Using a blank form 941, complete Part 1, lines 1-6, using the following information: View the information (If an input field is not used in the table leave the input field empty, do not enter a zero. Round your calculations to the nearest cent as needed 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), Dec. 12 (Quarter 4) 1 2 Wages, tips, and other compensation 3 Federal income tax withheld from wages, tips, and other compensation 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 5a Taxable social security wages 5b Taxable social security tips. 5c Taxable Medicare wages & tips 5d Taxable wages & tips subject to Additional Medicare Tax withholding 5e Add Column 2 from lines 5a, 5b, 5c, and 5d 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 Information x 124= * 124 = .029 = Print 009 = Total employees during the first quarter 3 Total wages during the first quarter, none came from tips and no employee was over the Social Security wage base, $ Federal income tax withheld $ Done 2 3 27,850.50 2175.00 Check and go to line 6. 5e 5f 6 27,850 50 2,175.00 3 X

Using a blank form 941, complete Part 1, lines 1-6, using the following information: Yerw the information. (If an input field is not used in the table leave the input field empty, do not enter a zero. Round your calculations to the nearest cent as neede Part 1: Answer these questions for this quarter 1 Number of employees who recelved waoes. tips. or other combensation for the nav nerind includinn 5 e Add Column 2 from lines 5a,5b,5c, and 5d 5 S Section 3121(q) Notice and Demand - Tax due on unreported tips (see instructions) 6 Total taxes before adjustments. Add lines 3,5e and 5f Information Using a blank form 941, complete Part 1, lines 1-6, using the following information: Yerw the information. (If an input field is not used in the table leave the input field empty, do not enter a zero. Round your calculations to the nearest cent as neede Part 1: Answer these questions for this quarter 1 Number of employees who recelved waoes. tips. or other combensation for the nav nerind includinn 5 e Add Column 2 from lines 5a,5b,5c, and 5d 5 S Section 3121(q) Notice and Demand - Tax due on unreported tips (see instructions) 6 Total taxes before adjustments. Add lines 3,5e and 5f Information