5094 Sales, Use and Withholding (SUW) Payment Voucher
Instructions for Form 5094 Sales, Use and Withholding (SUW)
Payment Voucher
IMPORTANT: Payments can be made electronically
by direct debit from your checking or savings account
by using Michigan Treasury Online (MTO) at
mto.treasury., or when supported by approved
tax preparation software. You do not need to mail Form 5094
to Treasury when making your payment electronically.
Do not use this voucher in lieu of filing the required
monthly, quarterly or annual SUW return. Use this
voucher to remit payment by paper check for taxes reported
separately on monthly, quarterly or annual SUW paper or
e-filed returns.
The payment indicated on line 7 will be applied as indicated
on lines 1 - 6 below.
To ensure that payments are correctly applied to the account:
? Do not attach tax return copies to Form 5094. Attaching
copies will delay payment processing and may inflate tax
liabilities on the account.
? Verify that the nine-digit ¡°Business Account Number¡±
and the specified ¡°Return Period¡± for which to apply the
payment appear clearly and correctly on the voucher.
? Detach the SUW Payment Voucher from these
instructions.
? Mail the voucher and the check (do not staple the check to
the voucher) to the address on the voucher.
Do not use this voucher to make any other payments to the
State of Michigan.
For assistance, call 517-636-6925. Assistance is available
using TTY through the Michigan Relay Center by calling
711.
Visit businesstaxes for additional
information.
Reset Form
Michigan Department of Treasury
5094 (Rev. 04-20)
2021 Sales, Use and Withholding
Payment Voucher
Taxpayer¡¯s Business Name
Business Account Number (nine-digit FEIN or TR Number)
Return Period (MM-YYYY)
To pay by check, send this voucher and payment due to: Michigan Department of
Treasury, P.O. Box 30406, Lansing, MI 48909-7906. Make check payable to ¡°State of
Michigan¡± and include your account number and return period on the check. This voucher
does not need to be sent when making your payment electronically through Michigan
Treasury Online (MTO) at mto.treasury. or with tax preparation software.
+ 0000
2021 90 01 27 7
Issued under authority of Public Acts 167 of 1933 and 94 of 1937, as amended.
1. Sales Tax ..............
1.
2. Use Tax
(Sales/Rentals) .....
2.
3. Use Tax
(Purchases) ..........
3.
4. Michigan
Withholding ...........
4.
5. Penalty..................
5.
6. Interest..................
6.
7. TOTAL PAYMENT.
7.
................
................
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