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3-14A LO 5 See pages 3-22 and 3-23 During the third calendar quarter of 20-, Bayview Inn, owned by Diane R. Peters, employed the persons

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3-14A LO 5 See pages 3-22 and 3-23 During the third calendar quarter of 20-, Bayview Inn, owned by Diane R. Peters, employed the persons listed below Also given are the employees' salaries or wages and the amount of tips reported to the owner. The tips were reported by the 10th of each month. The federal income tax and FICA tax to be withheld from the tips were estimated owner and withheld equally over the 13 weekly pay periods. The employer's portion of FICA tax on the tips mated as the same amount Salary or Quarter's Quarter's Quarter's Quarters Quarter's Wages Ti OASDI FIT Employce Grant Frazier Joseph LaVange Susanne Ayers Howard Cohen Lee Soong Mary Yee Helen Woods Koo Shin Aaron Abalis David Harad Wage ps 19,500.00 13,000,0 51,209,00 282.75 $1,500,00 188,50 1,100.00 750,00 740.00 660,.00 900,00 800,00 113,10 1,100.00 800.00 750,00 $78,000lyear 52,000 year 806,00 800 week 650/week 675/week 750/week 750/weck 600/weck 750/week 600 week 10,400.00 2,240.90 783.77 2,493.10 678.47 707,72 772.20 604.50 483.60 604.50 483.60 8,450.00 8,775.00 9,750,00 9,750.00 7,800.00 9,750.00 7,800.00 83.30 158.73 165.49 180,70 4144 2,640.30 2,704.00 14144 113.10 $104.975.00 $10,078.30 $7.133.36 S1,668.55 $9,100.00 Employees are paid weekly on Friday. The following paydays occurred during thi s quarter September 4 weekly paydays August 5 weekly paydays 4 weekly paydays Taxes withheld for the 13 paydays in the third quarter follow: Employees Federal Income Tax Weekly FICA Taxes Withheld on Wages Weckly FICA Taxes on Tips OASDI HI OASDI HI Employees $500.65 $117.11 Employees' $48.07 1.24 Employer's 500.65 5700 per week 17.09 Employer's 48.07 ane R. Peters. Based on the information given, complete Form 941 on the following pages for D Phone number: (901) 555-7959 3-14A LO 5 See pages 3-22 and 3-23 During the third calendar quarter of 20-, Bayview Inn, owned by Diane R. Peters, employed the persons listed below Also given are the employees' salaries or wages and the amount of tips reported to the owner. The tips were reported by the 10th of each month. The federal income tax and FICA tax to be withheld from the tips were estimated owner and withheld equally over the 13 weekly pay periods. The employer's portion of FICA tax on the tips mated as the same amount Salary or Quarter's Quarter's Quarter's Quarters Quarter's Wages Ti OASDI FIT Employce Grant Frazier Joseph LaVange Susanne Ayers Howard Cohen Lee Soong Mary Yee Helen Woods Koo Shin Aaron Abalis David Harad Wage ps 19,500.00 13,000,0 51,209,00 282.75 $1,500,00 188,50 1,100.00 750,00 740.00 660,.00 900,00 800,00 113,10 1,100.00 800.00 750,00 $78,000lyear 52,000 year 806,00 800 week 650/week 675/week 750/week 750/weck 600/weck 750/week 600 week 10,400.00 2,240.90 783.77 2,493.10 678.47 707,72 772.20 604.50 483.60 604.50 483.60 8,450.00 8,775.00 9,750,00 9,750.00 7,800.00 9,750.00 7,800.00 83.30 158.73 165.49 180,70 4144 2,640.30 2,704.00 14144 113.10 $104.975.00 $10,078.30 $7.133.36 S1,668.55 $9,100.00 Employees are paid weekly on Friday. The following paydays occurred during thi s quarter September 4 weekly paydays August 5 weekly paydays 4 weekly paydays Taxes withheld for the 13 paydays in the third quarter follow: Employees Federal Income Tax Weekly FICA Taxes Withheld on Wages Weckly FICA Taxes on Tips OASDI HI OASDI HI Employees $500.65 $117.11 Employees' $48.07 1.24 Employer's 500.65 5700 per week 17.09 Employer's 48.07 ane R. Peters. Based on the information given, complete Form 941 on the following pages for D Phone number: (901) 555-7959

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