941 - Employer’s QUARTERLY Federal Tax Return

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 AttributeData TypeDescription
a_941-General:yearIntegerYear
a_941-General:employerIdentificationNumber(Ein)EINEmployer Identification Number (EIN)
a_941-General:name(NotYourTradeName)TextName (Not Your Trade Name)
a_941-General:tradeName(IfAny)TextTrade Name (If Any)
a_941-General:address:numberAndStreetTextAddress
a_941-General:address:suiteOrRoomNumberTextAddress
a_941-General:address:cityTextAddress
a_941-General:address:stateStateAddress
a_941-General:address:zipCodeZIP CodeAddress
a_941-General:foreignCountryNameTextForeign Country Name
a_941-General:foreignProvince/CountyTextForeign Province/County
a_941-General:foreignPostalCodeTextForeign Postal Code
a_941-General:reportForThisQuarterOfYear(CheckOne)1 - JANUARY FEBRUARY MARCH, 2 - APRIL MAY JUNE, 3 - JULY AUGUST SEPTEMBER, 4 - OCTOBER NOVEMBER DECEMBERReport For This Quarter Of Year (Check One)
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line1-NumberOfEmployeesWhoReceivedWagesTipsOrOtherCompensationIntegerLine 1 - Number Of Employees Who Received Wages Tips Or Other Compensation
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line2-WagesTipsAndOtherCompensationMoneyLine 2 - Wages Tips And Other Compensation
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line3-FederalIncomeTaxWithheldFromWagesTipsAndOtherCompensationMoneyLine 3 - Federal Income Tax Withheld From Wages Tips And Other Compensation
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line4-IfNoWagesTipsAndOtherCompensationAreSubjectToSocialSecurityCHECKED, NOT CHECKEDLine 4 - If No Wages Tips And Other Compensation Are Subject To Social Security
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-TaxableSocialSecurityWagesColumn1MoneyLine 5A - Taxable Social Security Wages Column 1
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-TaxableSocialSecurityWagesColumn2MoneyLine 5A - Taxable Social Security Wages Column 2
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(I)QualifiedSickLeaveWagesColumn1MoneyLine 5A - (I) Qualified Sick Leave Wages Column 1
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(I)QualifiedSickLeaveWagesColumn2MoneyLine 5A - (I) Qualified Sick Leave Wages Column 2
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(Ii)QualifiedFamilyLeaveWagesColumn1MoneyLine 5A - (II) Qualified Family Leave Wages Column 1
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(Ii)QualifiedFamilyLeaveWagesColumn2MoneyLine 5A - (II) Qualified Family Leave Wages Column 2
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5B-TaxableSocialSecurityTipsColumn1MoneyLine 5B - Taxable Social Security Tips Column 1
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5B-TaxableSocialSecurityTipsColumn2MoneyLine 5B - Taxable Social Security Tips Column 2
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5C-TaxableMedicareWages&TipsColumn1MoneyLine 5C - Taxable Medicare Wages & Tips Column 1
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5C-TaxableMedicareWages&TipsColumn2MoneyLine 5C - Taxable Medicare Wages & Tips Column 2
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5D-TaxableWages&TipsSubjectToAdditionalMedicareTaxWithholdingColumn1MoneyLine 5D - Taxable Wages & Tips Subject To Additional Medicare Tax Withholding Column 1
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5D-TaxableWages&TipsSubjectToAdditionalMedicareTaxWithholdingColumn2MoneyLine 5D - Taxable Wages & Tips Subject To Additional Medicare Tax Withholding Column 2
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5E-TotalSocialSecurityAndMedicareTaxesMoneyLine 5E - Total Social Security And Medicare Taxes
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5F-Section3121(Q)NoticeAndDemand-TaxDueOnUnreportedTipsMoneyLine 5F - Section 3121(q) Notice And Demand - Tax Due On Unreported Tips
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line6-TotalTaxesBeforeAdjustmentsMoneyLine 6 - Total Taxes Before Adjustments
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line7-CurrentQuarter’SAdjustmentForFractionsOfCentsMoneyLine 7 - Current Quarter’s Adjustment For Fractions Of Cents
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line8-CurrentQuarter'SAdjustmentForSickPayMoneyLine 8 - Current Quarter's Adjustment For Sick Pay
