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Federal Free Printable Form 941-SS (Rev. March 2022) for 2022 Federal Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands)

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Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands)
Form 941-SS (Rev. March 2022)

941-SS for 2022: Employer’s QUARTERLY Federal Tax Return Form (Rev. March 2022) Department of the Treasury — Internal Revenue Service American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands Report for this Quarter of 2022 — Employer identification number (EIN) OMB No. 1545-0029 (Check one.) 1: January, February, March Name (not your trade name) 2: April, May, June Trade name (if any) 3: July, August, September Address 4: October, November, December Number Street Suite or room number City ZIP code State Foreign country name Go to www.irs.gov/Form941SS for instructions and the latest information. Foreign postal code Foreign province/county Read the separate instructions before you complete Form 941-SS. Type or print within the boxes. Part 1: 1 Answer these questions for this quarter. Number of employees who received wages, tips, or other compensation for the pay period including: Mar. 12 (Quarter 1) . . . . . . . . . . . . . . . . . . . . . 1 2 3 4 If no wages, tips, and other compensation are subject to social security or Medicare tax Column 1 Column 2 . Check and go to line 6. . * Include taxable qualified sick and family leave wages paid in 2022 for leave taken after March 31, 2021, and before October 1, 2021, on line 5a. Use lines 5a(i) and 5a(ii) only for taxable qualified sick and family leave wages paid in 2022 for leave taken after March 31, 2020, and before April 1, 2021. 5a Taxable social security wages* 5a (i) Qualified sick leave wages* 5a (ii) Qualified family leave wages* 5b Taxable social security tips 5c Taxable Medicare wages & tips 5d Taxable wages & tips subject to Additional Medicare Tax withholding 5e Total social security and Medicare taxes. Add column 2 from lines 5a, 5a(i), 5a(ii), 5b, 5c, and 5d . 5e 5f Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions) 6 Total taxes before adjustments. Add lines 5e and 5f . . . . . . . . . . 7 Current quarter’s adjustment for fractions of cents . . . . . . . . . 8 Current quarter’s adjustment for sick pay . . . . . . . . 9 Current quarter’s adjustments for tips and group-term life insurance . 10 Total taxes after adjustments. Combine lines 6 through 9 × 0.124 = . . . . . . . . . . × 0.062 = × 0.062 = × 0.124 = × 0.029 = × 0.009 = . . . 5f . . . . 6 . . . . . 7 . . . . . . 8 . . . . . . . 9 . . . . . . . 10 11a Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 . 11a 11b Nonrefundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b 11c Reserved for future use ▶ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11c . . Next ■▶ You MUST complete all three pages of Form 941-SS and SIGN it. For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. . . . . . . . . Cat. No. 17016Y Form 941-SS (Rev. 3-2022) Name (not your trade name) Part 1: Employer identification number (EIN) Answer these questions for this quarter. (continued) 11d Nonrefundable portion of credit for qualified sick and family leave wages for leave taken after March 31, 2021, and before October 1, 2021 . . . . . . . . . . . . . . 11d . 11e Nonrefundable portion of COBRA premium assistance credit (see instructions for applicable quarter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11e 11f Number of individuals provided COBRA premium assistance 11g Total nonrefundable credits. Add lines 11a, 11b, 11d, and 11e . . . . 11g 12 Total taxes after adjustments and nonrefundable credits. Subtract line 11g from line 10 . . 12 . . 13a Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 944-X, or 944-X (SP) filed in the current quarter . 13a . . . . . . . . 13b Reserved for future use . . 13b . 13c Refundable portion of credit for qualified sick and family leave wages for leave taken before April 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . . . . . 13c . 13d Reserved for future use . . 13d . 13e Refundable portion of credit for qualified sick and family leave wages for leave taken after March 31, 2021, and before October 1, 2021 . . . . . . . . . . . . . . . . 13e . 13f Refundable portion of COBRA premium assistance credit (see instructions for applicable quarter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13f 13g Total deposits and refundable credits. Add lines 13a, 13c, 13e, and 13f . . . . . . . . 13g 13h Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . 13h 13i Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . 13i 14 Balance due. If line 12 is more than line 13g, enter the difference and see instructions . . . . 14 . . . . . 15 Overpayment. If line 13g is more than line 12, enter the difference Part 2: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Check one: Apply to next return. Send a refund. 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 8 of Pub. 80. 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-SS. Go to Part 3. ▶ Page 2 You MUST complete all three pages of Form 941-SS and SIGN it. Next ■▶ Form 941-SS (Rev. 3-2022) Name (not your trade name) Part 3: 17 Employer identification number (EIN) Tell us about your business. If a question does NOT apply to your business, leave it blank. If your business has closed or you stopped paying wages . / enter the final date you paid wages / . . . . . . . . . . . . . . . Check here, and ; 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 . 19 Qualified health plan expenses allocable to qualified sick leave wages for leave taken before April 1, 2021 19 20 Qualified health plan expenses allocable to qualified family leave wages for leave taken before April 1, 2021 20 21 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . 21 22 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . . 22 23 Qualified sick leave wages for leave taken after March 31, 2021, and before October 1, 2021 23 24 Qualified health plan expenses allocable to qualified sick leave wages reported on line 23 24 25 Amounts under certain collectively bargained agreements allocable to qualified sick leave wages reported on line 23 . . . . . . . . . . . . . . . . . . . . . . 