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Federal Free Printable Form 940-B (Rev. 5-2010) for 2021 Federal Request for Verification of Credit Information Shown on Form 940

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Request for Verification of Credit Information Shown on Form 940
Form 940-B (Rev. 5-2010)

Form Department of the Treasury - Internal Revenue Service 940-B Request for Verification of Credit Information Shown on Form 940 (Rev. May 2010) Name and address of employer Date Calendar year Employer identification number The Form 940 filed with the IRS by the employer named above indicates the following information for the calendar year shown. State in Which Employees Performed Services State Reporting No. as Shown on Employer's State Contribution Returns (1) (2) Experience Rate Period Taxable Payroll (as defined in State Act) Experience Rate Contributions Actually Paid to State (5) (6) (4) (3) From- To- State Agency: Please complete the certification below and fax or mail it back to us. Show any differences between the information shown above and your records in the space below. Also show any contributions paid after February 1. OR Fax Number: Mail to: Other (remarks, etc): Director, Internal Revenue Service Center Attention: (FUTA Liaison) State Reporting No. as Shown on Employer's State Contribution Returns Experience Rate Period From- State Taxable Wages Experience Rate To- Contributions Paid Before February 1 Contributions Paid February 1 through February 10 Contributions Paid After February 10 I certify that, except as shown above, the records of this office agree with the entries shown in columns (2), (3), (4), (5), and (6), and that all contributions were paid before February 1. Name of State Part 1-State Agency copy Name of State Officer Cat. No. 20910X Date Form 940-B (Rev. 5-2010) Form Department of the Treasury - Internal Revenue Service 940-B Request for Verification of Credit Information Shown on Form 940 (Rev. May 2010) Name and address of employer Date Calendar year Employer identification number The Form 940 filed with the IRS by the employer named above indicates the following information for the calendar year shown. State in Which Employees Performed Services State Reporting No. as Shown on Employer's State Contribution Returns (1) (2) Experience Rate Period Taxable Payroll (as defined in State Act) Experience Rate Contributions Actually Paid to State (5) (6) (4) (3) From- To- State Agency: Please complete the certification below and fax or mail it back to us. Show any differences between the information shown above and your records in the space below. Also show any contributions paid after February 1. OR Fax Number: Mail to: Other (remarks, etc): Director, Internal Revenue Service Center Attention: (FUTA Liaison) State Reporting No. as Shown on Employer's State Contribution Returns Experience Rate Period From- State Taxable Wages Experience Rate To- Contributions Paid Before February 1 Contributions Paid February 1 through February 10 Contributions Paid After February 10 I certify that, except as shown above, the records of this office agree with the entries shown in columns (2), (3), (4), (5), and (6), and that all contributions were paid before February 1. Name of State Part -6XVSHQVH&DVHILOH copy Name of State Officer Cat. No. 20910X Date Form 940-B (Rev. -2010)
Extracted from PDF file 2019-federal-form-940-b.pdf, last modified June 2010

More about the Federal Form 940-B Other Tax Credit

We last updated the Request for Verification of Credit Information Shown on Form 940 in February 2020, and the latest form we have available is for tax year 2019. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Federal Internal Revenue Service. You can print other Federal tax forms here.


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Other Federal Other Forms:

TaxFormFinder has an additional 774 Federal income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form 8962 Premium Tax Credit
Form W-4V Voluntary Withholding Request
Form 8949 Sales and other Dispositions of Capital Assets
Form 14039 Identity Theft Affidavit
Form 8965 Health Coverage Exemptions

Download all  tax forms View all 775 Federal Income Tax Forms


Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 940-B from the Internal Revenue Service in February 2020.

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Form 940-B is a Federal Other form. States often have dozens of even hundreds of various tax credits, which, unlike deductions, provide a dollar-for-dollar reduction of tax liability. Some common tax credits apply to many taxpayers, while others only apply to extremely specific situations. In most cases, you will have to provide evidence to show that you are eligible for the tax credit, and calculate the amount of the credit to which you are entitled.

Historical Past-Year Versions of Federal Form 940-B

We have a total of seven past-year versions of Form 940-B in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form 940-B

Form 940-B (Rev. 5-2010)

2018 Form 940-B

Form 940-B (Rev. 5-2010)

2017 Form 940-B

Form 940-B (Rev. 5-2010)

2016 Form 940-B

Form 940-B (Rev. 5-2010)

Request for Verification of Credit Information Shown on Form 940 2015 Form 940-B

Form 940-B (Rev. 5-2010)

Request for Verification of Credit Information Shown on Form 940 2012 Form 940-B

Form 940-B (Rev. 5-2010)

Request for Verification of Credit Information Shown on Form 940 2011 Form 940-B

Form 940-B (Rev. 5-2010)


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