941 - Employer’s QUARTERLY Federal Tax Return

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Form 941 is the Employer's Quarterly Federal Tax Return, which is used by employers to report withholding taxes on income, Social Security tax, and Medicare tax. It also helps employers calculate their portion of Social Security and Medicare taxes. Employers are required to file this form every quarter to report wages paid and taxes withheld for employees.

To use the Upload PDF endpoint for this document, you must use a_941 in the form_type parameter.

Field descriptions

The following fields are available on this form type:

JSON Attribute	Data Type	Description
`a_941-General:year`	Integer	Year
`a_941-General:employerIdentificationNumber(Ein)`	EIN	Employer Identification Number (EIN)
`a_941-General:name(NotYourTradeName)`	Text	Name (Not Your Trade Name)
`a_941-General:tradeName(IfAny)`	Text	Trade Name (If Any)
`a_941-General:address:numberAndStreet`	Text	Address
`a_941-General:address:suiteOrRoomNumber`	Text	Address
`a_941-General:address:city`	Text	Address
`a_941-General:address:state`	State	Address
`a_941-General:address:zipCode`	ZIP Code	Address
`a_941-General:foreignCountryName`	Text	Foreign Country Name
`a_941-General:foreignProvince/County`	Text	Foreign Province/County
`a_941-General:foreignPostalCode`	Text	Foreign Postal Code
`a_941-General:reportForThisQuarterOfYear(CheckOne)`	`1 - JANUARY FEBRUARY MARCH`, `2 - APRIL MAY JUNE`, `3 - JULY AUGUST SEPTEMBER`, `4 - OCTOBER NOVEMBER DECEMBER`	Report For This Quarter Of Year (Check One)
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line1-NumberOfEmployeesWhoReceivedWagesTipsOrOtherCompensation`	Integer	Line 1 - Number Of Employees Who Received Wages Tips Or Other Compensation
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line2-WagesTipsAndOtherCompensation`	Money	Line 2 - Wages Tips And Other Compensation
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line3-FederalIncomeTaxWithheldFromWagesTipsAndOtherCompensation`	Money	Line 3 - Federal Income Tax Withheld From Wages Tips And Other Compensation
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line4-IfNoWagesTipsAndOtherCompensationAreSubjectToSocialSecurity`	`CHECKED`, `NOT CHECKED`	Line 4 - If No Wages Tips And Other Compensation Are Subject To Social Security
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-TaxableSocialSecurityWagesColumn1`	Money	Line 5A - Taxable Social Security Wages Column 1
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-TaxableSocialSecurityWagesColumn2`	Money	Line 5A - Taxable Social Security Wages Column 2
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(I)QualifiedSickLeaveWagesColumn1`	Money	Line 5A - (I) Qualified Sick Leave Wages Column 1
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(I)QualifiedSickLeaveWagesColumn2`	Money	Line 5A - (I) Qualified Sick Leave Wages Column 2
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(Ii)QualifiedFamilyLeaveWagesColumn1`	Money	Line 5A - (II) Qualified Family Leave Wages Column 1
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(Ii)QualifiedFamilyLeaveWagesColumn2`	Money	Line 5A - (II) Qualified Family Leave Wages Column 2
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5B-TaxableSocialSecurityTipsColumn1`	Money	Line 5B - Taxable Social Security Tips Column 1
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5B-TaxableSocialSecurityTipsColumn2`	Money	Line 5B - Taxable Social Security Tips Column 2
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5C-TaxableMedicareWages&TipsColumn1`	Money	Line 5C - Taxable Medicare Wages & Tips Column 1
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5C-TaxableMedicareWages&TipsColumn2`	Money	Line 5C - Taxable Medicare Wages & Tips Column 2
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5D-TaxableWages&TipsSubjectToAdditionalMedicareTaxWithholdingColumn1`	Money	Line 5D - Taxable Wages & Tips Subject To Additional Medicare Tax Withholding Column 1
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5D-TaxableWages&TipsSubjectToAdditionalMedicareTaxWithholdingColumn2`	Money	Line 5D - Taxable Wages & Tips Subject To Additional Medicare Tax Withholding Column 2