25 26 Qualified family leave wages for leave taken after March 31, 2021, and before October 1, 2021 26 27 Qualified health plan expenses allocable to qualified family leave wages reported on line 26 27 . . . 28 Amounts under certain collectively bargained agreements allocable to qualified family leave wages reported on line 26 . . . . . . . . . . . . . . . . . . . . . . 28 . Part 4: . . . . . Check here. . . . . . . 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 all three pages of Form 941-SS 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 name here Sign your name here Date Print your title here / / 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 Page 3 State / . . / ZIP code Form 941-SS (Rev. 3-2022) This page intentionally left blank Form 941-V(SS), Payment Voucher Purpose of Form Specific Instructions Complete Form 941-V(SS) if you’re making a payment with Form 941-SS. We will use the completed voucher to credit your payment more promptly and accurately, and to improve our service to you. Box 1—Employer identification number (EIN). If you don’t have an EIN, you may apply for one online by visiting the IRS website at www.irs.gov/EIN. You may also apply for an EIN by faxing or mailing Form SS-4 to the IRS. If you haven’t received your EIN by the due date of Form 941-SS, write “Applied For” and the date you applied in this entry space. Box 2—Amount paid. Enter the amount paid with Form 941-SS. Box 3—Tax period. Darken the circle identifying the quarter for which the payment is made. Darken only one circle. Box 4—Name and address. Enter your name and address as shown on Form 941-SS. • Enclose your check or money order made payable to “United States Treasury.” Be sure to enter your EIN, “Form 941-SS,” and the tax period (“1st Quarter 2022,” “2nd Quarter 2022,” “3rd Quarter 2022,” or “4th Quarter 2022”) on your check or money order. Don’t send cash. Don’t staple Form 941-V(SS) or your payment to Form 941-SS (or to each other). • Detach Form 941-V(SS) and send it with your payment and Form 941-SS to the address in the Instructions for Form 941-SS. Note: You must also complete the entity information above Part 1 on Form 941-SS. To avoid a penalty, make your payment with Form 941-SS only if: • Your total taxes after adjustments and nonrefundable credits (Form 941-SS, line 12) for either the current quarter or the preceding quarter are less than $2,500, you didn’t incur a $100,000 next-day deposit obligation during the current quarter, and you’re paying in full with a timely filed return; or • You’re a monthly schedule depositor making a payment in accordance with the Accuracy of Deposits Rule. See section 8 of Pub. 80 for details. In this case, the amount of your payment may be $2,500 or more. Otherwise, you must make deposits by electronic funds transfer. See section 8 of Pub. 80 for deposit instructions. Don’t use Form 941-V(SS) to make federal tax deposits. Use Form 941-V(SS) when making any payment with Form 941-SS. However, if you pay an amount with Form 941-SS that should’ve CAUTION been deposited, you may be subject to a penalty. See Deposit Penalties in section 8 of Pub. 80. ! ▲ Form ✁ ▼ Detach Here and Mail With Your Payment and Form 941-SS. 941-V(SS) ✃ Making Payments With Form 941-SS ▼ Payment Voucher Department of the Treasury Internal Revenue Service 1 Enter your employer identification number (EIN). ▶ OMB No. 1545-0029 2022 Don’t staple this voucher or your payment to Form 941-SS. 2 Dollars Cents Enter the amount of your payment. ▶ Make your check or money order payable to “United States Treasury” 3 Tax Period 4 1st Quarter 3rd Quarter 2nd Quarter 4th Quarter Enter your business name (individual name if sole proprietor). Enter your address. Enter your city, state, and ZIP code; or your city, foreign country name, foreign province/county, and foreign postal code. Form 941-SS (Rev. 3-2022) Privacy Act and Paperwork Reduction Act Notice. We ask for the information on Form 941-SS to carry out the Internal Revenue laws of the United States. We need it to figure and collect the right amount of tax. Subtitle C, Employment Taxes, of the Internal Revenue Code imposes employment taxes on wages and provides for income tax withholding. Form 941-SS is used to determine the amount of the taxes that you owe. Section 6011 requires you to provide the requested information if the tax is applicable to you. Section 6109 requires you to provide your identification number. If you fail to provide this information in a timely manner or provide false or fraudulent information, you may be subject to penalties. You’re not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books and records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section 6103. However, section 6103 allows or requires the IRS to disclose or give the information shown on your tax return to others as described in the Code. For example, we may disclose your tax information to the Department of Justice for civil and criminal litigation, and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their tax laws. We may also disclose this information to other countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. The time needed to complete and file Form 941-SS will vary depending on individual circumstances. The estimated average time is: Recordkeeping . . . . . . . . . . 17 hr., 42 min. Learning about the law or the form . . . . 24 min. Preparing, copying, assembling, and sending the form to the IRS . . . . . . . 42 min. If you have comments concerning the accuracy of these time estimates or suggestions for making Form 941-SS simpler, we would be happy to hear from you. You can send us comments from www.irs.gov/ FormComments. Or you can send your comments to Internal Revenue Service, Tax Forms and Publications Division, 1111 Constitution Ave. NW, IR-6526, Washington, DC 20224. Don’t send Form 941-SS to this address. Instead, see Where Should You File? in the Instructions for Form 941-SS.
Extracted from PDF file 2021-federal-form-941-ss.pdf, last modified February 2022

