Form
940 for 201X:
Em plo ye r‘sA nn ualFed eralU nem p loym e nt(FUTA )TaxR eturn
Department of the Treasury — Internal Revenue Service
850113
OMB No. 1545-0028
1a If you had to pay state unemployment tax in one state only, enter the state abbreviation . 1a
1b If you had to pay state unemployment tax in more than one state, you are a multi-state
employer . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b
Check here.
Complete Schedule A (Form 940).
6
7
Total taxable FUTA wages (line 3 – line 6 = line 7). See instructions …………………..…………..………… 7
8
FUTA tax before adjustments (line 7 x 0.006 = line 8) …………….………………………..…………..………… 8
21,000. 00
126. 00
Part 3: Determine your adjustments. If any line does NOT apply, leave it blank.
9
If ALL of the taxable FUTA wages you paid were excluded from state unemployment tax,