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0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3 3 3 3 3 3 3 3 3 4 4 4 4 4 4 4 4 4 4 5 5 5 5 5 5 5 5 5 5 6 6 6 6 6 6 6 6 6 6 7 7 7 7 7 7 7 7 7 7 8 8 8 8 8 80
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/.
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6 6 6 2 2 2 2 6 *14207010001*
6 6 6 3 3 3 3 6 14207010001
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