941 PG1 941 PG2 Page 2 of Form 941. (Round your answers to 2 decimal places.) Name (not your trade name) Toni Prevosti Employer identification number (EIN) 22-6654454 Part 2: Tell us about your deposit schedule and tax liability for this quarter If you are unsure about whether you are a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15. 16 Check one: Line 12 on this return is less than $2,500 or line 12 (line 10 if the prior quarter was the fourth quarter of 2016) on the return for the prior quarter was less than $2,500, and you did not incur a $100,000 next-day deposit obligation during the current quarter. If ine 12 ine 10 if the prior quarter was the fourth quarter of 2016) for the prior quarter was less than $2,500 but line 12 on this return is $100,000 or more, you must provide a record of your federal tax liability. If you are a monthly schedule depositor, complete the deposit schedule below; if you are a semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3. u were a monthly schedule depositor for the entire quarter. then go to Part 3. Tax liability: Enter your tax liability for each month and total liability for the quarter Month 1 Month 2 Month 3 Total liability for quarter 0.00Total must equal line 12 You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941), Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941 Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank 17 If your business has closed or you stopped paying wages Check here, and enter the final date you paid wages ( mm/ddlyyyy) 18 If you are a seasonal employer and you do not have to file a return for every quarter of the year Check here. Part 4: May we speak with your third-party designee? Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions for details. Yes. Designee's name and phone number Select a 5-digit Personal Identification Number (PIN) to use when talking to IRS No Part 5: Sign here. You MUST complete both pages of Form 941 and SIGN it. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign your name here Print your name here Toni Prevosti Print your title here Owner Best daytime phone (xxx-xxx-xxxx) Date (mm/ddlyyyy) 802-555-3456 Paid Pronarar Ileo Onv Chack if wu ara self-amninved 941 PG1 941 PG2 Page 2 of Form 941. (Round your answers to 2 decimal places.) Name (not your trade name) Toni Prevosti Employer identification number (EIN) 22-6654454 Part 2: Tell us about your deposit schedule and tax liability for this quarter If you are unsure about whether you are a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15. 16 Check one: Line 12 on this return is less than $2,500 or line 12 (line 10 if the prior quarter was the fourth quarter of 2016) on the return for the prior quarter was less than $2,500, and you did not incur a $100,000 next-day deposit obligation during the current quarter. If ine 12 ine 10 if the prior quarter was the fourth quarter of 2016) for the prior quarter was less than $2,500 but line 12 on this return is $100,000 or more, you must provide a record of your federal tax liability. If you are a monthly schedule depositor, complete the deposit schedule below; if you are a semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3. u were a monthly schedule depositor for the entire quarter. then go to Part 3. Tax liability: Enter your tax liability for each month and total liability for the quarter Month 1 Month 2 Month 3 Total liability for quarter 0.00Total must equal line 12 You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941), Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941 Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank 17 If your business has closed or you stopped paying wages Check here, and enter the final date you paid wages ( mm/ddlyyyy) 18 If you are a seasonal employer and you do not have to file a return for every quarter of the year Check here. Part 4: May we speak with your third-party designee? Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions for details. Yes. Designee's name and phone number Select a 5-digit Personal Identification Number (PIN) to use when talking to IRS No Part 5: Sign here. You MUST complete both pages of Form 941 and SIGN it. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Sign your name here Print your name here Toni Prevosti Print your title here Owner Best daytime phone (xxx-xxx-xxxx) Date (mm/ddlyyyy) 802-555-3456 Paid Pronarar Ileo Onv Chack if wu ara self-amninved