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941 Tax Form
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941 Tax Form
Online 941 Tax Form
TOTAL: $
15.00
Form 941: Employer's QUARTERLY Federal Tax Return
Company Information
Please check the incorrect fields below in red type.
Select Year
*
2019
2018
2017
2016
Employer identification number (EIN)
*
Company Name (not your trade name)
*
Trade name (if any)
Address
Address Line 1
*
City
*
State Code
*
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Islands
Zip
*
Choose Quarter, Check one:
January, February, March
April, May, June
July, August, September
October, November, December
Fields marked with * are required
Part One
Please check the incorrect fields below in red type.
Number of employees who received wages, tips, or other compensation for the pay period including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4)
Wages Tips and Other Compensation
Federal income tax withheld from wages, tips, and other compensation.
Check if no wages, tips, Other compensation are subject to social security or Medicare tax
Taxable
Tax
Taxable social security wages
Tax
Taxable social security tips
Tax
Taxable Medicare wages & tips
Tax
Taxable wages & tips subject to Additional Medicare Tax withholding
Tax
Total Tax
Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions)
Total taxes before adjustments.
Current quarter’s adjustment for fractions of cents
Current quarter’s adjustment for sick pay
Current quarter’s adjustments for tips and group-term life insurance
Total taxes after adjustments.
Qualified small business payroll tax credit for increasing research activities. Attach Form 8974
Total taxes after adjustments and credits.
Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X (SP) filed in the current quarter
Balance due.
Overpayment.
Check one:
Apply to next return.
Send a refund.
Part Two
Please check the incorrect fields below in red type.
If you are unsure about whether you are a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15.
Please select one of the options below and provide tax liability information if required.
Check one:
Line 12 on this return is less than $2,500 or line 12 (line 10 if the prior quarter was the fourth quarter of 2016) on the return for the prior quarter was less than $2,500, and you didn’t incur a $100,000 next-day deposit obligation during the current quarter. If line 12 (line 10 if the prior quarter was the fourth quarter of 2016) for the prior quarter was less than $2,500 but line 12 on this return is $100,000 or more, you must provide a record of your federal tax liability. If you are a monthly schedule depositor, complete the deposit schedule below; if you are a semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3.
You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total liability for the quarter, then go to Part 3.
Tax liability:
Month 1
Month 2
Month 3
Total liability for quarter
This must equal the Part One total taxes after adjustments and credits amount of $
.
You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941), Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941.
SCHEDULE B
Month 1
Day
Tax
Select day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
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31
Select day
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05
06
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11
12
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Select day
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12
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31
Select day
01
02
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31
Select day
01
02
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05
06
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11
12
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15
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31
Total liability for month
Month 2
Day
Tax
Select day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
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31
Select day
01
02
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06
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10
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12
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31
Select day
01
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31
Select day
01
02
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31
Select day
01
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11
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16
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18
19
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31
Total liability for month
Month 3
Day
Tax
Select day
01
02
03
04
05
06
07
08
09
10
11
12
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15
16
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Select day
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04
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06
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31
Select day
01
02
03
04
05
06
07
08
09
10
11
12
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14
15
16
17
18
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21
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23
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25
26
27
28
29
30
31
Select day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
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18
19
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21
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30
31
Select day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total liability for month
Total liability for quarter
This must equal the Part One total taxes after adjustments and credits amount of $
.
Part Three
Please check the incorrect fields below in red type.
If your business has closed or you stopped paying wages
Enter the final date you paid wages
If you are a seasonal employer and you don’t have to file a return for every quarter of the year
Part Four
Please check the incorrect fields below in red type.
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
Designee’s name
Designee’s phone number
Select a 5-digit Personal Identification Number (PIN) to use when talking to the IRS.
No
Part Five
Please check the incorrect fields below in red type.
The parties agree that these documents may be electronically signed. The parties agree that the electronic signatures appearing on these documents are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. By signing below, the signer expressly agrees that that this electronic signature is legally binding for both Form 941 (employer’s quarterly payroll tax return) and Form 8879-EMP (IRS e-file signature authorization for Form 941). A duly authorized agent of the taxpayer can sign if a valid power of attorney has been filed (e.g., Form 8655, Reporting Agent Authorization). In such cases, agents should sign their own names. After payment, you will have the opportunity to download, review, and, if necessary, make changes to these forms. Once you are satisfied that all the submitted information is correct, you will click Accept as Complete. PayME then will e-file the return.
Sign your name here
Print your name here
Print your title here
Date
Best Daytime Phone
Email Address
Set your five-digit self-selected PIN
Make Payment
