Form 941 for 2024:

(Rev. March 2024)

Employer’s QUARTERLY Federal Tax Return
Department of the Treasury — Internal Revenue Service
950124
OMB No. 1545-0029

— Report for this Quarter of 2024

Employer identification number (EIN)
(Check one.)

Name (not your trade name) 1: January, February, March

2: April, May, June
Trade name (if any)
3: July, August, September

Address 4: October, November, December

Number Street Suite or room number
Go to www.irs.gov/Form941 for
instructions and the latest information.
City State ZIP code

Foreign country name Foreign province/county Foreign postal code

Read the separate instructions before you complete Form 941. Type or print within the boxes.
Part 1: Answer these questions for this quarter. Employers in American Samoa, Guam, the Commonwealth of the Northern
Mariana Islands, the U.S. Virgin Islands, and Puerto Rico can skip lines 2 and 3, unless you have employees who are
subject to U.S. income tax withholding.
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), or Dec. 12 (Quarter 4) 1

2 Wages, tips, and other compensation . . . . . . . . . . . . . . . . . 2 .

3 Federal income tax withheld from wages, tips, and other compensation . . . . . . 3 .
4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check here and go to line 6.
Column 1 Column 2
5a Taxable social security wages . . . × 0.124 = .
5b Taxable social security tips . . . . × 0.124 = .
5c Taxable Medicare wages & tips . . . × 0.029 = .
5d Taxable wages & tips subject to
Additional Medicare Tax withholding . × 0.009 = .
5e Total social security and Medicare taxes. Add Column 2 from lines 5a, 5b, 5c, and 5d . . . . 5e .
5f Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions) . . 5f .
6 Total taxes before adjustments. Add lines 3, 5e, and 5f . . . . . . . . . . . . 6 .
7 Current quarter’s adjustment for fractions of cents . . . . . . . . . . . . . 7 .
8 Current quarter’s adjustment for sick pay . . . . . . . . . . . . . . . . 8 .
9 Current quarter’s adjustments for tips and group-term life insurance . . . . . . . 9 .
10 Total taxes after adjustments. Combine lines 6 through 9 . . . . . . . . . . . 10 .
11 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 11 .
12 Total taxes after adjustments and nonrefundable credits. Subtract line 11 from line 10 . . 12 .
13 Total deposits for this quarter, including overpayment applied from a prior quarter and
overpayments applied from Form 941-X, 941-X (PR), or 944-X filed in the current quarter 13 .
14 Balance due. If line 12 is more than line 13, enter the difference and see instructions . . . 14 .
15 Overpayment. If line 13 is more than line 12, enter the difference . Check one: Apply to next return. Send a refund.

You MUST complete both pages of Form 941 and SIGN it.
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 17001Z Form 941 (Rev. 3-2024)
 950224
Name (not your trade name) Employer identification number (EIN)

–
Part 2: Tell us about your deposit schedule and tax liability for this quarter.
If you’re unsure about whether you’re a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15.

16 Check one: Line 12 on this return is less than $2,500 or line 12 on the return for the prior quarter was less than $2,500,
and you didn’t incur a $100,000 next-day deposit obligation during the current quarter. If line 12 for the prior
quarter was less than $2,500 but line 12 on this return is $100,000 or more, you must provide a record of your
federal tax liability. If you’re a monthly schedule depositor, complete the deposit schedule below; if you’re a
semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3.
You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total
liability for the quarter, then go to Part 3.

Tax liability: Month 1 .

Month 2 .
Month 3 .
Total liability for quarter . Total must equal line 12.
You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941),
Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941. Go to Part 3.
Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank.

17 If your business has closed or you stopped paying wages . . . . . . . . . . . . . . . Check here and

enter the final date you paid wages / / ; also attach a statement to your return. See instructions.

18 If you’re a seasonal employer and you don’t have to file a return for every quarter of the year . . . Check here.

Part 4: May we speak with your third-party designee?

Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions
for details.

Yes. Designee’s name and phone number

Select a 5-digit personal identification number (PIN) to use when talking to the IRS.

No.
Part 5: Sign here. You MUST complete both pages of Form 941 and SIGN it.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Print your
Sign your name here
name here Print your
title here

Date / / Best daytime phone

Paid Preparer Use Only Check if you’re self-employed . . .

Preparer’s name PTIN

Preparer’s signature Date / /

Firm’s name (or yours
if self-employed) EIN

Address Phone

City State ZIP code

Page 2 Form 941 (Rev. 3-2024)

Form 941-V,
Payment Voucher

Purpose of Form Specific Instructions

Complete Form 941-V if you’re making a payment with Box 1—Employer identification number (EIN). If you
Form 941. We will use the completed voucher to credit don’t have an EIN, you may apply for one online by going
your payment more promptly and accurately, and to to www.irs.gov/EIN. You may also apply for an EIN by
improve our service to you. faxing or mailing Form SS-4 to the IRS. If you haven’t
received your EIN by the due date of Form 941, write
Making Payments With Form 941 “Applied For” and the date you applied in this entry space.
To avoid a penalty, make your payment with Form 941 Box 2—Amount paid. Enter the amount paid with
only if: Form 941.
• Your total taxes after adjustments and nonrefundable Box 3—Tax period. Darken the circle identifying the
credits (Form 941, line 12) for either the current quarter or quarter for which the payment is made. Darken only
the preceding quarter are less than $2,500, you didn’t one circle.
incur a $100,000 next-day deposit obligation during the
current quarter, and you’re paying in full with a timely filed Box 4—Name and address. Enter your name and
return; or address as shown on Form 941.
• You’re a monthly schedule depositor making a • Enclose your check or money order made payable to
payment in accordance with the Accuracy of Deposits “United States Treasury.” Be sure to enter your
Rule. See section 11 of Pub. 15 for details. In this case, EIN, “Form 941,” and the tax period (“1st Quarter 2024,”
the amount of your payment may be $2,500 or more. “2nd Quarter 2024,” “3rd Quarter 2024,” or “4th Quarter
2024”) on your check or money order. Don’t send cash.
Otherwise, you must make deposits by electronic funds Don’t staple Form 941-V or your payment to Form 941 (or
transfer. See section 11 of Pub. 15 for deposit to each other).
instructions. Don’t use Form 941-V to make federal tax
deposits. • Detach Form 941-V and send it with your payment
and Form 941 to the address in the Instructions for
Use Form 941-V when making any payment with
▲ ! Form 941. However, if you pay an amount with
CAUTION
Form 941.
Note: You must also complete the entity information
Form 941 that should’ve been deposited, you
may be subject to a penalty. See Deposit Penalties in above Part 1 on Form 941.
section 11 of Pub. 15.

Detach Here and Mail With Your Payment and Form 941.

941-V Payment Voucher OMB No. 1545-0029

Form

Department of the Treasury

Internal Revenue Service
Don’t staple this voucher or your payment to Form 941. 2024
1 Enter your employer identification 2 Dollars Cents
number (EIN).
Enter the amount of your payment.
– Make your check or money order payable to “United States Treasury.”
3 Tax Period 4 Enter your business name (individual name if sole proprietor).

1st 3rd
Quarter Quarter Enter your address.

2nd 4th Enter your city, state, and ZIP code; or your city, foreign country name, foreign province/county, and foreign postal code.
Quarter Quarter