Payment Coupon for Utah Withholding Tax, TC-941PC Below
Return coupon and payment to the Utah State Tax Commission
Clear form
TC-941PC Rev. 12/08
Payment Coupon for Utah Withholding Tax, TC-941PC
Utah Account ID Payment Period Ending (mm/dd/yyyy) Payment Due Date (mm/dd/yyyy)
Tax Type
Withholding
Account name: _______________________________________________ Amount Paid Do not send cash. Do not staple check to this coupon. Detach any check stub.
W T H
UTAH STATE TAX COMMISSION 210 N 1950 W SLC UT 84134-0100