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line9-CurrentQuarter’SAdjustmentsForTipsAndGroup-TermLifeInsuranceMoneyLine 9 - Current Quarter’s Adjustments For Tips And Group-Term Life Insurance
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line10-TotalTaxesAfterAdjustmentsMoneyLine 10 - Total Taxes After Adjustments
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11A-QualifiedSmallBusinessPayrollTaxCreditForIncreasingResearchActivitiesMoneyLine 11A - Qualified Small Business Payroll Tax Credit For Increasing Research Activities
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11B-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 11B - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11CMoneyLine 11C
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11D-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 11D - Nonrefundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11EMoneyLine 11E
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11FMoneyLine 11F
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11G-TotalNonrefundableCreditsMoneyLine 11G - Total Nonrefundable Credits
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line12-TotalTaxesAfterAdjustmentsAndNonrefundableCreditsMoneyLine 12 - Total Taxes After Adjustments And Nonrefundable Credits
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13A-TotalDepositsForThisQuarterIncludingOverpaymentAppliedFromAPriorQuarterMoneyLine 13A - Total Deposits For This Quarter Including Overpayment Applied From A Prior Quarter
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13BMoneyLine 13B
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13C-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 13C - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13DMoneyLine 13D
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13E-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWagesMoneyLine 13E - Refundable Portion Of Credit For Qualified Sick And Family Leave Wages
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13FMoneyLine 13F
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13G-TotalDepositsAndRefundableCreditsMoneyLine 13G - Total Deposits And Refundable Credits
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13HMoneyLine 13H
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13IMoneyLine 13I
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line14-BalanceDueMoneyLine 14 - Balance Due
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line15-Overpayment:enterTheDifferenceMoneyLine 15 - Overpayment
a_941-Part1-AnswerTheseQuestionsForThisQuarter:line15-Overpayment:checkOneAPPLY TO NEXT RETURN, SEND A REFUNDLine 15 - Overpayment
a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-CheckOneLINE 12 ON THIS RETURN IS LESS THAN $2500, YOU WERE A MONTHLY SCHEDULE DEPOSITOR, YOU WERE A SEMIWEEKLY SCHEDULE DEPOSITORLine 16 - Check One
a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month1MoneyLine 16 - Tax Liability: Month 1
a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month2MoneyLine 16 - Tax Liability: Month 2
a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month3MoneyLine 16 - Tax Liability: Month 3
a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TotalLiabilityForQuarterMoneyLine 16 - Total Liability For Quarter
a_941-Part3-TellUsAboutYourBusiness:line17-IfYourBusinessHasClosedOrYouStoppedPayingWages:CHECKED, NOT CHECKEDLine 17 - If Your Business Has Closed Or You Stopped Paying Wages
a_941-Part3-TellUsAboutYourBusiness:line17-IfYourBusinessHasClosedOrYouStoppedPayingWages:enterTheFinalDateYouPaidWagesDateLine 17 - If Your Business Has Closed Or You Stopped Paying Wages
a_941-Part3-TellUsAboutYourBusiness:line18-IfYou’ReASeasonalEmployerAndYouDon’THaveToFileAReturnCHECKED, NOT CHECKEDLine 18 - If You’re A Seasonal Employer And You Don’t Have To File A Return
a_941-Part3-TellUsAboutYourBusiness:line19-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWagesMoneyLine 19 - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
a_941-Part3-TellUsAboutYourBusiness:line20-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWagesMoneyLine 20 - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
a_941-Part3-TellUsAboutYourBusiness:line21MoneyLine 21
