Cruz Company has gathered the information needed to complete its Form 941 for the quarter ended September 30, 20--. They are a monthly depositor with the following monthly tax liabilities for this quarter: July August September $7,176.65 6,838.55 7,296.57 State unemployment taxes are only paid to California. The company does not use a third-party designee and the tax returns are signed by the president, Carlos Cruz (Phone: 916-555-9739), and the date filed is October 31, 20--. Complete Parts 2, 4, and 5 of Form 941 for Cruz Company for the third quarter of 20--. Name (not your trade name) CARLOS CRUZ Part 1: Answer these questions for this quarter. (continued) Employer identification number (EIN) 00-0006509 11d Total nonrefundable credits. Add lines 11a, 11b, and 11c. . 11d 12 Total taxes after adjustments and nonrefundable credits. Subtract line 11d from line 10 12 13a Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X (SP) filed in the current quarter 13a 13b Reserved for the future use. . . . . . . 13c Refundable portion of credit for qualified sick and family leave wages from Worksheet 1. 13d Refundable portion of employee retention credit from Worksheet 1 13e Total deposits and refundable credits. Add lines 13a, 13c, and 13d 13f Total advances received from filing Form(s) 7200 for the quarter. . 13g Total deposits and refundable credits less advances. Subtract line 13f from line 13e. 14 Balance due. If line 12 is more than line 13g, enter the difference and see instructions. Overpayment. If line 13g is more than line 12, enter the difference 15 13b 13c 13d 13e 13f 13g 14 Check one: Apply to next return. Send a refund. Part 2: Tell us about your deposit schedule and tax liability for this quarter. If you're unsure about whether you're a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15. 16 Check one: a. Line 12 on this return is less than $2,500 or line 12 on the return for the prior quarter was less than $2,500, and you didn't incur a $100,000 next-day deposit obligation during the current quarter. If line 12 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're a monthly schedule depositor, complete the deposit schedule below; if you're a semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3. b. You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total liability for the quarter, then go to Part 3. Tax liability: Month 1 Month 2 Month 3 Total liability for quarter Total 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. You MUST complete all three pages of Form 941 and SIGN it. Page 2 Next Form 941 (Rev. 3-2021)