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 - 2010 Page 6
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Include all tips your employees reported during the
If line 8 is $2,500 or more and line 8 on the preceding
quarter, even if you were unable to withhold the employee
return was $2,500 or more, or if you incurred a $100,000
tax of 1.45%.
next-day deposit obligation during the current quarter.
You must deposit the amount by using the Electronic
line 5c (column 1)
Federal Tax Payment System (EFTPS) or at an authorized
x
.029
financial institution with Form 8109. The amount shown on
line 5c (column 2)
line 8 must equal the “Total liability for quarter” shown on
Form 941-SS, line 17 or the “Total liability for the quarter”
For more information, see sections 4, 5, and 7 of Pub. 80
shown on Schedule B (Form 941).
(Circular SS).
If you are a semiweekly depositor, you must
5d. Total social security and Medicare taxes. Add
!
complete Schedule B (Form 941). If you fail to
the social security tax (line 5a), social security tips tax (line
complete and submit Schedule B (Form 941), the
CAUTION
5b), and Medicare tax (line 5c) and enter the result on line
IRS will assert deposit penalties based on available
5d.
information.
7. TAX ADJUSTMENTS
11. Total deposits for this quarter...
Enter tax amounts on lines 7a through 7c that result from
Enter your deposits for this quarter, including any
current quarter adjustments. Use a minus sign (if possible)
overpayment that you applied from filing Form 941-X or
to show an adjustment that decreases the total taxes shown
Form 944-X in the current quarter. Also include in the
amount shown any overpayment from a previous period that
on line 5d, instead of parentheses. Doing so enhances the
you applied to this return.
accuracy of our scanning software. For example, report
‘‘-10.59’’ instead of ‘‘(10.59).’’ However, if your software only
12a. COBRA premium assistance payments
allows for parentheses in reporting negative amounts, you
may use them.
Report on this line 65% of the COBRA premiums for
assistance eligible individuals. Take the COBRA premium
Current quarter’s adjustments. In certain cases, you
assistance credit on this line only after the assistance
must adjust the amounts you reported as social security and
eligible individual’s 35% share of the premium has been
Medicare taxes in column 2 of lines 5a, 5b, and 5c to figure
paid. For COBRA coverage provided under a self-insured
your correct tax liability for this quarter’s Form 941-SS. See
plan, COBRA premium assistance is treated as having been
section 8 of Pub. 80 (Circular SS).
made for each assistance eligible individual who pays 35%
of the COBRA premium. Do not include the assistance
Prior quarter’s adjustments. If you need to adjust any
eligible individual’s 35% of the premium in the amount
amount reported on lines 7a, 7b, or 7c from a previously
entered on this line. For more information on the COBRA
filed Form 941-SS, complete and file Form 941-X. Form
premium assistance credits, visit the IRS website at www.
941-X is an adjusted return and is filed separately from
irs.gov and enter keyword COBRA.
Form 941-SS. See section 9 of Pub. 80 (Circular SS).
If you provided premium assistance in a prior quarter of
7a. Current quarter’s fractions of cents. Enter
the current year and did not report the amount of that
adjustments for fractions of cents (due to rounding) relating
premium assistance on Form 941-SS for that quarter, you
to the employee share of social security and Medicare taxes
may include the amount of that premium assistance in the
withheld. The employee share (one-half) of amounts shown
amount entered on this line, or file Form 941-X, Adjusted
in column 2 of lines 5a – 5c may differ slightly from amounts
Employer’s QUARTERLY Federal Tax Return or Claim for
actually withheld from employees’ paychecks due to the
Refund, to report the amount for the prior quarter of the
rounding of social security and Medicare taxes based on
current year.
statutory rates.
12b. Number of individuals provided
7b. Current quarter’s sick pay. Enter the adjustment
for the employee share of social security and Medicare
COBRA premium assistance on line 12a
taxes that were withheld by your third-party sick pay payer.
Enter the total number of assistance eligible individuals
provided COBRA premium assistance reported on line 12a.
7c. Current quarter’s adjustments for tips and
Count each assistance eligible individual who paid a
group-term life insurance. Enter adjustments for:
•
reduced COBRA premium in the quarter as one individual,
Any uncollected employee share of social security and
whether or not the reduced premium was for insurance that
Medicare taxes on tips and
•
covered more than one assistance eligible individual. For
The uncollected employee share of social security and
example, if the reduced COBRA premium was for coverage
Medicare taxes on group-term life insurance premiums paid
for a former employee, spouse, and two children, you would
for former employees.
include one individual in the number entered on line 12b for
7d. TOTAL ADJUSTMENTS. Combine all adjustments
the premium assistance. Further, each individual is reported
shown on lines 7a through 7c and enter the result here.
only once per quarter. For example, an assistance eligible
individual who made monthly premium payments during the
8.
Total taxes after adjustments
quarter would only be reported as one individual.
Combine the amounts shown on lines 5d and 7d and enter
13. Total deposits and COBRA credit
the result here.
•
If line 8 is less than $2,500 or line 8 on the preceding
Add lines 11 and 12a.
quarterly return was less than $2,500, and you did not
14. Balance due
incur a $100,000 next-day deposit obligation during the
current quarter. You may pay the amount with Form
If line 8 is more than line 13, write the difference in line 14.
941-SS or you may deposit the amount. To avoid a penalty,
Otherwise, see Overpayment below.You do not have to
you must pay the amount in full with a timely filed return or
pay if line 14 is under $1. Generally, you should have a
you must deposit the amount timely. See section 8 of Pub.
balance due only if your total taxes for the current quarter or
80 (Circular SS) for information and rules about federal tax
preceding quarter (line 8) are less than $2,500, and you did
deposits.
not incur a $100,000 next-day deposit obligation during the
-5-
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