a_941-Part3-TellUsAboutYourBusiness:line22MoneyLine 22
a_941-Part3-TellUsAboutYourBusiness:line23-QualifiedSickLeaveWagesForLeaveTakenMoneyLine 23 - Qualified Sick Leave Wages For Leave Taken
a_941-Part3-TellUsAboutYourBusiness:line24-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWagesMoneyLine 24 - Qualified Health Plan Expenses Allocable To Qualified Sick Leave Wages
a_941-Part3-TellUsAboutYourBusiness:line25-AmountsUnderCertainCollectivelyBargainedAgreementsAllocableToQualifiedMoneyLine 25 - Amounts Under Certain Collectively Bargained Agreements Allocable To Qualified
a_941-Part3-TellUsAboutYourBusiness:line26-QualifiedFamilyLeaveWagesForLeaveTakenMoneyLine 26 - Qualified Family Leave Wages For Leave Taken
a_941-Part3-TellUsAboutYourBusiness:line27-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWagesMoneyLine 27 - Qualified Health Plan Expenses Allocable To Qualified Family Leave Wages
a_941-Part3-TellUsAboutYourBusiness:line28-AmountsUnderCertainCollectivelyBargainedAgreementsAllocableMoneyLine 28 - Amounts Under Certain Collectively Bargained Agreements Allocable
a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:doYouWantToAllowToDiscussThisReturnWithIrs?YES, NODo You Want To Allow To Discuss This Return With IRS?
a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:designee'sNameAndPhoneNumber:designee'sNameTextDesignee's Name And Phone Number
a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:designee'sNameAndPhoneNumber:phoneNumberPhone NumberDesignee's Name And Phone Number
a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:selectA5-DigitPersonalIdentificationNumber(Pin)IntegerSelect A 5-Digit Personal Identification Number (PIN)
a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:signYourNameHereSIGNED, NOT SIGNEDSign Your Name Here
a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:dateDateDate
a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:printYourNameHereTextPrint Your Name Here
a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:printYourTitleHereTextPrint Your Title Here
a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:bestDaytimePhonePhone NumberBest Daytime Phone
a_941-Part6-PaidPreparerUseOnly:checkIfYou’ReSelf-EmployedCHECKED, NOT CHECKEDCheck If You’re Self-Employed
a_941-Part6-PaidPreparerUseOnly:preparer'sNameTextPreparer's Name
a_941-Part6-PaidPreparerUseOnly:ptinTextPTIN
a_941-Part6-PaidPreparerUseOnly:preparer'sSignatureSIGNED, NOT SIGNEDPreparer's Signature
a_941-Part6-PaidPreparerUseOnly:dateDateDate
a_941-Part6-PaidPreparerUseOnly:firm’sName(OrYoursIfSelf-Employed)TextFirm’s Name (Or Yours If Self-Employed)
a_941-Part6-PaidPreparerUseOnly:einEINEIN
a_941-Part6-PaidPreparerUseOnly:phonePhone NumberPhone
a_941-Part6-PaidPreparerUseOnly:address:addressLine1TextAddress
a_941-Part6-PaidPreparerUseOnly:address:addressLine2TextAddress
a_941-Part6-PaidPreparerUseOnly:address:cityTextAddress
a_941-Part6-PaidPreparerUseOnly:address:stateStateAddress
a_941-Part6-PaidPreparerUseOnly:address:zipCodeZIP CodeAddress

Sample document

Sample JSON result

{
  "pk": 40915897,
  "uuid": "c1b0cf80-5734-4d20-884c-40e636798326",
  "name": "API documentations",
  "created": "2023-10-25T17:58:37Z",
  "created_ts": "2023-10-25T17:58:37Z",
  "verified_pages_count": 35,
  "book_status": "ACTIVE",
  "id": 40915897,
  "forms": [
    {
      "pk": 50923944,
      "uuid": "4e31432a-230a-4f8c-99f7-9e67f5df43ba",
      "uploaded_doc_pk": 62050646,
      "form_type": "A_941",
      "raw_fields": {
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11E": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11F": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13B": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13D": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13F": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13H": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13I": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line14-BalanceDue": {
          "value": "9695.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line15-Overpayment:checkOne": {
          "value": "SEND A REFUND",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11G-TotalNonrefundableCredits": {
