EIN, you may apply for one online by 
your payment more promptly and accurately, and to                       visiting the IRS website at www.irs.gov/EIN. You may also 
improve our service to you.                                             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 
Making Payments With Form 945                                           Form 945, write “Applied For” and the date you applied in 
To avoid a penalty, make your payment with your 2022                    this entry space.
Form 945only if:                                                        Box 2—Amount paid.Enter the amount paid with Form 
• Your total taxes for the year (Form 945, line 3) are less             945.
than $2,500 and you’re paying in full with a timely filed               Box 3—Name and address. Enter your name and 
return, or                                                              address as shown on Form 945.
• You’re a monthly schedule depositor making a payment                  • Enclose your check or money order made payable to 
in accordance with the Accuracy of Deposits Rule. See                   “United States Treasury.” Be sure to enter your EIN, 
section 11 of Pub. 15 for details. In this case, the amount             “Form 945,” and “2022” on your check or money order. 
of your payment may be $2,500 or more.                                  Don’t send cash. Don’t staple Form 945-V or your 
 Otherwise, you must make deposits by electronic funds                  payment to the return (or to each other).
transfer. See section 11 of Pub. 15 for deposit                         • Detach Form 945-V and send it with your payment and 
instructions. Don’t use Form 945-V to make federal tax                  Form 945 to the address provided in the Instructions for 
deposits.                                                               Form 945.
         Use Form 945-V when making any payment with                    Note: You must also complete the entity information 
         Form 945. However, if you pay an amount with                   above line A on Form 945.
!       Form 945 that should’ve been deposited,  
CAUTION
         you may be subject to a penalty. See Deposit 
Penalties in section 11 of Pub. 15.

                            Detach Here and Mail With Your Payment and Form 945. 

                                                                                                                                         OMB No. 1545-1430
Form  945-V                                          Payment Voucher

Department of the Treasury                         Don’t staple this voucher or your payment to Form 945.                                2022
Internal Revenue Service   
1 Enter your employer identification number (EIN). 2 Enter the amount of your payment           . . . .                Dollars             Cents
                                                     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 or town, state or province, country, and ZIP or foreign postal code.






PDF file checksum: 2227086787

(Plugin #1/9.12/13.0)