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Form 943 Employer’s Annual Federal Tax Return for Agricultural Employees

INSTRUCTIONS: No usernames or passwords required. Prepare your form and click the validate button below. ALL PARTS must display Complete. The AutoFill feature is optional. Supplemental Worksheets will be prepared automatically.
Taxable year:*
Employer identification number (EIN):*
Employer name:*
Trade name:
If you have a foreign address, click here:
Address:*
City, State and Zip code:*
Foreign province, postal code and country:
If address is different from prior return, click here:
If you don't have to file returns in the future, click here:
1. Number of agricultural employees employed in the pay period:
Supplemental Worksheets filled automatically.
Amount
 
Tax
2. Wages subject to social security tax:
x 0.124 =
2a. Qualified sick leave wages:
x 0.062 =
2a(i). Qualified sick leave wages excluded from the definition of employment under section 3121(b):
2b. Qualified family leave wages:
x 0.062 =
2b(i). Qualified family leave wages excluded from the definition of employment under section 3121(b):
4. Wages subject to Medicare tax:
x 0.029 =
4a. Qualified sick leave wages included on line 4, but not included on line 2a, column 1, because the wages reported on that line were limited by the social security wage base:
4b. Qualified family leave wages included on line 4, but not included on line 2b, column 1, because the wages reported on that line were limited by the social security wage base:
6. Wages subject to Additional Medicare Tax withholding:
x 0.009 =
8. Federal income tax withheld:
9. Total taxes before adjustments:
10. Current year’s adjustments:
11. Total taxes after adjustments:
12a. Qualified small business payroll tax credit for increasing research activities. Attach form 8974: (not supported)
12b. Nonrefundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021:
12c. Nonrefundable portion of employee retention credit:
12d. Nonrefundable portion of credit for qualified sick and family leave wages for leave taken after March 31, 2021:
12e. Nonrefundable portion of COBRA premium assistance credit:
12f. Number of individuals provided COBRA premium assistance:
12g. Total nonrefundable credits:
13. Total taxes after adjustments and nonrefundable credits:
14a. Total deposits for this year, including overpayment applied from a prior year and Form 943-X:
14b. Reserved for future use:
14c. Reserved for future use:
14d. Refundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021:
14e. Refundable portion of employee retention credit:
14f. Refundable portion of credit for qualified sick and family leave wages for leave taken after March 31, 2021:
14g. Refundable portion of COBRA premium assistance credit:
14h. Total deposits and refundable credits:
14i. Total advances received from filing Form(s) 7200 for the year:
14j. Total deposits and refundable credits less advances:
15. Balance due.
Check here if you want to pay your balance due with this return.
16. Overpayment.
 
Apply to next return.
 
Send a refund.
FEDERAL DEBIT (limited to a maximum amount of $2,500.00)
Your Federal Debit is limited to an amount no greater than $2500.00. If your employment form shows an amount due greater than $2500.00 your are responsible to make any additional payments.

This Electronic Funds Withdrawal (EFW) payment option cannot be used for making federal tax deposits. Deposits can be submitted using the Electronic Federal Tax Payment System (EFTPS). For more information refer to the tax form Instructions for each respective form.

Entities that do not bank in the United States that need to make a payment cannot pay using EFW or EFTPS. However, payments can be made by check or money order payable to “United States Treasury” and mail to the address shown in the specific form’s instruction.

Once your return is accepted, information pertaining to your payment, such as account information, payment date, or amount, cannot be changed. If changes are needed, the only option is to cancel the payment and choose another payment method. In the event your financial institution is unable to process your payment request, you will be responsible for making other payment arrangements, and for any penalties and interest incurred.

