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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. If an amount or input box does not require an entry, leave it blank or enter "0". Quarterly Payroll Data Total Earnings 5 Employees OASDI HI FIT SIT $273.76 $1,888.00 $1,321.60 $18,880.00 Employer's OASDI Employer's HI Federal deposit liability each pay $1,170.56 $1,170.56 273.76 682.38 a. Complete the Federal Deposit Information Worksheets reflecting electronic deposits (monthly depositor). Federal deposit liability each pay, $682.38. FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number 00-0004701 Name QUALITY REPAIRS Month Tax Year Ends 12 Amount of Deposit Type of Tax (Form) 941 Tax Period 1st quarter Phone Number (501) 555-7331 Address 10 SUMMIT SQUARE City, State, ZIP CITY, STATE 00000-0000 To be deposited on or before January 15, 20-- . FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number 00-0004701 Name QUALITY REPAIRS Month Tax Year Ends 12 Amount of Deposit Type of Tax (Form) Tax Period 1st quarter 10 SUMMIT SQUARE Phone Number (501) 555-7331 Address City, State, ZIP CITY, STATE 00000-0000 To be deposited on or before January 15, 20-- FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number 00-0004701 Name QUALITY REPAIRS Month Tax Year Ends 12 Amount of Deposit Type of Tax (Form) Tax Period 1st quarter Address Phone Number (501) 555-7331 10 SUMMIT SQUARE CITY, STATE 00000-0000 City, State, ZIP To be deposited on or before b. 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 13. Lines 12 and 13 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. b. 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 13. Lines 12 and 13 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--| Employer's QUARTERLY Federal Tax Return (Rev. January 2019) Department of the Treasury Internal Revenue Service OMB No. 1545-0029 Employer identification number (EIN) Employer identification number (EIN) 00-0000001 Report for this Quarter of 20-- (Select one.) Name (not your trade name) JALITY REPAIRS January, February, March Go to www.irs.gov/Form 941 for instructions and the latest information. Address Trade name (if any) | 10 SUMMIT SQUARE Number Street CITY City Suite or room number ST s 00 00000-0000 _ State ZIP code - Foreign country name Foreign province/county Foreign postal code 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 4) Wages, tips, and other compensation ... ..... 2 2 3 Federal income tax withheld from wages, tips, and other compensation ......................... 3 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check and go to line 6. 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 ..... X.124 = 5b Taxable social security tips ........ X.124 = 5c Taxable Medicare wages & tips ..... X.029 = 5d Taxable wages & tips subject to Additional Medicare Tax withholding x.009 = 5e Add Column 2 from lines 5a, 5b, 5c, and 5d ............................................... 5e 5f Section 3121(q) Notice and Demand-Tax due on unreported tips (see instructions) ...... 6 Total taxes before adjustments. Add lines 3, 5e, and 5f ........ 7 Current quarter's adjustment for fractions of cents .......... 8 Current quarter's adjustment for sick pay ............................................... 8 9 Current quarter's adjustments for tips and group-term life insurance ........................... 9 10 Total taxes after adjustments. Combine lines 6 through 9....... ......... 11 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 ...... 12 Total taxes after adjustments and credits. Subtract line 11 from line 13 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 .. 14 Balance due. If line 12 is more than line 13, enter the difference and see instructions .................... 14 15 Overpayment. If line 13 is more than line 12, enter the difference Check one: You MUST complete both pages of Form 941 and SIGN it. Apply to next return. Send a refund. Next - Cat. No. 170012 Form 941 (Rev. 1-2019) For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Name (not your trade name) Employer identification number (EIN) QUALITY REPAIRS 00-0004701 Part 2: Tell us about your deposit schedule and tax liability for this quarter. If you are unsure about whether you are 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 are a monthly schedule depositor, complete the deposit schedule below; if you are 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. Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank. .............. Check here, and 17 If your business has closed or you stopped paying wages ... enter the final date you paid wages 18 If you are a seasonal employer and you don't have to file a return for every quarter of the year ................ Check here. Part 4: May we speak with your third-party designee? c. Employer's Report of State Income Tax Withheld for the quarter, due on or before January 31, 20-- EMPLOYER'S REPORT OF STATE INCOME TAX WITHHELD (DO NOT WRITE IN THIS SPACE) WITHHOLDING IDENTIFICATION IMPORTANT: PLEASE REFER TO THIS NUMBER IN ANY CORRESPONDENCE MONTH OF OR QUARTER ENDING NUMBER 00-0-3301 DEC. 20-- 1. GROSS PAYROLL THIS PERIOD IF YOU ARE A SEASONAL EMPLOYER AND THIS IS YOUR FINAL REPORT FOR THIS SEASON, CHECK HERE O AND SHOW THE NEXT MONTH IN WHICH YOU WILL PAY WAGES QUALITY REPAIRS 10 SUMMIT SQUARE CITY, STATE 00000-0000 2. STATE INCOME TAX WITHHELD 3. ADJUSTMENT FOR PREVIOUS PERIOD(S). (ATTACH STATEMENT) 4. TOTAL ADJUSTED TAX (LINE 2 PLUS OR MINUS LINE 3) IF NAME OR ADDRESS IS INCORRECT, PLEASE MAKE CORRECTIONS. THIS REPORT MUST BE RETURNED EVEN IF NO AMOUNT HAS BEEN WITHHELD 5. PENALTY (35% OF LINE 4) $ 6. INTEREST Under penalties prescribed by law, I hereby affirm that to the best of my knowledge and belief this return, including any accompanying schedules and statements, is true and complete. If prepared by a person other than taxpayer, his affirmation is based on all information of which he has any