Mary For the first quarter of 2019, Charlotte York has two employees. The payroll information for these two employees for the first quarter is as follows: Chris January February March January February March Gross wages $2,000 $1,000 $1,000 $1,500 Federal income tax withheld FICA tax withheld Charlotte deposited $750 on February 15, $750 on March 15, and $967 on April 15. $2,000 $2,100 230 235 230 60 60 180 153 153 161 77 77 115 Using this information, complete page 1 of Charlotte's Form 941 for the first quarter of 2019. If an amount box does not require an entry or the answer is zero, enter "O". If required, round your answers to two decimal places. Enter all amounts as positive numbers. Form 941 for 2019: Employer's QUARTERLY Federal Tax Return Department of the Treasury - Internal Revenue Service OMB No 1545-003 Employer identification number (EIN) OOOOOO2 Report for this Quarter of 2019 Name (not your trade name) Charlotte York (Check one.) Trade name (if any) * 1: January, February March April, May, June 95011 (Rev. January 2019) 9 Address 2: Number Street Suite or room number July, August, September 3: October, November, December City State ZIP code 4: Foreign country name Foreign province/county Foreign postal code 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), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter Wages, tips, and other compensation Federal income tax withheld from wages, tips, and other compensation ... 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 Sa Taxable social security wages 56 Taxable social security tips... Sc Taxable Medicare wages & tips. Sd Taxable wages & tips subject to Additional Medicare Tax withholding x 0.124 x 0.124- 0.029 0.009 Add Column 2 from lines 5a, 5b, 5c, and 5d Se ST Section 3121(9) Notice and Demand-Tax due on unreported tips (see instructions)...... Total taxes before adjustments. Add lines 3, 5e, and 5f... Current quarter's adjustment for fractions of cents. Current quarter's adjustment for sick pay. Current quarter's adjustments for tips and group-term life insurance Total taxes after adjustments. Combine lines 6 through 9. 10 10 11 11 12 12 Qualified small business payroll tax credit for the increasing research activities. Attach Form 8974 ... Total taxes after adjustments and credits. Subtract line 11 from line 10... 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 13 13 14 14 Check Balance due. If line 12 is more than line 13, enter the difference and see instructions ... 15 Overpayment. If line 13 is more than line 12, enter the difference one: Apply to next return. Send a refund. You MUST complete both pages of Form 941 and SIGN it. For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. 170012 Next Cat. No. Form 941 (Rev. 1-2019)
