8974 Qualified Small Business Payroll Tax Credit for Increasi

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Form

8974:

(Rev. December 2023)

Department of the Treasury — Internal Revenue Service

Employer identification
number (EIN)

OMB No. 1545-0029

Report for this quarter...

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Check only one box.

Name
(not your trade name)

1: January, February, March

TREASURY/IRS
AND OMB USE
ONLY DRAFT
August 7, 2023
DO NOT FILE

The credit from Part 2, line 12, or if applicable,
line 17, will be reported on (check only one box):

2: April, May, June

Form 941 (all 941 series)

3: July, August, September

Form 943 (all 943 series)

4: October, November, December

Form 944 (all 944 series)

Calendar year

Part 1:

You must select a quarter if you file Form 941.

Tell us about your income tax return.

(a)
Ending date of
income tax period

(b)
Income
tax return
filed that
included
Form 6765

(c)
Date income tax
return was filed

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3

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5

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(d)
EIN used on
Form 6765

(e)
Amount from
Form 6765, line 44,
or if applicable,
the amount that was
allocated to your EIN

(f)
Amount of credit
from column (e)
taken on a
previous period(s)

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Add lines 1(g) through 5(g) and enter the total here

Part 2:

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Determine the credit that you can use this period.

7

Enter the amount from Part 1, line 6(g)

8

Enter the amount from Form 941, line 5a, column 2;
Form 943, line 3; or Form 944, line 4a, column 2 . .

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9

Enter the amount from Form 941, line 5b, column 2; or
Form 944, line 4b, column 2 . . . . . . . . .

9

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11

Multiply line 10 by 50% (0.50). Check this box
if you’re a third-party payer of sick pay or
check this box
if you received a Section 3121(q) Notice and Demand. See the instructions
before completing line 11 . . . . . . . . . . . . . . . . . . . . . . 11
Credit against the employer share of social security tax. Enter the smaller of line 7 or
11, but not more than $250,000. See the instructions before entering an amount if you file
Form 943 or Form 944. If you entered the amount from line 7, stop here and also enter this
amount on Form 941, line 11a; Form 943, line 12a; or Form 944, line 8a . . . . . . 12

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10

13

Subtract line 12 from line 7

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14

Enter the amount from Form 941, line 5c, column 2;
Form 943, line 5; or Form 944, line 4c, column 2 . . 14

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15

Multiply line 14 by 50% (0.50). If you’re a third-party payer
of sick pay or you received a Section 3121(q) Notice and
Demand, see the instructions before completing line 15 15

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16

Credit against the employer share of Medicare tax. Enter the smaller of line 13 or 15 .

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Total credit. Add lines 12 and 16. Also, enter this amount on Form 941, line 11a; Form 943,
line 12a; or Form 944, line 8a . . . . . . . . . . . . . . . . . . . . . 17

For Paperwork Reduction Act Notice, see the separate instructions.

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Add lines 8 and 9

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(g)
Remaining credit
(subtract column (f)
from column (e))

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12

951823

Qualified Small Business Payroll Tax Credit for Increasing Research Activities

www.irs.gov/Form8974

16

Cat. No. 37797C

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Form 8974 (Rev. 12-2023)