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5E-TotalSocialSecurityAndMedicareTaxes`	Money	Line 5E - Total Social Security And Medicare Taxes
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5F-Section3121(Q)NoticeAndDemand-TaxDueOnUnreportedTips`	Money	Line 5F - Section 3121(q) Notice And Demand - Tax Due On Unreported Tips
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line6-TotalTaxesBeforeAdjustments`	Money	Line 6 - Total Taxes Before Adjustments
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line7-CurrentQuarter’SAdjustmentForFractionsOfCents`	Money	Line 7 - Current Quarter’s Adjustment For Fractions Of Cents
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line8-CurrentQuarter'SAdjustmentForSickPay`	Money	Line 8 - Current Quarter's Adjustment For Sick Pay
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line9-CurrentQuarter’SAdjustmentsForTipsAndGroup-TermLifeInsurance`	Money	Line 9 - Current Quarter’s Adjustments For Tips And Group-Term Life Insurance
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line10-TotalTaxesAfterAdjustments`	Money	Line 10 - Total Taxes After Adjustments
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11A-QualifiedSmallBusinessPayrollTaxCreditForIncreasingResearchActivities`	Money	Line 11A - Qualified Small Business Payroll Tax Credit For Increasing Research Activities
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11B-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 11B - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11C`	Money	Line 11C
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11D-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 11D - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11E`	Money	Line 11E
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11F`	Money	Line 11F
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11G-TotalNonrefundableCredits`	Money	Line 11G - Total Nonrefundable Credits
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line12-TotalTaxesAfterAdjustmentsAndNonrefundableCredits`	Money	Line 12 - Total Taxes After Adjustments And Nonrefundable Credits
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13A-TotalDepositsForThisQuarterIncludingOverpaymentAppliedFromAPriorQuarter`	Money	Line 13A - Total Deposits For This Quarter Including Overpayment Applied From A Prior Quarter
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13B`	Money	Line 13B
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13C-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 13C - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13D`	Money	Line 13D
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13E-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages`	Money	Line 13E - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13F`	Money	Line 13F
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13G-TotalDepositsAndRefundableCredits`	Money	Line 13G - Total Deposits And Refundable Credits
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13H`	Money	Line 13H
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13I`	Money	Line 13I
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line14-BalanceDue`	Money	Line 14 - Balance Due
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line15-Overpayment:enterTheDifference`	Money	Line 15 - Overpayment
`a_941-Part1-AnswerTheseQuestionsForThisQuarter:line15-Overpayment:checkOne`	`APPLY TO NEXT RETURN`, `SEND A REFUND`	Line 15 - Overpayment
`a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-CheckOne`	`LINE 12 ON THIS RETURN IS LESS THAN $2500`, `YOU WERE A MONTHLY SCHEDULE DEPOSITOR`, `YOU WERE A SEMIWEEKLY SCHEDULE DEPOSITOR`	Line 16 - Check One
`a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month1`	Money	Line 16 - Tax Liability: Month 1
`a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month2`	Money	Line 16 - Tax Liability: Month 2
`a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month3`	Money	Line 16 - Tax Liability: Month 3
`a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TotalLiabilityForQuarter`	Money	Line 16 - Total Liability For Quarter
`a_941-Part3-TellUsAboutYourBusiness:line17-IfYourBusinessHasClosedOrYouStoppedPayingWages:`	`CHECKED`, `NOT CHECKED`	Line 17 - If Your Business Has Closed Or You Stopped Paying Wages