          "value": "820.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line15-Overpayment:enterTheDifference": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-CheckOne": {
          "value": "YOU WERE A SEMIWEEKLY SCHEDULE DEPOSITOR",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13G-TotalDepositsAndRefundableCredits": {
          "value": "325.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month1": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month2": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TaxLiability:Month3": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line12-TotalTaxesAfterAdjustmentsAndNonrefundableCredits": {
          "value": "10020.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part2-TellUsAboutYourDepositScheduleAndTaxLiabilityForThisQuarter:line16-TotalLiabilityForQuarter": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13C-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
          "value": "75.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13E-RefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
          "value": "75.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11D-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
          "value": "180.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line13A-TotalDepositsForThisQuarterIncludingOverpaymentAppliedFromAPriorQuarter": {
          "value": "175.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:ein": {
          "value": "12-3456789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:date": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:ptin": {
          "value": "P01234567",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:phone": {
          "value": "222-222-2222",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0,
          "irregular_datatype": true,
          "type_validation_error": "Invalid phone number."
        },
        "a_941-Part3-TellUsAboutYourBusiness:line21": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line22": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:address:city": {
          "value": "ANY CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:address:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:preparer'sName": {
          "value": "SAMPLE SMITH",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:address:zipCode": {
          "value": "12345-6789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:preparer'sSignature": {
          "value": "NOT SIGNED",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:address:addressLine1": {
          "value": "123 ANY SOUTH STREET",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:address:addressLine2": {
          "value": "APT 11",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:checkIfYou’ReSelf-Employed": {
          "value": "NOT CHECKED",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part6-PaidPreparerUseOnly:firm’sName(OrYoursIfSelf-Employed)": {
          "value": "SAMPLE FIRM LLC",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:date": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line23-QualifiedSickLeaveWagesForLeaveTaken": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line26-QualifiedFamilyLeaveWagesForLeaveTaken": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:bestDaytimePhone": {
          "value": "333-444-5555",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0,
          "irregular_datatype": true,
          "type_validation_error": "Invalid phone number."
        },
        "a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:signYourNameHere": {
          "value": "NOT SIGNED",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:printYourNameHere": {
          "value": "SAMPLE NAME",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part5-SignHereYouMustCompleteAllThreePagesOfForm941AndSignIt:printYourTitleHere": {
          "value": "MANAGER",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line17-IfYourBusinessHasClosedOrYouStoppedPayingWages:": {
          "value": "NOT CHECKED",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:designee'sNameAndPhoneNumber:phoneNumber": {
          "value": "333-444-5555",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0,
          "irregular_datatype": true,
          "type_validation_error": "Invalid phone number."
