[PDF] Form 941 (Schedule B) (Rev. January 2017)





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2015 Form 940 (Schedule A)

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2022 Publication 15

16 déc. 2021 of the Instructions for Form 941 or the 2022 Instructions ... when filing an aggregate Form 940 Employer's Annual.



Form 941 (Schedule B) (Rev. January 2017)

Schedule B (Form 941):. Report of Tax Liability for Semiweekly Schedule Depositors. (Rev. January 2017). Department of the Treasury — Internal Revenue 



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2015 Publication 15

22 déc. 2014 2015 Tables de méthode de pourcentage et tranche de salaire Ta- ... instructions séparées pour les formulaires 940 941

Schedule B (Form 941):

Report of Tax Liability for Semiweekly Schedule Depositors (Rev. January 2017)Department of the Treasury — Internal Revenue Service

960311

OMB No. 1545-0029

Employer identification number

(EIN) Name (not your trade name)

Calendar year(Also check quarter)

Report for this Quarter...

(Check one.) 1:

January, February, March

2:

April, May, June

3:

July, August, September

4:

October, November, December

Use this schedule to show your TAX LIABILITY for the quarter; don't use it to show your deposits. When you file this form with Form 941 or

Form 941-SS, don't change your tax liability by adjustments reported on any Forms 941-X or 944-X. You must fill out this form and attach it to

Form 941 or Form 941-SS if you're a semiweekly schedule depositor or became one because your accumulated tax liability on any day was

$100,000 or more. Write your daily tax liability on the numbered space that corresponds to the date wages were paid. See Section 11 in

Pub. 15 for details.

Month 1

1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.

Tax liability for Month 1

Month 2

1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

12.13.

14. 15. 16. 17. 18. 19. 20. 21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.

Tax liability for Month 2

Month 3

1 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.

Tax liability for Month 3

Total must equal line 12 on Form 941 or Form 941-SS. Fill in your total liability for the quarter (Month 1 + Month 2 + Month

3)

Total liability for the quarter

For Paperwork Reduction Act Notice, see separate instructions.IRS.gov/form941Cat. No. 11967QSchedule B (Form 941) (Rev. 1-2017)

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