Tax liability for Month 3 The taxable wages and withheld taxes for Stafford Company (EIN...

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imageimageimageimageimage Tax liability for Month 3 The taxable wages and withheld taxes for Stafford Company (EIN 00-0001462), semiweekly depositor, for the first quarter of 20-- follow. \begin{tabular}{crrrr} SemimonthlyPaydays & GrossandTaxableWages & FICAWithheldOASDI & FICAWithheldHI & FederalIncomeTaxWithheld \\ \hline 1/15 & $24,400 & $1,512.80 & $353.80 & $3,188.00 \\ 1/31 & 23,855 & 1,479.01 & 345.90 & 3,099.00 \\ 2/15 & 25,280 & 1,567.36 & 366.56 & 3,407.00 \\ 2/28 & 25,630 & 1,589.06 & 371.64 & 3,504.00 \\ 3/15 & 24,950 & 1,546.90 & 361.78 & 3,380.00 \\ 3/29 & 25,100 & 1,556.20 & 363.95 & 3,753.00 \\ & $149,215 & $9,251.33 & $2,163.63 & $20,331.00 \\ \hline \end{tabular} b. Using the calendar below, list the due dates of each deposit in the first quarter. 4 5 6 7 8 12 13 14 15 16 20 21 22 23 24 28 29 30 31 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. For Paperwork Reduction Act Notice, see separate IRS.gov/form941 Cat. No. 11967Q Schedule B (Form 941) (Rev. 1-2021) instructions. Source: Internal Revenue Service Schedule B (Form 941): Report of Tax Liability for Semiweekly Schedule Depositors OMB No. 1545-0029 (Rev. January 2017) Department of the Treasury - Internal Revenue Service Employer identification number (EIN) 000001462 Name (not your trade name) STEVE HAZELTON Calendar year (Also check quarter) 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 Tax liability for Month 1 Tax liability for Month 3 The taxable wages and withheld taxes for Stafford Company (EIN 00-0001462), semiweekly depositor, for the first quarter of 20-- follow. \begin{tabular}{crrrr} SemimonthlyPaydays & GrossandTaxableWages & FICAWithheldOASDI & FICAWithheldHI & FederalIncomeTaxWithheld \\ \hline 1/15 & $24,400 & $1,512.80 & $353.80 & $3,188.00 \\ 1/31 & 23,855 & 1,479.01 & 345.90 & 3,099.00 \\ 2/15 & 25,280 & 1,567.36 & 366.56 & 3,407.00 \\ 2/28 & 25,630 & 1,589.06 & 371.64 & 3,504.00 \\ 3/15 & 24,950 & 1,546.90 & 361.78 & 3,380.00 \\ 3/29 & 25,100 & 1,556.20 & 363.95 & 3,753.00 \\ & $149,215 & $9,251.33 & $2,163.63 & $20,331.00 \\ \hline \end{tabular} b. Using the calendar below, list the due dates of each deposit in the first quarter. 4 5 6 7 8 12 13 14 15 16 20 21 22 23 24 28 29 30 31 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. For Paperwork Reduction Act Notice, see separate IRS.gov/form941 Cat. No. 11967Q Schedule B (Form 941) (Rev. 1-2021) instructions. Source: Internal Revenue Service Schedule B (Form 941): Report of Tax Liability for Semiweekly Schedule Depositors OMB No. 1545-0029 (Rev. January 2017) Department of the Treasury - Internal Revenue Service Employer identification number (EIN) 000001462 Name (not your trade name) STEVE HAZELTON Calendar year (Also check quarter) 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 Tax liability for Month 1

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