941-V - Payment Voucher

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Form 941-V is a payment voucher used by employers when submitting payments with Form 941, which is the Employer's Quarterly Federal Tax Return. The purpose of Form 941-V is to ensure that payments are accurately credited to the taxpayer's account.

To use the Upload PDF endpoint for this document, you must use a_941_v in the form_type parameter.

Field descriptions

The following fields are available on this form type:

JSON Attribute	Data Type	Description
`a_941_v-PaymentVoucher:year`	Integer	Year
`a_941_v-PaymentVoucher:line1-EnterYourEmployerIdentificationNumber(Ein)`	EIN	Line 1 - Enter Your Employer Identification Number (EIN)
`a_941_v-PaymentVoucher:line2-EnterTheAmountOfYourPayment:dollarsAndCents`	Money	Line 2 - Enter The Amount Of Your Payment
`a_941_v-PaymentVoucher:line3-TaxPeriod`	`1ST QUARTER`, `2ND QUARTER`, `3RD QUARTER`, `4TH QUARTER`	Line 3 - Tax Period
`a_941_v-PaymentVoucher:line4-EnterYourBusinessName(IndividualNameIfSoleProprietor)`	Text	Line 4 - Enter Your Business Name (Individual Name If Sole Proprietor)
`a_941_v-PaymentVoucher:line4-EnterYourAddress:addressLine1`	Text	Line 4 - Enter Your Address
`a_941_v-PaymentVoucher:line4-EnterYourAddress:addressLine2`	Text	Line 4 - Enter Your Address
`a_941_v-PaymentVoucher:line4-EnterYourAddress:city`	Text	Line 4 - Enter Your Address
`a_941_v-PaymentVoucher:line4-EnterYourAddress:state`	State	Line 4 - Enter Your Address
`a_941_v-PaymentVoucher:line4-EnterYourAddress:zipCode`	ZIP Code	Line 4 - Enter Your Address
`a_941_v-PaymentVoucher:line4-EnterYourAddress:foreignCountryName`	Text	Line 4 - Enter Your Address
`a_941_v-PaymentVoucher:line4-EnterYourAddress:foreignProvince/County`	Text	Line 4 - Enter Your Address
`a_941_v-PaymentVoucher:line4-EnterYourAddress:foreignPostalCode`	Text	Line 4 - Enter Your Address

Sample form

The below Ocrolus sample PDF (input) matches the below sample JSON result (output).

drive.google.com

941 _V.pdf

Sample JSON result

{
  "pk": 40915897,
  "uuid": "c1b0cf80-5734-4d20-884c-40e636798326",
  "name": "API documentations",
  "created": "2023-10-25T17:58:37Z",
  "created_ts": "2023-10-25T17:58:37Z",
  "verified_pages_count": 35,
  "book_status": "ACTIVE",
  "id": 40915897,
  "forms": [
    {
      "pk": 50923945,
      "uuid": "3d241cb8-eefc-4e33-8183-57627508969a",
      "uploaded_doc_pk": 62050648,
      "form_type": "A_941_V",
      "raw_fields": {
        "a_941_v-PaymentVoucher:year": {
          "value": "2023",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line3-TaxPeriod": {
          "value": "1ST QUARTER",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:city": {
          "value": "FAKE CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:zipCode": {
          "value": "12345",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:addressLine1": {
          "value": "123 ANY STREET",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:addressLine2": {
          "value": "APT 123",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:foreignPostalCode": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:foreignCountryName": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourAddress:foreignProvince/County": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line1-EnterYourEmployerIdentificationNumber(Ein)": {
          "value": "12-3456789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line2-EnterTheAmountOfYourPayment:dollarsAndCents": {
          "value": "280.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        },
        "a_941_v-PaymentVoucher:line4-EnterYourBusinessName(IndividualNameIfSoleProprietor)": {
          "value": "SAMPLE TRADE LLC",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941_V.pdf",
          "confidence": 1.0
        }
      },
      "form_config_pk": 304183,
      "tables": [],
      "attribute_data": null
    }
  ],
  "book_is_complete": true
}

Updated 5 months ago