Employer's QUARTERLY Federal Tax Return—American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands
Section references are to the Internal Revenue Code unless otherwise noted.
Revised: 01/2011
Table of Contents
- Instructions for Form 941-SS - Introductory Material
- General Instructions:
- Specific Instructions:
- Part 1:Answer these Questions for this Quarter
- 1. Number of Employees Who Received Wages, Tips, or Other Compensation for this Quarter
- 4. If No Wages, Tips, and Other Compensation are Subject to Social Security or Medicare Tax . . .
- 5a–5d. Taxable Social Security and Medicare Wages and Tips
- 5e. Section 3121(q) Notice and Demand—Tax Due on Unreported Tips
- 6a–6d. Reserved for Future Use
- 6e. Total Taxes Before Adjustments.
- 7–9. Tax Adjustments
- 7. Current quarter's adjustment for fractions of cents.
- 8. Current quarter's adjustment for sick pay.
- 9. Current quarter's adjustments for tips and group-term life insurance.
- 10. Total Taxes After Adjustments
- 11. Total Deposits for This Quarter
- 12a. COBRA Premium Assistance Payments
- 12b. Number of Individuals Provided COBRA Premium Assistance on Line 12a
- 13. Total Deposits and Credits
- 14. Balance Due
- 15.Overpayment
- Complete Both Pages
- Part 2:Tell Us About Your Deposit Schedule and Tax Liability for this Quarter
- Part 3:Tell Us About Your Business
- Part 4:May We Speak With Your Third-Party Designee?
- Part 5:Sign Here
- How to Order Forms and Publications from the IRS
- Part 1:Answer these Questions for this Quarter
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