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      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 09-2021) 
                           Mail to: 
      5 5 5  5 5 5 5 5                  P.O. Box 999                                         Visit dor.mo.gov/taxation/business/tax-types/withholding/ for additional information.
      5 5 5  6 6 6 6 5                  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) 751-8750                                   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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             Amended Return Box should be selected if you have previously filed a return and need to increase or decrease tax liability. 

                       Note: A separate MO-941 must be filed for each tax period in which tax liability needs to be adjusted. 
             If the increased return and payment are being submitted after the period(s) due date, penalties and interest will apply to the additional 
             amount of tax liability reported. Visit dor.mo.gov/taxation/business/tax-types/withholding/ to view the due dates in the Employer’s 
             Withholding Tax Guide.
             To show a decrease in liability:  attach proper documentation for verification of changes made.  Provide a copy of the W-2C if the 
             error was caught after the original W-2 was submitted.  Provide a copy of the payroll ledger if the error was caught before a W-2 
             was issued.  To correct withholding on a 1099-R submit a copy of the original 1099-R, and a copy of the corrected 1099-R to show 
             the change in tax due.
                             Note:  If documentation is not provided for an amended return, no changes will be made.
             Note:  if an overpayment has been authorized, the overpayment is subject to be used as an offset toward any debt.  To receive a 
             refund of the overpayment attach the Employer’s Refund Request (Form 4854).  If no form is attached, overpayment(s) generated 
             will remain as credit(s) on the account.  For additional information and to locate the refund request form visit the Online Credit Inquiry 
             System at dor.mo.gov/taxation/business/credit-inquiry/.
             Address Change Check Box — This box should be selected if you need to update or correct the address of your business. Please 
             complete the Registration or Exemption Change Request (Form 126) and submit it with your return.
             Filing Frequency — This is the frequency in which you are required to file your returns.
             Missouri Tax I.D. Number — An eight digit number issued by the Missouri Department of Revenue to identify your business.  If you 
             have not registered for an identification number you can do so by visiting dor.mo.gov/register-business/ or by completing the 
             Missouri Tax Registration Application (Form 2643).  If you have misplaced this identification number and are an authorized person 
             for the account, you may call (573) 751-5860 to obtain the number issued to you.
             Federal Employer I.D. Number — This is a nine digit identification number issued by the Internal Revenue Service to identify your 
             business.
             Reporting Period  — This is the tax period you are required to file based on your filing frequency.  For due dates you may access 
             Form 2414W at dor.mo.gov/forms/.
Instructions Business Name, Address, City, State, and ZIP — Enter the name, address, city, state and ZIP code of your business. 
             Line 1
             Withholding  This Period — Enter the total amount of state withholding  tax withheld  for the reporting period. If  there was no 
             withholding during the reporting period enter zero.
             Line 2
             Compensation Deduction — Enter the amount retained for timely payment(s). For a breakdown of compensation deduction, see the 
             Employer’s Withholding Tax Guide (Form 4282) at dor.mo.gov/taxation/business/tax-types/withholding/.
             Line 3
             Existing Credits  or Overpayments —  If  your withholding  account has an existing credit, enter the amount to  apply 
             towards the report period.  To determine the amount of credit on an account view the Online Credit Inquiry System at 
             dor.mo.gov/taxation/business/credit-inquiry/.
             Line 4
             Balance Due  — Subtract Line 2 and Line 3, if applicable, from Line 1.  Enter the difference on Line 4.
             Line 5
             Additions to Tax - Enter the total amount of additions on Line 5.
              A.  For failure to pay withholding tax by the due date – subtract Line 3, if applicable, from Line 1 and multiply the result by 5%; or 
              B.  For failure to file your return by the due date – subtract Line 3, if applicable, from Line 1 and multiply the result by 5% for each 
                   month late, not to exceed 25%.
             Line 6
             Interest  —  Enter on Line 6.  Divide the annual interest rate by 365 (366 for leap years) to obtain the daily interest rate. Then subtract 
             Line 3 from Line 1 and multiply the result by the daily interest rate for each day late. 
             * The annual interest rate is subject to change each year. 
               Access the annual interest rate at dor.mo.gov/taxation/statutory-interest-rates.html.
             Line 7
             Total Amount Due or Overpaid  —  Add Lines 4, 5 and 6.  An overpayment should reflect a negative figure.

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