The taxable wages and withheld taxes for Stafford Company (EIN 00-0001462), semiweekly depositor, for the first quarter of 2018 follow.

Complete Schedule B of Form 941 below for the first quarter for Steve Hazelton, the owner of Stafford Company. If a box does not require an amount, leave it blank.

Semimonthly Paydays	Gross and Taxable Wages	FICA Withheld OASDI	FICA Withheld HI	Federal Income Tax Withheld
1/12	$24,500	$1,519.00	$355.25	$3,185.00
1/31	23,985	1,487.07	347.78	3,090.00
2/15	25,190	1,561.78	365.26	3,410.00
2/28	25,530	1,582.86	370.19	3,497.00
3/15	24,950	1,546.90	361.78	3,385.00
3/30	25,100	1,556.20	363.95	3,400.00
Total	$149,255	$9,253.81	$2,164.21	$19,967.00

Use this schedule to show your TAX LIABILITY for the quarter; don't use it to show your deposits. When you file this form with Form 941 or Form 941-SS, don't change your tax liability by adjustments reported on any Forms 941-X or 944-X. You must fill out this form and attach it to Form 941 or Form 941-SS if you're a semiweekly schedule depositor or became one because your accumulated tax liability on any day was $100,000 or more. Write your daily tax liability on the numbered space that corresponds to the date wages were paid. See Section 11 in Pub. 15 for details.

Month 1
1		9		17		25		Tax liability for Month 1
2		10		18		26
3		11		19		27
4		12		20		28
5		13		21		29
6		14		22		30
7		15		23		31
8		16		24
Month 2
1		9		17		25		Tax liability for Month 2
2		10		18		26
3		11		19		27
4		12		20		28
5		13		21		29
6		14		22		30
7		15		23		31
8		16		24
Month 3
1		9		17		25		Tax liability for Month 3
2		10		18		26
3		11		19		27
4		12		20		28
5		13		21		29
6		14		22		30
7		15		23		31
8		16		24
Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3) ►								Total liability for the quarter
Total must equal line 12 on Form 941 or Form 941-SS.

For Paperwork Reduction Act Notice, see separate instructions. IRS.gov/form941

Cat. No. 11967Q

Schedule B (Form 941) (Rev. 1-2017) Source: Internal Revenue Service