Form 941 - Employer'S Quarterly Federal Tax Return, Form 941-V - Payment Voucher - 2008
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4950108
941 for 2008:
Employer’s QUARTERLY Federal Tax Return
Form
Department of the Treasury — Internal Revenue Service
(Rev. October 2008)
OMB No. 1545-0029
(EIN)
—
Report for this Quarter of 2008
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
Number
Street
Suite or room number
4: October, November, December
City
State
ZIP code
Read the separate instructions before you complete Form 941. Type or print within the boxes.
Part 1: Answer these questions for this quarter.
1
Number of employees who received wages, tips, or other compensation for the pay period
including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), Dec. 12 (Quarter 4)
1
.
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 6.
5
Taxable social security and Medicare wages and tips:
Column 1
Column 2
.
.
5a
Taxable social security wages
.124 =
.
.
5b
Taxable social security tips
.124 =
.
.
5c
Taxable Medicare wages & tips
.029 =
.
5d
Total social security and Medicare taxes
(Column 2, lines 5a + 5b + 5c = line 5d)
5d
.
6
Total taxes before adjustments
(lines 3 + 5d = line 6)
6
7
TAX ADJUSTMENTS. Read the instructions for line 7 before completing lines 7a through 7g.
.
7a
Current quarter’s fractions of cents
.
7b
Current quarter’s sick pay
.
7c
Current quarter’s adjustments for tips and group-term life insurance
.
7d
Current year’s income tax withholding. Attach Form 941c
.
7e
Prior quarters’ social security and Medicare taxes. Attach Form 941c
.
7f
Special additions to federal income tax. Attach Form 941c
.
7g
Special additions to social security and Medicare. Attach Form 941c
.
7h
TOTAL ADJUSTMENTS. Combine all amounts on lines 7a through 7g
7h
.
8
8
Total taxes after adjustments. Combine lines 6 and 7h
.
9
9
Advance earned income credit (EIC) payments made to employees
.
(line 8 – line 9 = line 10)
10
10
Total taxes after adjustment for advance EIC
.
11
Total deposits for this quarter, including overpayment applied from a prior quarter
11
.
If line 10 is more than line 11, write the difference here.
12
Balance due.
12
For information on how to pay, see the instructions.
.
Apply to next return.
13
Overpayment. If line 11 is more than line 10, write the difference here
Check one
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.
Cat. No. 17001Z
Form
(Rev. 10-2008)
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