Employer's QUARTERLY Federal Tax Return—American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands
Section references are to the Internal Revenue Code unless otherwise noted.
Revised: 1/2009
Table of Contents
- Instructions forForm 941-SS - 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 for the pay period including:
- 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
- 7. TAX ADJUSTMENTS
- 7a. Current quarter's fractions of cents.
- 7b. Current quarter's sick pay.
- 7c. Current quarter's adjustments for tips and group-term life insurance.
- 7d. TOTAL ADJUSTMENTS.
- 8. Total taxes after adjustments
- 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
- Part 1:Answer these questions for this quarter.
| More Online Instructions |