941 SCH B (PR) Supplemental Record of Federal Tax Liability (Puerto Ric

Caution: DRAFT—NOT FOR FILING
This is an early release draft of an IRS tax form, instructions, or publication,
which the IRS is providing for your information as a courtesy. Do not file
draft forms. Also, do not rely on draft instructions and publications for
filing. We generally do not release drafts of forms until we believe we have
incorporated all changes. However, unexpected issues sometimes arise, or
legislation is passed, necessitating a change to a draft form. In addition,
forms generally are subject to OMB approval before they can be officially
released. Drafts of instructions and publications usually have at least some
changes before being officially released.
Early releases of draft forms and instructions are at IRS.gov/draftforms.
Please note that drafts may remain on IRS.gov even after the final release is
posted at IRS.gov/downloadforms, and thus may not be removed until there
is a new draft for the subsequent revision. All information about all revisions
of all forms, instructions, and publications is at IRS.gov/formspubs.
Almost every form and publication also has its own easily accessible
information page on IRS.gov. For example, the Form 1040 page is at
IRS.gov/form1040; the Form W-2 page is at IRS.gov/w2; the Publication 17
page is at IRS.gov/pub17; the Form W-4 page is at IRS.gov/w4; the Form
8863 page is at IRS.gov/form8863; and the Schedule A (Form 1040) page is
at IRS.gov/schedulea. If typing in the links above instead of clicking on
them: type the link into the address bar of your browser, not in a Search box;
the text after the slash must be lowercase; and your browser may require the
link to begin with “www.”. Note that these are shortcut links that will
automatically go to the actual link for the page.
If you wish, you can submit comments about draft or final forms,
instructions, or publications on the Comment on Tax Forms and Publications
page on IRS.gov. We cannot respond to all comments due to the high
volume we receive, but we will carefully consider each one. Please note that
we may not be able to consider many suggestions until the subsequent
revision of the product.

Anexo B (Formulario 941-PR):

Registro de la Obligación Contributiva para los Depositantes de Itinerario Bisemanal
(Rev. enero de 2017)

Department of the Treasury — Internal Revenue Service

Número de identificación
patronal (EIN)

OMB No. 1545-0029

Informe para este trimestre...

—

(Marque uno).

DRAFT AS OF
June 29, 2016
DO NOT FILE

Nombre (el de usted, no
el de su negocio)

1: enero, febrero, marzo
2: abril, mayo, junio

Año natural

(Marque también el trimestre a la derecha).

3: julio, agosto, septiembre
4: octubre, noviembre, diciembre

Use este anexo para mostrar su OBLIGACIÓN CONTRIBUTIVA para el trimestre; no lo use para mostrar sus depósitos de contribución.
Cuando radique este formulario con el Formulario 941-PR no cambie su obligación contributiva por ajustes declarados en todo Formulario
941-X (PR) o 944-X (SP). Tiene que llenar este formulario y adjuntarlo al Formulario 941-PR si es depositante de itinerario bisemanal o si su
obligación contributiva acumulada en un día determinado fue $100,000 o más. Anote sus obligaciones contributivas diarias en el espacio
numerado que corresponda a la fecha en la cual se pagaron los salarios. Vea el apartado 11 de la Publicación 179 para más detalles.
Mes 1
1
2
3
4
5
6
7
8
Mes 2
1
2
3
4
5
6
7
8
Mes 3
1
2
3
4
5
6
7
8

.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

9

10

11

12
13
14
15
16

9
10
11
12
13
14
15
16

9
10
11
12
13
14
15
16

.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

17

18

19

20
21
22
23
24

17
18
19
20
21
22
23
24

17
18
19
20
21
22
23
24

.
.
.
.
.
.
.
.

.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.

.
.
.
.
.
.
.

25

26

27

28
29
30
31

Obligación contributiva
para el Mes 1

.
.
.
.
.
.
.

25
26
27
28
29
30
31

Obligación contributiva
para el Mes 2

.

.
.
.
.
.
.
.

25
26
27
28
29
30
31

Obligación contributiva
para el Mes 3

.

Escriba el total de su obligación contributiva para el trimestre (Mes 1 + Mes 2 + Mes 3) ▶
El total tiene que ser igual a la cantidad de la línea 12 del Formulario 941-PR.

Para el Aviso sobre la Ley de Reducción de
Trámites, vea las instrucciones por separado.

IRS.gov/form941pr

Cat. No. 12465Z

.

Obligación total para el
trimestre

.

Anexo B (Formulario 941-PR) (Rev. 1-2017)