        },
        "a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:designee'sNameAndPhoneNumber:designee'sName": {
          "value": "JOHN SAMPLE",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:doYouWantToAllowToDiscussThisReturnWithIrs?": {
          "value": "YES",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part4-MayWeSpeakWithYourThird-PartyDesignee:selectA5-DigitPersonalIdentificationNumber(Pin)": {
          "value": "12345",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line18-IfYou’ReASeasonalEmployerAndYouDon’THaveToFileAReturn": {
          "value": "CHECKED",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line28-AmountsUnderCertainCollectivelyBargainedAgreementsAllocable": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line19-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line24-QualifiedHealthPlanExpensesAllocableToQualifiedSickLeaveWages": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line20-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line27-QualifiedHealthPlanExpensesAllocableToQualifiedFamilyLeaveWages": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line25-AmountsUnderCertainCollectivelyBargainedAgreementsAllocableToQualified": {
          "value": "100.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part3-TellUsAboutYourBusiness:line17-IfYourBusinessHasClosedOrYouStoppedPayingWages:enterTheFinalDateYouPaidWages": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:year": {
          "value": "2023",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:address:city": {
          "value": "FAKE CITY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:address:state": {
          "value": "NY",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:address:zipCode": {
          "value": "12345",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:tradeName(IfAny)": {
          "value": "SAMPLE TRADE LLC",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:foreignPostalCode": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:foreignCountryName": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:foreignProvince/County": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:name(NotYourTradeName)": {
          "value": "SAMPLE NAME",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:address:numberAndStreet": {
          "value": "123 ANY STREET",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:address:suiteOrRoomNumber": {
          "value": "APT 123",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:employerIdentificationNumber(Ein)": {
          "value": "12-3456789",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-General:reportForThisQuarterOfYear(CheckOne)": {
          "value": "1 - JANUARY FEBRUARY MARCH",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11C": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line10-TotalTaxesAfterAdjustments": {
          "value": "10840.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line6-TotalTaxesBeforeAdjustments": {
          "value": "10410.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line2-WagesTipsAndOtherCompensation": {
          "value": "10000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5B-TaxableSocialSecurityTipsColumn1": {
          "value": "1000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5B-TaxableSocialSecurityTipsColumn2": {
          "value": "124.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5C-TaxableMedicareWages&TipsColumn1": {
          "value": "1000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5C-TaxableMedicareWages&TipsColumn2": {
          "value": "29.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(I)QualifiedSickLeaveWagesColumn1": {
          "value": "1000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(I)QualifiedSickLeaveWagesColumn2": {
          "value": "62.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-TaxableSocialSecurityWagesColumn1": {
          "value": "1000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-TaxableSocialSecurityWagesColumn2": {
          "value": "124.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5E-TotalSocialSecurityAndMedicareTaxes": {
          "value": "410.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line8-CurrentQuarter'SAdjustmentForSickPay": {
          "value": "250.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(Ii)QualifiedFamilyLeaveWagesColumn1": {
          "value": "1000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5A-(Ii)QualifiedFamilyLeaveWagesColumn2": {
          "value": "62.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line7-CurrentQuarter’SAdjustmentForFractionsOfCents": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5F-Section3121(Q)NoticeAndDemand-TaxDueOnUnreportedTips": {
          "value": "",
          "is_empty": true,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line1-NumberOfEmployeesWhoReceivedWagesTipsOrOtherCompensation": {
          "value": "100",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line3-FederalIncomeTaxWithheldFromWagesTipsAndOtherCompensation": {
          "value": "10000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line4-IfNoWagesTipsAndOtherCompensationAreSubjectToSocialSecurity": {
          "value": "NOT CHECKED",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line9-CurrentQuarter’SAdjustmentsForTipsAndGroup-TermLifeInsurance": {
          "value": "180.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11B-NonrefundablePortionOfCreditForQualifiedSickAndFamilyLeaveWages": {
          "value": "140.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5D-TaxableWages&TipsSubjectToAdditionalMedicareTaxWithholdingColumn1": {
          "value": "1000.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line5D-TaxableWages&TipsSubjectToAdditionalMedicareTaxWithholdingColumn2": {
          "value": "9.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        },
        "a_941-Part1-AnswerTheseQuestionsForThisQuarter:line11A-QualifiedSmallBusinessPayrollTaxCreditForIncreasingResearchActivities": {
          "value": "500.00",
          "is_empty": false,
          "alias_used": null,
          "source_filename": "941.pdf",
          "confidence": 1.0
        }
      },
      "form_config_pk": 305006,
      "tables": [],
      "attribute_data": null
    }
  ],
  "book_is_complete": true
}