To revoke or cancel an EFW payment, the taxpayer should contact the IRS E-file Payment Inquiry and Cancellation Service at 1-888-353-4537. Wait at least ten (10) days from when the IRS e-file return was accepted before calling. The caller should be prepared to provide the EIN, the exact payment amount (dollars and cents), and bank account number entered in the payment record. Cancellations must be made by 11:59 p.m. ET two business days prior to the scheduled payment date.
BANKING INFORMATION (ALL fields required)
 
 
Checking
Savings
 
System calculated  If line 13 is less than $2,500, don't complete line 17.
 
17. Monthly schedule of Federal Tax Liabiity. (Don't complete if you were a semiweekly schedule depositor)
 
Jan:
Feb:
Mar:
Apr:
May:
Jun:
Jul:
Aug:
Sep:
Oct:
Nov:
Dec:
 
Total liability for year:
 
Semiweekly schedule depositors: Check here and complete Form 943-A
 
18. Qualified health plan expenses allocable to qualified sick leave wages for leave taken before April 1, 2021:
19. Qualified health plan expenses allocable to qualified family leave wages for leave taken before April 1, 2021:
20. Qualified wages for the employee retention credit:
 
20(a). Qualified wages for the employee retention credit for qualified wages paid after December 31, 2020, and before July 1, 2021:
 
20(b). Qualified wages for the employee retention credit for qualified wages paid after June 30, 2021, and before January 1, 2022:
21. Qualified health plan expenses for the employee retention credit:
 
21(a). Qualified health plan expenses allocable to qualified wages for the employee retention credit for qualified wages paid after December 31, 2020, and before July 1, 2021:
 
21(b). Qualified health plan expenses allocable to qualified wages for the employee retention credit for qualified wages paid after June 30, 2021, and before January 1, 2022:
22. Qualified sick leave wages for leave taken after March 31, 2021:
22(i). Qualified sick leave wages included on line 22, that were not included as wages reported on Part 1, lines 2a, because the qualified sick leave wages were excluded from the definition of employment under sections 3121(b)(1)–(22):
22(ii). Qualified sick leave wages included on line 22, that were not included as wages reported on Part 1, line 2a, because the qualified sick leave wages were limited by the social security wage base:
23. Qualified health plan expenses allocable to qualified sick leave wages reported on line 22:
24. Amounts under certain collectively bargained agreement allocable to qualified sick leave wages reported on line 22:
25. Qualified family leave wages for leave taken after March 31, 2021:
25(i). Qualified family leave wages included on line 25, that were not included as wages reported on Part 1, lines 2b, because the qualified family leave wages were excluded from the definition of employment under sections 3121(b)(1)–(22):
25(ii). Qualified family leave wages included on line 25, that were not included as wages reported on Part 1, line 2b, because the qualified family leave wages were limited by the social security wage base:
26. Qualified health plan expenses allocable to qualified family leave wages reported on line 25:
27. Amounts under certain collectively bargained agreement allocable to qualified family leave wages reported on line 25:
28. If you're eligible for the employee retention credit in the third quarter solely because your businessis a recovery startup business, enter the total of any amounts included on lines 12c and 14e for the third quarter:
29. If you're eligible for the employee retention credit in the fourth quarter solely because your business is a recovery startup business, enter the total of any amounts included on lines 12c and 14e for the fourth quarter:
Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions for details.
Yes.
Name and phone number
 
Select a 5-digit PIN to use when talking to the IRS.
No.
Check if you are self-employed:
Name:*
Title:*
Date:*
Best daytime phone:*
Enter a 5 digit PIN as your signature:*
Authorized signature:*
 
Your cost: $0.00 
PERJURY STATEMENT: Under penalties of perjury, I declare that I have an approved role (as identified in the instructions for the employment tax return) within the company listed above and that I've examined a copy of the electronic return and accompanying schedules and statements for the period shown above and to the best of my knowledge and belief, they're true, correct, and complete. I further declare that the amounts in Part I of Form 8879-EMP are the amounts shown on the copy of the electronic return. I consent to allow the electronic return originator (ERO), Tax Me, LLC., to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days before the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I've selected a personal identification number (PIN) as the signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.      I Agree