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Sections marked with * are required. The official IRS form fills in live on the right.

1 Employer Information

Employer Identification Number (EIN) *

Name (not your trade name) *

Trade Name (if any)

Number & Street *

City *

State *

ZIP *

Report for Quarter *

2 Wages & Taxes This Quarter

Line 1 — Number of Employees *

Line 2 — Wages, Tips & Other Compensation *

Line 3 — Federal Income Tax Withheld *

Line 5a — Taxable Social Security Wages

Column 2 (× 12.4%) is calculated automatically.

Line 5b — Taxable Social Security Tips

Line 5c — Taxable Medicare Wages & Tips

Column 2 (× 2.9%) is calculated automatically.

Line 5d — Wages Subject to Additional Medicare Tax

Column 2 (× 0.9%) is calculated automatically.

Line 13 — Total Deposits for the Quarter

3 Your Email & Checkout

Your email address *

We'll email your completed PDF here and save your progress automatically.

I certify that the information I entered is accurate and authorized, and I agree to use this document only for lawful purposes. I agree to the Terms of Service and Lawful Use Policy.

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IRS & State CompliantCalculations & formats

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Your 941 Form Preview

Page 1 is completed from your entries with automatic tax math. Deposit schedule (page 2) can be added afterwards in the PDF editor if required.

Preview is watermarked — the watermark is removed after purchase.