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1 1 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 52 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 51 
      0 0 0  4 4 4 4 0                                                                                                        Department Use Only
      0 0 0  5 5 5 5 0                Form                                                                                    (MM/DD/YY)
      0 0 0  6 6 6 6 0                          Employer’s Return of Income Taxes Withheld
                            MO-941
      0 0 0  7 7 7 7 0                                                                                                                                                                     Amended Return
      0 0 0  8 8 8 8 0 
      0 0 0  9 9 9 9 0                                                                            Address Change - In the event your mailing address or primary business location changed, please 
                                                                                                  complete the Registration or Exemption Change Request (
      1 1 1  0  0  0  0  1                                                                                                                               Form 126) and submit it with your return.
                           Filing Frequency
      1 1 1  1 1 1 1 1     Missouri Tax                                              Federal Employer                                        Reporting Period
      1 1 1  2 2 2 2 1     I.D. Number                                               I.D. Number                                             (MM/YY)
      1 1 1  3 3 3 3 1     Business
      1 1 1  4 4 4 4 1     Name
      1 1 1  5 5 5 5 1 
      1 1 1  6 6 6 6 1     Address
      1 1 1  7 7 7 7 1 
      1 1 1  8 8 8 8 1     City                                                                                                                                                            State
      1 1 1  9 9 9 9 1 
      2 2 2  0 0 0 0 2     ZIP                           -
      2 2 2  1 1 1 1 2 
      2 2 2  2 2 2 2 2 
      2 2 2  3 3 3 3 2                          Final Return                         1.  Withholding this period ..................................................................      1      . 00
      2 2 2  4 4 4 4 2      If  this  is  your final  return,  enter  the  close 
                            date below and check the reason for closing 
      2 2 2  5 5 5 5 2      your account.                                            2.  Compensation deduction ...............................................................          2      . 00
      2 2 2  6 6 6 6 2      Date Closed
      2 2 2  7 7 7 7 2      (MM/DD/YY)                                               3.  Existing credit(s) or overpayment(s) ..............................................             3      . 00
      2 2 2  8 8 8 8 2 
      2 2 2  9 9 9 9 2                Out Of Business             Sold Business      4.  Balance due ................................................................................... 4      . 00
      3 3 3  0 0 0 0 3 
      3 3 3  1 1 1 1 3                Filed under Professional Employer              5.  Additions to tax (see instructions) ..................................................          5      . 00
      3 3 3  2 2 2 2 3                Organization (PEO)
      3 3 3  3 3 3 3 3                PEO Name  ____________________                 6.  Interest (see instructions) ..............................................................      6      . 00
      3 3 3  4 4 4 4 3                ______________________________
      3 3 3  5 5 5 5 3                                                               7.  Total amount due (U. S. Funds only) or overpaid ..........................                      7      . 00
      3 3 3  6 6 6 6 3 
      3 3 3  7 7 7 7 3                                                                                                        Department Use Only                                               . 00
      3 3 3  8 8 8 8 3                Under penalties of perjury, I declare that the above information and any attached supplement is true, complete, and correct.
      3 3 3  9 9 9 9 3 
      4 4 4  0 0 0 0 4                Signature                                                                      Printed Name
      4 4 4  1 1 1 1 4      Signature                                                                                         Date Signed 
      4 4 4  2 2 2 2 4                Title                                                                                   (MM/DD/YY)
      4 4 4  3 3 3 3 4 
      4 4 4  4 4 4 4 4 
      4 4 4  5 5 5 5 4                Visit our website at mytax.mo.gov/rptp/portal/home/fileandpaybusinesstaxesonline to e-file this return.
      4 4 4  6 6 6 6 4 
                            E-filing provides a fast and secure way for you to transmit your return and any applicable payment to the Department of Revenue.  All 
      4 4 4  7 7 7 7 4      transactions provide a confirmation number which you can keep for your records to verify that your filing has been received.  E-filing 
      4 4 4  8 8 8 8 4      also eliminates the need to physically mail your return and payment.
      4 4 4  9 9 9 9 4 
      4 4 4  0 0 0 0 4 
      5 5 5  1 1 1 1 5                                                      See page 2 for instructions on completing Form MO-941.
      5 5 5  2 2 2 2 5 
      5 5 5  3 3 3 3 5 
      5 5 5  4 4 4 4 5                  Taxation Division                                 E-mail: withholding@dor.mo.gov                                                                   Form MO-941 (Revised 06-2022) 
                           Mail to: 
      5 5 5  5 5 5 5 5                  P.O. Box 999
                                                                                          Visit 
      5 5 5  6 6 6 6 5                                                                         dor.mo.gov/taxation/business/tax-types/withholding/ for additional information.
                                        Jefferson City, MO 65105-0999
      5 5 5  7 7 7 7 5                                                                    Ever served on active duty in the United States Armed Forces?  
      5 5 5  8 8 8 8 5      Phone:          (573) 751-7200                                If yes, visitdor.mo.gov/military/ to see the services and benefits we offer to all eligible 
      5 5 5  9 9 9 9 5          Fax:        (573) 522-6816                                military individuals. A list of all state agency resources and benefits can be found at 
      5 5 5  0 0 0 0 5                                                                    veteranbenefits.mo.gov/state-benefits/.
      6 6 6  1 1 1 1 6 
      6 6 6  2 2 2 2 6                                                                     *14207010001*
      6 6 6  3 3 3 3 6                                                                                         14207010001
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      6 6 6  5 5 5 5 6 
      6 6 666 6 6 6 






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