File Form 941 — Employer's QUARTERLY Federal Tax Return

Report wages, tips, federal income tax withheld, and Social Security and Medicare taxes for the quarter. Figures are computed by your payroll system; this form records and files them.

Correcting a quarter you already filed? That is Form 941-X, a separate return.

$2 per filing — $1.50 each (filings 101–200), $1 each (filings 201+) once you file that many with us in a year (a person reviews and files every return, which keeps out spam and fraudulent returns). We e-file Form 941 directly with the IRS.

Return

Tax year

Quarter

Third-party payer

Spanish-language form (Formulario 941 (sp))Seasonal employer — I don't have to file every quarter (Line 18)Business has closed or stopped paying wages (Line 17)

Employer (filer)

EIN

Name control (optional)

Legal business name

Business name line 2

Trade name / DBA

In care of

Street address

Street address line 2

City

State

ZIP

Signature

Practitioner PIN (an ERO signs with the taxpayer — Form 8879-EMP)Reporting Agent PIN, 5 digits (an agent signs under a Form 8655 authorization)Form 8453-EMP (the taxpayer signs on paper; we attach the scan)

Signer name

Signer title

Taxpayer PIN (5 digits, optional)

Choose any five digits (not all zeros) as your signature on the return. Leave it blank and you'll authorize us to enter one for you — either way you review and sign Form 8879-EMP before anything is filed.

A reporting agent files this return for the employer (Form 8655)

Attach Form 8822-B — the business address or responsible party has changed

The 94x e-file package has no XML for Form 8822-B, only a box saying one is attached. We prepare the form — the address above is the new one — and transmit the PDF with this return.

Allow a third-party designee to discuss this return with the IRS

A paid preparer completed this return

Part 1 — Taxes and wages

1. Number of employees who received wages, tips, or other compensation

2. Wages, tips, and other compensation

3. Federal income tax withheld

4. No wages, tips, and other compensation are subject to Social Security or Medicare tax

5a. Taxable Social Security wages

Wages

× 0.124 tax

5b. Taxable Social Security tips

Tips

× 0.124 tax

5c. Taxable Medicare wages & tips

Wages & tips

× 0.029 tax

5d. Wages & tips subject to Additional Medicare Tax

Wages & tips

× 0.009 tax

5e. Total Social Security and Medicare taxes

5f. Section 3121(q) Notice and Demand — tax on unreported tips

6. Total taxes before adjustments

7. Current quarter's adjustment for fractions of cents

8. Current quarter's adjustment for sick pay

9. Current quarter's adjustments for tips and group-term life insurance

10. Total taxes after adjustments

11. Qualified small business payroll tax credit (Form 8974)

12. Total taxes after adjustments and credits (required)

13. Total deposits for this quarter

14/15. Balance due or overpayment

Part 2 — Deposit schedule (Line 16)

Line 12 is less than $2,500 — no deposit schedule requiredMonthly schedule depositorSemiweekly schedule depositor (complete Schedule B)

Schedule D — wage totals disagree with SSA because of an acquisition, statutory merger, or consolidation

Schedule R — this is an aggregate return; allocate the totals across clients

Form 8974 — claim the qualified small business payroll tax credit for increasing research activities (Line 11)

Payment record — pay the Line 14 balance due by electronic funds withdrawal

Form 9465 — request to pay the Line 14 balance due in monthly installments