knowledge. AND PAYABLE 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. If an amount or input box does not require an entry, leave it blank or enter "0". Quarterly Payroll Data Total Earnings 5 Employees OASDI HI FIT SIT $273.76 $1,888.00 $1,321.60 $18,880.00 Employer's OASDI Employer's HI Federal deposit liability each pay $1,170.56 $1,170.56 273.76 682.38 a. Complete the Federal Deposit Information Worksheets reflecting electronic deposits (monthly depositor). Federal deposit liability each pay, $682.38. FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number 00-0004701 Name QUALITY REPAIRS Month Tax Year Ends 12 Amount of Deposit Type of Tax (Form) 941 Tax Period 1st quarter Phone Number (501) 555-7331 Address 10 SUMMIT SQUARE City, State, ZIP CITY, STATE 00000-0000 To be deposited on or before January 15, 20-- . FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number 00-0004701 Name QUALITY REPAIRS Month Tax Year Ends 12 Amount of Deposit Type of Tax (Form) Tax Period 1st quarter 10 SUMMIT SQUARE Phone Number (501) 555-7331 Address City, State, ZIP CITY, STATE 00000-0000 To be deposited on or before January 15, 20-- FEDERAL DEPOSIT INFORMATION WORKSHEET Employer Identification Number 00-0004701 Name QUALITY REPAIRS Month Tax Year Ends 12 Amount of Deposit Type of Tax (Form) Tax Period 1st quarter Address Phone Number (501) 555-7331 10 SUMMIT SQUARE CITY, STATE 00000-0000 City, State, ZIP To be deposited on or before b. 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 13. Lines 12 and 13 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. b. 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 13. Lines 12 and 13 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--| Employer's QUARTERLY Federal Tax Return (Rev. January 2019) Department of the Treasury Internal Revenue Service OMB No. 1545-0029 Employer identification number (EIN) Employer identification number (EIN) 00-0000001 Report for this Quarter of 20-- (Select one.) Name (not your trade name) JALITY REPAIRS January, February, March Go to www.irs.gov/Form 941 for instructions and the latest information. Address Trade name (if any) | 10 SUMMIT SQUARE Number Street CITY City Suite or room number ST s 00 00000-0000 _ State ZIP code - Foreign country name Foreign province/county Foreign postal code 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 4) Wages, tips, and other compensation ... ..... 2 2 3 Federal income tax withheld from wages, tips, and other compensation ......................... 3 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check and go to line 6. 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 ..... X.124 = 5b Taxable social security tips ........ X.124 = 5c Taxable Medicare wages & tips ..... X.029 = 5d Taxable wages & tips subject to Additional Medicare Tax withholding x.009 = 5e Add Column 2 from lines 5a, 5b, 5c, and 5d ............................................... 5e 5f Section 3121(q) Notice and Demand-Tax due on unreported tips (see instructions) ...... 6 Total taxes before adjustments. Add lines 3, 5e, and 5f ........ 7 Current quarter's adjustment for fractions of cents .......... 8 Current quarter's adjustment for sick pay ............................................... 8 9 Current quarter's adjustments for tips and group-term life insurance ........................... 9 10 Total taxes after adjustments. Combine lines 6 through 9....... ......... 11 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 ...... 12 Total taxes after adjustments and credits. Subtract line 11 from line 13 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 .. 14 Balance due. If line 12 is more than line 13, enter the difference and see instructions .................... 14 15 Overpayment. If line 13 is more than line 12, enter the difference Check one: You MUST complete both pages of Form 941 and SIGN it. Apply to next return. Send a refund. Next - Cat. No. 170012 Form 941 (Rev. 1-2019) For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Name (not your trade name) Employer identification number (EIN) QUALITY REPAIRS 00-0004701 Part 2: Tell us about your deposit schedule and tax liability for this quarter. If you are unsure about whether you are 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 are a monthly schedule depositor, complete the deposit schedule below; if you are 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. Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank. .............. Check here, and 17 If your business has closed or you stopped paying wages ... enter the final date you paid wages 18 If you are a seasonal employer and you don't have to file a return for every quarter of the year ................ Check here. Part 4: May we speak with your third-party designee? c. Employer's Report of State Income Tax Withheld for the quarter, due on or before January 31, 20-- EMPLOYER'S REPORT OF STATE INCOME TAX WITHHELD (DO NOT WRITE IN THIS SPACE) WITHHOLDING IDENTIFICATION IMPORTANT: PLEASE REFER TO THIS NUMBER IN ANY CORRESPONDENCE MONTH OF OR QUARTER ENDING NUMBER 00-0-3301 DEC. 20-- 1. GROSS PAYROLL THIS PERIOD IF YOU ARE A SEASONAL EMPLOYER AND THIS IS YOUR FINAL REPORT FOR THIS SEASON, CHECK HERE O AND SHOW THE NEXT MONTH IN WHICH YOU WILL PAY WAGES QUALITY REPAIRS 10 SUMMIT SQUARE CITY, STATE 00000-0000 2. STATE INCOME TAX WITHHELD 3. ADJUSTMENT FOR PREVIOUS PERIOD(S). (ATTACH STATEMENT) 4. TOTAL ADJUSTED TAX (LINE 2 PLUS OR MINUS LINE 3) IF NAME OR ADDRESS IS INCORRECT, PLEASE MAKE CORRECTIONS. THIS REPORT MUST BE RETURNED EVEN IF NO AMOUNT HAS BEEN WITHHELD 5. PENALTY (35% OF LINE 4) $ 6. INTEREST Under penalties prescribed by law, I hereby affirm that to the best of my knowledge and belief this return, including any accompanying schedules and statements, is true and complete. If prepared by a person other than taxpayer, his affirmation is based on all information of which he has any knowledge. AND PAYABLE