The taxable wages and withheld taxes for Stafford Company (EIN 00-0001462), semiweekly depositor, for the first quarter of 2017 follow.

Semimonthly Paydays	Gross and Taxable Wages	FICA Withheld OASDI	FICA Withheld HI	Federal Income Tax Withheld
1/13	$24,600	$1,525.20	$356.70	$3,183.00
1/31	23,805	1,475.91	345.17	3,100.00
2/15	25,140	1,558.68	364.53	3,415.00
2/28	25,600	1,587.20	371.20	3,493.00
3/15	25,000	1,550.00	362.50	3,376.00
3/31	25,000	1,550.00	362.50	3,572.00
$149,145	$9,246.99	$2,162.60	$20,139.00

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.

Schedule B (Form 941):

Report of Tax Liability for Semiweekly Schedule Depositors

(Rev. January 2014)

Department of the Treasury Internal Revenue Service

Employer identification number (EIN)

Name(not your trade name)

Calendar year

_{OMB No. 1545-0029}

Report for this Quarter... (Select one.)

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), Employers Tax Guide, for details.

Month 1
1	9	17	25	Tax liability for Month 1
2	10	18	26
3	11	19	27
4	12	20	28
5	13	21	29
6	14	22	30
7	15	23	31
8	16	24
Month 2
1	9	17	25	Tax liability for Month 2
2	10	18	26
3	11	19	27
4	12	20	28
5	13	21	29
6	14	22	30
7	15	23	31
8	16	24
Month 3
1	9	17	25	Tax liability for Month 3
2	10	18	26
3	11	19	27
4	12	20	28
5	13	21	29
6	14	22	30
7	15	23	31
8	16	24
Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3)	Total liability for the quarter
Total must equal line 10 on Form 941 or Form 941-SS.

For Paperwork Reduction Act Notice, see separate instructions.IRS.gov/form941

Cat. No. 11967Q

Schedule B (Form 941)(Rev. 6-2014) Source:Internal Revenue Service

b. List the due dates of each deposit in the first quarter.

Paydays	Deposit Due Dates
January 13
January 31
February 15
February 28
March 15
March 31