More about the Federal Form 941-SS Corporate Income Tax TY 2021

We last updated the Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) in April 2022, so this is the latest version of Form 941-SS, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form 941-SS directly from TaxFormFinder. You can print other Federal tax forms here.

Other Federal Corporate Income Tax Forms:

TaxFormFinder has an additional 774 Federal income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
1040 (Schedule B) Interest and Ordinary Dividends
941 (Schedule B) Report of Tax Liability for Semiweekly Schedule Depositors
Form 4684 Casualties and Thefts
1041 (Schedule D) Capital Gains and Losses
1120-S (Schedule K-1) Shareholder’s Share of Income, Deductions, Credits, etc.

Download all  tax forms View all 775 Federal Income Tax Forms


Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 941-SS from the Internal Revenue Service in April 2022.

Show Sources >

About the Corporate Income Tax

The IRS and most states require corporations to file an income tax return, with the exact filing requirements depending on the type of company.

Sole proprietorships or disregarded entities like LLCs are filed on Schedule C (or the state equivalent) of the owner's personal income tax return, flow-through entities like S Corporations or Partnerships are generally required to file an informational return equivilent to the IRS Form 1120S or Form 1065, and full corporations must file the equivalent of federal Form 1120 (and, unlike flow-through corporations, are often subject to a corporate tax liability).

Additional forms are available for a wide variety of specific entities and transactions including fiduciaries, nonprofits, and companies involved in other specific types of business.

Historical Past-Year Versions of Federal Form 941-SS

We have a total of eleven past-year versions of Form 941-SS in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2021 Form 941-SS

Form 941-SS (Rev. March 2022)

2020 Form 941-SS

Form 941-SS (Rev. July 2020)

2019 Form 941-SS

Form 941-SS (Rev. January 2019)

2018 Form 941-SS

Form 941-SS (Rev. January 2018)

2017 Form 941-SS

Form 941-SS (Rev. January 2017)

2016 Form 941-SS

Form 941-SS (Rev. January 2016)

Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) 2015 Form 941-SS

Form 941-SS (Rev. January 2015)

Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) 2014 Form 941-SS

Form 941-SS (Rev. January 2014)

Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) 2013 Form 941-SS

Form 941-SS (Rev. January 2013)

Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) 2012 Form 941-SS

Form 941-SS (Rev. January 2012)

Employer's Quarterly Federal Tax Return (American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands) 2011 Form 941-SS

Form 941-SS (Rev. January 2012)


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