Create Your 941

1 Employer & reporting period

Tax yearQuarter *

Legal employer name *Employer EIN *Street address & suite *City / town *Country

State / territory *ZIP / postal code *

Trade name & aggregate filer Only if applicable

Trade name

2 Quarterly payroll totals

Use the actual totals from your payroll records. The form calculates tax from the taxable wage bases you enter.

Employees in the reference pay period · Line 1 *

Count employees paid in the pay period including the quarter’s reference date.

Wages, tips & other compensation · Line 2 *Federal income tax withheld · Line 3 *

No wages are subject to Social Security or Medicare tax · Line 4

Taxable Social Security wages · Line 5a *Taxable Medicare wages & tips · Line 5c *

Apply the annual Social Security cap separately to each employee using year-to-date records. Medicare has no wage cap.

Tips, Additional Medicare & notice tax Only if applicable

Taxable Social Security tips · Line 5bWages & tips subject to Additional Medicare withholding · Line 5d

Enter only each employee’s wages and tips over the employer’s $200,000 annual withholding threshold, combined for this quarter. Do not enter all Medicare wages.

Section 3121(q) Notice and Demand tax · Line 5f

Adjustments & research credit Only if applicable

Adjustments may be positive or negative. Enter the actual allowed amounts from your records.

Fractions-of-cents adjustment · Line 7Sick-pay adjustment · Line 8Tips & group-term-life adjustment · Line 9Allowed research payroll credit from Form 8974 · Line 11

Deposits & applied prior overpayments · Line 13

3 Deposits & overpayment

Deposit schedule · Line 16 *

Business status, designee & payment voucher Only if applicable

Business closed or stopped paying wages · Line 17Seasonal employer · Line 18Authorize a third-party designee to discuss this returnComplete 941-V for an eligible check / money-order payment

4 Signer details

Signer printed name *Signer title *Best daytime phone *

Paid preparer Only if someone prepared this return for a fee

Include paid-preparer details

Signature

How would you like to sign?

Your signature and signing date will stay blank. Print and sign before submitting your return to the IRS.

Review & download

Review both return pages and any voucher. The complete original three-page packet is included. Required Schedule B, Schedule R, Form 8974 and closing statements must be prepared and attached separately when applicable.

By clicking Continue to checkout, you confirm that you reviewed the return against your payroll records. IRS filing and payments are separate.

A little treat for your next form.