3-13A (continued) 941 for 20-- Employer's QUARTERLY Federal Tax Return Report for this Quarter of 20- Numerot your tradema KAREN KLUSTER rade name any LURK AND WASH January February March 2 Apr May June October November Decem Go to www.ingowform for AUSTIN Read the separate instructions before you complete Form 941. Type or print within the boxes Part 1 Answer these questions for this quarter. 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), or Dec. 12 Quarter 4 1 2 Wages, tips, and other compensation , 3 Federal income tax withheld from wages, tips, and other compensation 3 Check and go to line 6. 4 Sa 5b 50 no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 Taxable social security wages.. *0.124 Taxable social security tips . . . x 0.124 Taxable Medicare wages & tips.. . X 0.029 Taxable wages & tips subject to Additional Medicare Tax withholding - 0.009 Add Column 2 from lines 5a, 5b, 5c, and sd . . . Section 3121 Notice and Demand-Tax due on unreported tips is instructions e se 51 5 6 Total taxes before adjustments. Add lines 3.5e, and 51. 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 Totales after adjustments. Combine lines 6 through 9 7411 11 Quod small business payroll tax credit for increasing research activities. Anach Form 12 Tottes after adjustments and credits. Subtract line 11 from line 10 13 13 Tot deposits for this quarter, including overpayment applied from a prioque corpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X SP filled in the current quarter 14 Checkone L L Sendatud 14 Balance due. If line 12 is more than line 13, enter the difference and see instruction No T Z Form 941 Rev. 1-2018 15 Overpayment. If line 13 is more than line 12, enter the difference You MUST complete both pages of Form 941 and SIGN IL For Privacy Act and Paperwork Reduction Act Notion, see the back of the Payment Voucher 3-45 3-13A (continued) 941 for 20-- Employer's QUARTERLY Federal Tax Return Report for this Quarter of 20- Numerot your tradema KAREN KLUSTER rade name any LURK AND WASH January February March 2 Apr May June October November Decem Go to www.ingowform for AUSTIN Read the separate instructions before you complete Form 941. Type or print within the boxes Part 1 Answer these questions for this quarter. 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), or Dec. 12 Quarter 4 1 2 Wages, tips, and other compensation , 3 Federal income tax withheld from wages, tips, and other compensation 3 Check and go to line 6. 4 Sa 5b 50 no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 Taxable social security wages.. *0.124 Taxable social security tips . . . x 0.124 Taxable Medicare wages & tips.. . X 0.029 Taxable wages & tips subject to Additional Medicare Tax withholding - 0.009 Add Column 2 from lines 5a, 5b, 5c, and sd . . . Section 3121 Notice and Demand-Tax due on unreported tips is instructions e se 51 5 6 Total taxes before adjustments. Add lines 3.5e, and 51. 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 Totales after adjustments. Combine lines 6 through 9 7411 11 Quod small business payroll tax credit for increasing research activities. Anach Form 12 Tottes after adjustments and credits. Subtract line 11 from line 10 13 13 Tot deposits for this quarter, including overpayment applied from a prioque corpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X SP filled in the current quarter 14 Checkone L L Sendatud 14 Balance due. If line 12 is more than line 13, enter the difference and see instruction No T Z Form 941 Rev. 1-2018 15 Overpayment. If line 13 is more than line 12, enter the difference You MUST complete both pages of Form 941 and SIGN IL For Privacy Act and Paperwork Reduction Act Notion, see the back of the Payment Voucher 3-45
