Instructions For Form 941-Ss - Employer'S Quarterly Federal Tax Returnamerican Samoa, Guam, The Commonwealth Of The Northern Mariana Islands, And The U.s. Virgin Islands - 2009 Page 5

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of Pub. 80 (Circular SS) for information and rules about
line 5b (column 1)
x
.124
federal tax deposits.
line 5b (column 2)
If line 8 is $2,500 or more, you must deposit the amount
by using the Electronic Federal Tax Payment System
5c. Taxable Medicare wages and tips. Report all
(EFTPS) or at an authorized financial institution with Form
wages, tips, sick pay, and taxable fringe benefits that are
8109. The amount shown on line 8 must equal the “Total
subject to Medicare tax. Unlike social security wages, there
liability for quarter” shown on Form 941-SS, line 17 or the
is no limit on the amount of wages subject to Medicare tax.
“Total liability for the quarter” shown on Schedule B (Form
Include all tips your employees reported during the
941).
quarter, even if you were unable to withhold the employee
If you are a semiweekly depositor, you must
tax of 1.45%.
!
complete Schedule B (Form 941). If you fail to
complete and submit Schedule B (Form 941), the
line 5c (column 1)
CAUTION
IRS will assert deposit penalties based on available
x
.029
information.
line 5c (column 2)
11. Total deposits for this quarter...
For more information, see sections 4, 5, and 7 of Pub. 80
(Circular SS).
Enter your deposits for this quarter, including any
overpayment that you applied from filing Form 941-X or
5d. Total social security and Medicare taxes. Add
Form 944-X in the current quarter. Also include in the
the social security tax (line 5a), social security tips tax (line
amount shown any overpayment from a previous period that
5b), and Medicare tax (line 5c) and enter the result on line
you applied to this return.
5d.
12a. COBRA premium assistance payments
7. TAX ADJUSTMENTS
Report on this line 65% of the COBRA premiums for
Enter tax amounts on lines 7a through 7c that result from
assistance eligible individuals. Take the COBRA premium
current quarter adjustments. Use a minus sign (if possible)
assistance credit on this line only after the assistance
to show an adjustment that decreases the total taxes shown
eligible individual’s 35% share of the premium has been
on line 5d, instead of parentheses. Doing so enhances the
paid. For COBRA coverage provided under a self-insured
accuracy of our scanning software. For example, report
plan, COBRA premium assistance is treated as having been
‘‘-10.59’’ instead of ‘‘(10.59).’’ However, if your software only
made for each assistance eligible individual who pays 35%
allows for parentheses in reporting negative amounts, you
of the COBRA premium. Do not include the assistance
may use them.
eligible individual’s 35% of the premium in the amount
Current quarter’s adjustments. In certain cases, you
entered on this line.
must adjust the amounts you reported as social security and
Medicare taxes in column 2 of lines 5a, 5b, and 5c to figure
12b. Number of individuals provided
your correct tax liability for this quarter’s Form 941-SS. See
COBRA premium assistance on line 12a
section 8 of Pub. 80 (Circular SS).
Enter the total number of assistance eligible individuals
Prior quarter’s adjustments. If you need to adjust any
provided COBRA premium assistance reported on line 12a.
amount reported on lines 7a, 7b, or 7c from a previously
Count each assistance eligible individual who paid a
filed Form 941-SS, complete and file Form 941-X. Form
reduced COBRA premium in the quarter as one individual,
941-X is an adjusted return and is filed separately from
whether or not the reduced premium was for insurance that
Form 941-SS. See section 9 of Pub. 80 (Circular SS).
covered more than one assistance eligible individual. For
7a. Current quarter’s fractions of cents. Enter
example, if the reduced COBRA premium was for coverage
adjustments for fractions of cents (due to rounding) relating
for a former employee, spouse, and two children, you would
to the employee share of social security and Medicare taxes
include one individual in the number entered on line 12b for
withheld. The employee share (one-half) of amounts shown
the premium assistance. Further, each individual is reported
in column 2 of lines 5a – 5c may differ slightly from amounts
only once per quarter. For example, an assistance eligible
actually withheld from employees’ paychecks due to the
individual who made monthly premium payments during the
rounding of social security and Medicare taxes based on
quarter would only be reported as one individual.
statutory rates.
13. Total deposits and COBRA credit
7b. Current quarter’s sick pay. Enter the adjustment
for the employee share of social security and Medicare
Add lines 11 and 12a.
taxes that were withheld by your third-party sick pay payer.
14. Balance due
7c. Current quarter’s adjustments for tips and
If line 8 is more than line 13, write the difference in line 14.
group-term life insurance. Enter adjustments for:
Otherwise, see Overpayment below.You do not have to
Any uncollected employee share of social security and
pay if line 14 is under $1. Generally, you should have a
Medicare taxes on tips and
balance due only if your total taxes for the quarter (line 8)
The uncollected employee share of social security and
are less than $2,500. However, see section 8 of Pub. 80
Medicare taxes on group-term life insurance premiums paid
(Circular SS) for information about payments made under
for former employees.
the Accuracy of Deposits Rule.
7d. TOTAL ADJUSTMENTS. Combine all adjustments
You may pay the amount shown on line 14 using EFTPS,
shown on lines 7a through 7c and enter the result here.
a credit card, a check or money order, or electronic funds
8.
Total taxes after adjustments
withdrawal (EFW). Do not use a credit card or EFW to pay
taxes that were required to be deposited. For more
Combine the amounts shown on lines 5d and 7d and enter
information on paying your taxes with a credit card or EFW,
the result here.
visit the IRS website at and click on the Online
If line 8 is less than $2,500, you may pay the amount
Services link.
with Form 941-SS or you may deposit the amount. To avoid
a penalty, you must pay the amount in full with a timely filed
If you pay by EFTPS, credit card, or EFW, file your return
return or you must deposit the amount timely. See section 8
using the without a payment address on page 2 under
-5-

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