During the fourth quarter of 20--, there were seven biweekly paydays on Friday (October 4, 18; November 1, 15, 29; December 13, 27) for Quality Repairs. Using the forms supplied below, complete the following forms for the fourth quarter.

Quarterly Payroll Data
Total Earnings
5 Employees	OASDI	HI	FIT	SIT
$18,550.00	$1,150.10	$268.98	$1,855.00	$1,298.50
Employer's OASDI	$1,150.10
Employer's HI	268.98
Federal deposit liability each pay	670.45

As we go to press, the federal income tax rates for 2023 are being determined by budget talks in Washington, and are not available for publication. For this edition, the 2022 federal income tax tables for Manual Systems with Forms W-4 from 2020 or Later with Standard Withholding and 2022 FICA rates have been used.

a. Complete the Federal Deposit Information Worksheets reflecting electronic deposits (monthly depositor). Federal deposit liability each pay, $670.45.

FEDERAL DEPOSIT INFORMATION WORKSHEET
Employer
Identification Number	00-0004701	Name	QUALITY REPAIRS
Month Tax Year Ends	12	Amount of Deposit	fill in the blank 1
Type of Tax (Form)	fill in the blank 2	Tax Period	1st quarter2nd quarter3rd quarter4th quarter
Address	10 SUMMIT SQUARE	Phone Number	(501) 555-7331
City, State, ZIP	CITY, STATE 00000-0000

To be deposited on or before

January 15, 20--November 15, 20--December 15, 20--

.

FEDERAL DEPOSIT INFORMATION WORKSHEET
Employer
Identification Number	00-0004701	Name	QUALITY REPAIRS
Month Tax Year Ends	12	Amount of Deposit	fill in the blank 5
Type of Tax (Form)	fill in the blank 6	Tax Period	1st quarter2nd quarter3rd quarter4th quarter
Address	10 SUMMIT SQUARE	Phone Number	(501) 555-7331
City, State, ZIP	CITY, STATE 00000-0000

To be deposited on or before

January 15, 20--November 15, 20--December 15, 20--

.

FEDERAL DEPOSIT INFORMATION WORKSHEET
Employer
Identification Number	00-0004701	Name	QUALITY REPAIRS
Month Tax Year Ends	12	Amount of Deposit	fill in the blank 9
Type of Tax (Form)	fill in the blank 10	Tax Period	1st quarter2nd quarter3rd quarter4th quarter
Address	10 SUMMIT SQUARE	Phone Number	(501) 555-7331
City, State, ZIP	CITY, STATE 00000-0000

To be deposited on or before

January 15, 20--November 15, 20--December 15, 20--

.

Employer's Quarterly Federal Tax Return, Form 941. The form is signed by you as president on January 31, 20--.

Hint: Line 7 instructions. Fill in Form 941 through line 6, and then fill in Part 2, line 16 or Schedule B. Take that information and fill in line 10. Lines 6 and 10 must equal. If the amounts are not the same, correct by entering amount to make equal on line 7. Line 7 differences are caused by how calculations are made on Form 941 and the amounts withheld from employee's earning plus the employer's payroll tax amounts each pay.

_Form 941 for 20--: ^{(Rev. March 2022)}

Employer's QUARTERLY Federal Tax Return ^{Department of the Treasury Internal Revenue Service}

_{OMB No. 1545-0029}

Employer identification number (EIN)

0

0

0

0

0

4

7

0

1

Name (not your trade name)

QUALITY REPAIRS

Trade name (if any)

Address

10 SUMMIT SQUARE

Number

Street

Suite or room number

CITY

ST

00000-0000

City

State

ZIP code

Foreign country name

Foreign province/county

Foreign postal code

Report for this Quarter of 20-- (Select one.)

January, February, MarchApril, May, JuneJuly, August, SeptemberOctober, November, December

Go to www.irs.gov/Form941 for instructions and the latest information.

Read the separate instructions before you complete Form 941. Type or print within the boxes.

Part 1:

Answer these questions for this quarter.

1

Number of employees who received wages, tips, or other compensation for the pay period including: Mar. 12 (Quarter 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

fill in the blank 14

2

Wages, tips, and other compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

fill in the blank 15

3

Federal income tax withheld from wages, tips, and other compensation . . . . . . . . . . . . . . . . . . . . . . . .

3

fill in the blank 16

4

If no wages, tips, and other compensation are subject to social security or Medicare tax

Check and go to line 6.

		Column 1		Column 2
5a	Taxable social security wages . . . . . . . . . . .	fill in the blank 17	x 0.124 =	fill in the blank 18
5a	(i) Qualified sick leave wages . . . . . . . . . . .	fill in the blank 19	x 0.062 =	fill in the blank 20
5a	(ii) Qualified family leave wages . . . . . . . . .	fill in the blank 21	x 0.062 =	fill in the blank 22
5b	Taxable social security tips . . . . . . . . . . . . .	fill in the blank 23	x 0.124 =	fill in the blank 24
5c	Taxable Medicare wages & tips . . . . . . . . . .	fill in the blank 25	x 0.029 =	fill in the blank 26
5d	Taxable wages & tips subject to Additional Medicare Tax withholding	fill in the blank 27	x 0.009 =	fill in the blank 28

5e

Total social security and Medicare taxes. Add Column 2 from lines 5a, 5a(i), 5a(ii), 5b, 5c, and 5d . . . . . . . .

5e

fill in the blank 29

5f

Section 3121(q) Notice and DemandTax due on unreported tips (see instructions) . . . . . . . . . . . . . . . .

5f

fill in the blank 30

6

Total taxes before adjustments. Add lines 3, 5e, and 5f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6

fill in the blank 31

7

Current quarter's adjustment for fractions of cents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7

fill in the blank 32

8

Current quarter's adjustment for sick pay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

fill in the blank 33

9

Current quarter's adjustments for tips and group-term life insurance . . . . . . . . . . . . . . . . . . . . . . . . . .

9

fill in the blank 34

10

Total taxes after adjustments. Combine lines 6 through 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10

fill in the blank 35

11a

Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 . . . . . . .

11a

fill in the blank 36

11b

Nonrefundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11b

fill in the blank 37

11c

Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11c

fill in the blank 38

You MUST complete all three pages of Form 941 and SIGN it.

Next

For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher.

Cat. No. 17001Z

Form 941 (Rev. 3-2022)