Schedule R (Form 941) - Allocation Schedule For Aggregate Form 941 Filers - 2014 Page 2

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950513
Page
of
Continuation Sheet for Schedule R (Form 941)
Report for calendar year:
(Rev. January 2014)
Check the quarter (same as Form 941):
1: January, February, March
Employer identification number
(EIN)
2: April, May, June
Name as shown on
Form 941
3: July, August, September
4: October, November, December
(a)
(b)
(c)
(d)
(e)
(f)
(g)
Client’s
Wages, tips, and
Federal income tax
Total social security
Section 3121(q)
Total taxes after
Total deposits from
Employer
other compensation
withheld from wages,
and Medicare taxes
Notice and Demand-
adjustments
Form 941, line 11,
identification
allocated to the
tips, and other
allocated to the
Tax due on
allocated to the
plus any payments
number (EIN)
compensation
unreported tips
listed client EIN from
listed client EIN from
listed client EIN from
made with the return
Form 941, line 2
allocated to the
Form 941, line 5e
allocated to the
Form 941, line 10
allocated to the
listed client EIN from
listed client EIN from
listed client EIN
Form 941, line 3
Form 941, line 5f
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26
Subtotals for clients.
Add lines 1 through 25.
Include the subtotals
from line 26 on line 17
of Schedule R
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(Form 941).
Schedule R (Form 941) (Rev. 1-2014)

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