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Schedule B (Form 941): Report of Tax Liability for Semiweekly Schedule Depositors (Rev. January 2014) Employer identification number (EIN) Name (not your trade name)

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Schedule B (Form 941): Report of Tax Liability for Semiweekly Schedule Depositors (Rev. January 2014) Employer identification number (EIN) Name (not your trade name) STEVE H Calendar year Department of the Treasury Internal Revenue Service (Also check OMB No. 1545-002g Report for this Quarter... (Check one.) @ 1: January, February, March 2: April, May, June 3: July, August, September 4: October, November, December Use this schedule to show your TAX LIABILITY for the quarter; DO NOT use it to show your deposits. When you file this form with Form 941 or Form 941 -SS, DO NOT 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 are 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 (Circular E), Employer's Tax Guide, for details. Month I Month 2 18 Tax liability for Month 1 13693 Tax liability for Month 2 14667 20 18

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