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	$7,287.15
August	6,859.40
September	7,902.63

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)	Employer identification number (EIN)
CARLOS CRUZ	00-0006509

Part 1:

Answer these questions for this quarter. (continued)

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	Deferred amount of the employer share of social security tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13b
13c	Refundable portion of credit for qualified sick and family leave wages from Worksheet 1 . . . . . . . . . . .	13c
13d	Refundable portion of employee retention credit from Worksheet 1 . . . . . . . . . . . . . . . . . . . . . . . . . . .	13d
13e	Total deposits, deferrals, and refundable credits. Add lines 13a, 13b, 13c, and 13d . . . . . . . . . . . . . . . . . .	13e
13f	Total advances received from filing Form(s) 7200 for the quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	13f
13g	Total deposits, deferrals, and refundable credits less advances. Subtract line 13f from line 13e . . . . . . . .	13g
14	Balance due. If line 12 is more than line 13g, enter the difference and see instructions . . . . . . . . . . . . . . . . . .	14
15	Overpayment. If line 13g is more than line 12, enter the difference 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:

abca

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.

c.

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.