Form 941 - Employer'S Quarterly Federal Tax Return, Form 941-V - Payment Voucher - 2011

Download a blank fillable Form 941 - Employer'S Quarterly Federal Tax Return, Form 941-V - Payment Voucher - 2011 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 941 - Employer'S Quarterly Federal Tax Return, Form 941-V - Payment Voucher - 2011 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

941 for 2011:
950111
Employer’s QUARTERLY Federal Tax Return
Form
OMB No. 1545-0029
Department of the Treasury — Internal Revenue Service
(Rev. January 2011)
(EIN)
Report for this Quarter of 2011
Employer identification number
(Check one.)
Name (not your trade name)
1: January, February, March
2: April, May, June
Trade name (if any)
3: July, August, September
Address
4: October, November, December
Number
Street
Suite or room number
Prior-year forms are available at
City
State
ZIP code
Read the separate instructions before you complete Form 941. Type or print within the boxes.
Answer these questions for this quarter.
Part 1:
Number of employees who received wages, tips, or other compensation for the pay period
1
1
including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4)
.
2
Wages, tips, and other compensation
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3
Income tax withheld from wages, tips, and other compensation
3
.
.
.
.
.
.
.
.
4
If no wages, tips, and other compensation are subject to social security or Medicare tax
Check and go to line 6e.
Column 1
Column 2
.
.
5a
Taxable social security wages .
× .104 =
For 2011, the employee social security
.
.
tax rate is 4.2% and the Medicare tax
5b
Taxable social security tips .
.
× .104 =
rate is 1.45%. The employer social
.
.
security tax rate is 6.2% and the
5c
Taxable Medicare wages & tips.
× .029 =
Medicare tax rate is 1.45%.
.
5d
Add Column 2 line 5a, Column 2 line 5b, and Column 2 line 5c
.
.
.
.
.
.
.
.
.
5d
.
5e
Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions)
5e
.
.
Reserved for future use.
6a
Do Not Complete Lines 6a-6d
Reserved for future use.
6b
.
.
Reserved for future use.
6c
6d
.
6e
Total taxes before adjustments (add lines 3, 5d, and 5e) .
.
.
.
.
.
.
.
.
.
.
.
6e
.
7
Current quarter’s adjustment for fractions of cents .
.
.
.
.
.
.
.
.
.
.
.
.
7
.
8
Current quarter’s adjustment for sick pay .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
8
.
9
Current quarter’s adjustments for tips and group-term life insurance
.
.
.
.
.
.
.
9
.
10
Total taxes after adjustments. Combine lines 6e through 9 .
.
.
.
.
.
.
.
.
.
.
10
.
11
Total deposits, including prior quarter overpayments
.
.
.
.
.
.
.
.
.
.
.
.
11
.
12a
COBRA premium assistance payments (see instructions)
.
.
.
.
.
.
.
.
.
.
.
12a
12b
Number of individuals provided COBRA premium assistance .
.
.
13
Add lines 11 and 12a .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
13
.
14
Balance due. If line 10 is more than line 13, enter the difference and see instructions
.
.
.
14
.
15
Overpayment. If line 13 is more than line 10, enter the difference
Check one:
Apply to next return.
Send a refund.
Next
You MUST complete both pages of Form 941 and SIGN it.
941
For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher.
Form
(Rev. 1-2011)
Cat. No. 17001Z

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 4