`a_941-Part3-TellUsAboutYourBusiness:line17-IfYourBusinessHasClosedOrYouStoppedPayingWages:enterTheFinalDateYouPaidWages`	Date	Line 17 - If Your Business Has Closed Or You Stopped Paying Wages
`a_941-Part3-TellUsAboutYourBusiness:line18-IfYou’ReASeasonalEmployerAndYouDon’THaveToFileAReturn`	`CHECKED`, `NOT CHECKED`	Line 18 - If You’re A Seasonal Employer And You Don’t Have To File A Return
`a_941-Part3-TellUsAboutYourBusiness:line19-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages`	Money	Line 19 - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
`a_941-Part3-TellUsAboutYourBusiness:line20-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages`	Money	Line 20 - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
`a_941-Part3-TellUsAboutYourBusiness:line21`	Money	Line 21
`a_941-Part3-TellUsAboutYourBusiness:line22`	Money	Line 22
`a_941-Part3-TellUsAboutYourBusiness:line23-QualifiedSickLeaveWagesForLeaveTaken`	Money	Line 23 - Qualified Sick Leave Wages For Leave Taken
`a_941-Part3-TellUsAboutYourBusiness:line24-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages`	Money	Line 24 - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
`a_941-Part3-TellUsAboutYourBusiness:line25-AmountsUnderCertainCollectivelyBargainedAgreementsAllocableToQualified`	Money	Line 25 - Amounts Under Certain Collectively Bargained Agreements Allocable To Qualified
`a_941-Part3-TellUsAboutYourBusiness:line26-QualifiedFamilyLeaveWagesForLeaveTaken`	Money	Line 26 - Qualified Family Leave Wages For Leave Taken
`a_941-Part3-TellUsAboutYourBusiness:line27-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages`	Money	Line 27 - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
`a_941-Part3-TellUsAboutYourBusiness:line28-AmountsUnderCertainCollectivelyBargainedAgreementsAllocable`	Money	Line 28 - Amounts Under Certain Collectively Bargained Agreements Allocable
`a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:doYouWantToAllowToDiscussThisReturnWithIrs?`	`YES`, `NO`	Do You Want To Allow To Discuss This Return With IRS?
`a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:designee'sNameAndPhoneNumber:designee'sName`	Text	Designee's Name And Phone Number
`a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:designee'sNameAndPhoneNumber:phoneNumber`	Phone Number	Designee's Name And Phone Number
`a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:selectA5-DigitPersonalIdentificationNumber(Pin)`	Integer	Select A 5-Digit Personal Identification Number (PIN)
`a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:signYourNameHere`	`SIGNED`, `NOT SIGNED`	Sign Your Name Here
`a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:date`	Date	Date
`a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:printYourNameHere`	Text	Print Your Name Here
`a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:printYourTitleHere`	Text	Print Your Title Here
`a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:bestDaytimePhone`	Phone Number	Best Daytime Phone
`a_941-Part6-PaidPreparerUseOnly:checkIfYou’ReSelf-Employed`	`CHECKED`, `NOT CHECKED`	Check If You’re Self-Employed
`a_941-Part6-PaidPreparerUseOnly:preparer'sName`	Text	Preparer's Name
`a_941-Part6-PaidPreparerUseOnly:ptin`	Text	PTIN
`a_941-Part6-PaidPreparerUseOnly:preparer'sSignature`	`SIGNED`, `NOT SIGNED`	Preparer's Signature
`a_941-Part6-PaidPreparerUseOnly:date`	Date	Date
`a_941-Part6-PaidPreparerUseOnly:firm’sName(OrYoursIfSelf-Employed)`	Text	Firm’s Name (Or Yours If Self-Employed)
`a_941-Part6-PaidPreparerUseOnly:ein`	EIN	EIN
`a_941-Part6-PaidPreparerUseOnly:phone`	Phone Number	Phone
`a_941-Part6-PaidPreparerUseOnly:address:addressLine1`	Text	Address
`a_941-Part6-PaidPreparerUseOnly:address:addressLine2`	Text	Address
`a_941-Part6-PaidPreparerUseOnly:address:city`	Text	Address
`a_941-Part6-PaidPreparerUseOnly:address:state`	State	Address
`a_941-Part6-PaidPreparerUseOnly:address:zipCode`	ZIP Code	Address

Sample form

The below Ocrolus sample PDF (input) matches the below sample JSON result (output).

drive.google.com

941.pdf

Sample JSON result

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Updated 5 months ago