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The taxable wages and withheld taxes for Stafford Company ( EIN 0 0 - 0 0 0 1 4 6 2 ) , semiweekly depositor,

The taxable wages and withheld taxes for Stafford Company (EIN 00-0001462), semiweekly depositor, for the first quarter of 20-- follow.
Semimonthly
Paydays Gross and
Taxable Wages FICA Withheld
OASDI FICA Withheld
HI Federal Income
Tax Withheld
1/15 $24,600 $1,525.20 $356.70 $3,183.00
1/3124,0301,489.86348.443,098.00
2/1525,1501,559.30364.683,415.00
2/2825,6001,587.20371.203,495.00
3/1525,1001,556.20363.953,384.00
3/2925,0001,550.00362.503,464.00
$149,480 $9,267.76 $2,167.47 $20,039.00
a. Complete Schedule B of Form 941 below for the first quarter for Steve Hazelton, the owner of Stafford Company. If a box does not require an amount, leave it blank. Round your answers to the nearest cent.
Schedule B (Form 941):
Report of Tax Liability for Semiweekly Schedule Depositors
(Rev. January 2017) Department of the Treasury Internal Revenue Service
Employer identification number (EIN)000001462
Name (not your trade name) STEVE HAZELTON
Calendar year
2017
(Also check quarter)
OMB No.1545-0029
Report for this Quarter...
(Select one.)
Use this schedule to show your TAX LIABILITY for the quarter; don't use it to show your deposits. When you file this form with Form 941 or Form 941-SS, don't 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're 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 for details.
Month 1
1 fill in the blank 3
9 fill in the blank 4
17 fill in the blank 5
25 fill in the blank 6
Tax liability for Month 1
2 fill in the blank 7
10 fill in the blank 8
18 fill in the blank 9
26 fill in the blank 10
fill in the blank 11
3 fill in the blank 12
11 fill in the blank 13
19 fill in the blank 14
27 fill in the blank 15
4 fill in the blank 16
12 fill in the blank 17
20 fill in the blank 18
28 fill in the blank 19
5 fill in the blank 20
13 fill in the blank 21
21 fill in the blank 22
29 fill in the blank 23
6 fill in the blank 24
14 fill in the blank 25
22 fill in the blank 26
30 fill in the blank 27
7 fill in the blank 28
15 fill in the blank 29
23 fill in the blank 30
31 fill in the blank 31
8 fill in the blank 32
16 fill in the blank 33
24 fill in the blank 34
Month 2
1 fill in the blank 35
9 fill in the blank 36
17 fill in the blank 37
25 fill in the blank 38
Tax liability for Month 2
2 fill in the blank 39
10 fill in the blank 40
18 fill in the blank 41
26 fill in the blank 42
fill in the blank 43
3 fill in the blank 44
11 fill in the blank 45
19 fill in the blank 46
27 fill in the blank 47
4 fill in the blank 48
12 fill in the blank 49
20 fill in the blank 50
28 fill in the blank 51
5 fill in the blank 52
13 fill in the blank 53
21 fill in the blank 54
29 fill in the blank 55
6 fill in the blank 56
14 fill in the blank 57
22 fill in the blank 58
30 fill in the blank 59
7 fill in the blank 60
15 fill in the blank 61
23 fill in the blank 62
31 fill in the blank 63
8 fill in the blank 64
16 fill in the blank 65
24 fill in the blank 66
Month 3
1 fill in the blank 67
9 fill in the blank 68
17 fill in the blank 69
25 fill in the blank 70
Tax liability for Month 3
2 fill in the blank 71
10 fill in the blank 72
18 fill in the blank 73
26 fill in the blank 74
fill in the blank 75
3 fill in the blank 76
11 fill in the blank 77
19 fill in the blank 78
27 fill in the blank 79
4 fill in the blank 80
12 fill in the blank 81
20 fill in the blank 82
28 fill in the blank 83
5 fill in the blank 84
13 fill in the blank 85
21 fill in the blank 86
29 fill in the blank 87
6 fill in the blank 88
14 fill in the blank 89
22 fill in the blank 90
30 fill in the blank 91
7 fill in the blank 92
15 fill in the blank 93
23 fill in the blank 94
31 fill in the blank 95
8 fill in the blank 96
16 fill in the blank 97
24 fill in the blank 98
Fill in your total liability for the quarter (Month 1+ Month 2+ Month 3) Total liability for the quarter
Total must equal line 12 on Form 941 or Form 941-SS. fill in the blank 99
For Paperwork Reduction Act Notice, see separate instructions. IRS.gov/form941 Cat. No.11967Q Schedule B (Form 941)(Rev.1-2021)
Source: Internal Revenue Service
b. Using the calendar below, list the due dates of each deposit in the first quarter.
Paydays Deposit Due Dates
January 15
January 31
February 15
February 28
March 15
March 29

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