941 SCH B Report of Tax Liability for Semiweekly Schedule Deposito

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Schedule B (Form 941):

960311

Report of Tax Liability for Semiweekly Schedule Depositors
(Rev. March 2024)

OMB No. 1545-0029

Department of the Treasury — Internal Revenue Service

Employer identification number
(EIN)

Report for this Quarter...
(Check one.)

—

TREASURY/IRS
AND OMB USE
ONLY DRAFT
October 26, 2023
DO NOT FILE
1: January, February, March

Name (not your trade name)

2: April, May, June

Calendar year

3: July, August, September

(Also check quarter)

4: October, November, December

Use this schedule to show your TAX LIABILITY for the quarter; don’t use it to show your deposits. When you file this schedule with Form 941,
don’t change your tax liability by adjustments reported on any Forms 941-X or 944-X. You must fill out this schedule and attach it to Form 941
if you’re a semiweekly schedule depositor or became one because your accumulated tax liability on any day was $100,000 or more. Write
your daily tax liability on the numbered space that corresponds to the date wages were paid. See Section 11 in Pub. 15 for details.
Month 1
1
2
3
4
5
6
7
8
Month 2
1
2
3
4
5
6
7
8
Month 3
1
2
3
4
5
6
7
8

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9

10

11

12

13

14

15

16

9

10

11

12
13
14
15
16

9
10
11
12
13
14
15
16

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17

18
19
20
21
22
23
24

17

18
19
20
21
22
23
24

17
18
19
20
21
22
23
24

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25

26
27
28
29
30
31

25

26
27
28
29
30
31

25
26
27
28
29
30
31

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Tax liability for Month 1

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Tax liability for Month 2

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Tax liability for Month 3

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Total liability for the quarter

Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3).
Total must equal line 12 on Form 941.

For Paperwork Reduction Act Notice,
see separate instructions.

www.irs.gov/Form941

Cat. No. 11967Q

.
Schedule B (Form 941) (Rev. 3-2024)