Employer's QUARTERLY Federal Tax Return
Section references are to the Internal Revenue Code unless otherwise noted.
Revised: 1/2009
Table of Contents
- Instructions for Form 941 - Introductory Material
- General Instructions:
- Specific Instructions:
- Part 1:Answer these questions for this quarter.
- 1. Number of employees who received wages, tips, or other compensation this quarter
- 2. Wages, tips, and other compensation
- 3. Income tax withheld from wages, tips, and other compensation
- 4. If no wages, tips, and other compensation are subject to social security or Medicare tax . . .
- 5. Taxable social security and Medicare wages and tips
- 5a. Taxable social security wages.
- 5b. Taxable social security tips.
- 5c. Taxable Medicare wages & tips.
- 5d. Total social security and Medicare taxes.
- 6. Total taxes before adjustments
- 7. TAX ADJUSTMENTS
- 8. Total taxes after adjustments
- 9. Advance earned income credit (EIC) payments made to employees
- 10. Total taxes after adjustment for advance EIC
- 11. Total deposits for this quarter...
- 12a. COBRA premium assistance payments
- 12b. Number of individuals provided COBRA premium assistance on line 12a
- 13. Total deposits and COBRA credit
- 14. Balance due
- 15.Overpayment
- Complete both pages.
- Part 2:Tell us about your deposit schedule and tax liability for this quarter.
- Part 3:Tell us about your business.
- Part 4:May we speak with your third-party designee?
- Part 5:Sign Here
- How to Order Forms and Publications from the IRS
- Other IRS Products You May Need
- Part 1:Answer these questions for this quarter.
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