Ca Along tut Dented Line Massachusetts Department of Revenue M-94 I • Employer's Return of Income Taxes Withheld. File this return online at mass.govimasstaxconneet. Account II>tomb« Number& employee. from whom wet Lute attack, Tan Ming petiod 1 An:0ga withheld 2 Previous payments made Buainem name S. Credit carry asand from previous period. Rumness san.. 4 Total may mems ad credits Add Imes 2 and 3. S. Total tax due. Bultram Line 4 :tom line I C it, fro* n State Zip 6 Penalties Phone number Embed address 7 Interest S Total amount due. Add lines S through 7. ❑ Check if amended moan (see "Amended Return" in IMIIIKI10111) ❑ Choi k if final mum and you with In e Sae >mar withlwang um account 9 Antos* overpaid m be credited [oust period. See inemu eons for Oie dales Mad an tdassachnuas BOR. PO Box 419255. Renton. MA 02241.9255. 1 declare under the penalties of perjury that tes renan I includins an> am ~puny ins une duks and statements> has been esanameal by me ial to the best of my knowledge and belief tia true. carom and con:Mete return. 10 Amount overpead to be refunded Agnarme Tide Date EFTA01219718