IRS Form 941 Schedule B "Report of Tax Liability for Semiweekly Schedule Depositors"

What Is IRS Form 941 Schedule B?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury on January 1, 2017. Check the official IRS-issued instructions before completing and submitting the form.

Form Details:

  • A 1-page form available for download in PDF;
  • Actual and valid for filing 2021 taxes;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 941 Schedule B through the link below or browse more documents in our library of IRS Forms.

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Schedule B (Form 941):
960311
Report of Tax Liability for Semiweekly Schedule Depositors
OMB No. 1545-0029
(Rev. January 2017)
Department of the Treasury — Internal Revenue Service
Report for this Quarter...
Employer identification number
(Check one.)
(EIN)
1: January, February, March
Name (not your trade name)
2: April, May, June
3: July, August, September
Calendar year
(Also check quarter)
4: October, November, December
Use this schedule to show your TAX LIABILITY for the quarter; don't use it to show your deposits. When you file this form with Form 941 or
Form 941-SS, don't change your tax liability by adjustments reported on any Forms 941-X or 944-X. You must fill out this form and attach it to
Form 941 or Form 941-SS if you're a semiweekly schedule depositor or became one because your accumulated tax liability on any day was
$100,000 or more. Write your daily tax liability on the numbered space that corresponds to the date wages were paid. See Section 11 in
Pub. 15 for details.
Month 1
.
.
.
.
Tax liability for Month 1
1
9
17
25
.
.
.
.
.
2
10
18
26
.
.
.
.
3
11
19
27
.
.
.
.
4
12
20
28
.
.
.
.
5
13
21
29
.
.
.
.
6
14
22
30
.
.
.
.
7
15
23
31
.
.
.
8
16
24
Month 2
.
.
.
.
Tax liability for Month 2
1
9
17
25
.
.
.
.
.
2
10
18
26
.
.
.
.
3
11
19
27
.
.
.
.
4
12
20
28
.
.
.
.
5
13
21
29
.
.
.
.
6
14
22
30
.
.
.
.
7
15
23
31
.
.
.
8
16
24
Month 3
.
.
.
.
Tax liability for Month 3
1
9
17
25
.
.
.
.
.
2
10
18
26
.
.
.
.
3
11
19
27
.
.
.
.
4
12
20
28
.
.
.
.
5
13
21
29
.
.
.
.
6
14
22
30
.
.
.
.
7
15
23
31
.
.
.
8
16
24
Total liability for the quarter
Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3)
.
Total must equal line 12 on Form 941 or Form 941-SS.
For Paperwork Reduction Act Notice, see separate instructions.
Schedule B (Form 941) (Rev. 1-2017)
IRS.gov/form941
Cat. No. 11967Q
Schedule B (Form 941):
960311
Report of Tax Liability for Semiweekly Schedule Depositors
OMB No. 1545-0029
(Rev. January 2017)
Department of the Treasury — Internal Revenue Service
Report for this Quarter...
Employer identification number
(Check one.)
(EIN)
1: January, February, March
Name (not your trade name)
2: April, May, June
3: July, August, September
Calendar year
(Also check quarter)
4: October, November, December
Use this schedule to show your TAX LIABILITY for the quarter; don't use it to show your deposits. When you file this form with Form 941 or
Form 941-SS, don't change your tax liability by adjustments reported on any Forms 941-X or 944-X. You must fill out this form and attach it to
Form 941 or Form 941-SS if you're a semiweekly schedule depositor or became one because your accumulated tax liability on any day was
$100,000 or more. Write your daily tax liability on the numbered space that corresponds to the date wages were paid. See Section 11 in
Pub. 15 for details.
Month 1
.
.
.
.
Tax liability for Month 1
1
9
17
25
.
.
.
.
.
2
10
18
26
.
.
.
.
3
11
19
27
.
.
.
.
4
12
20
28
.
.
.
.
5
13
21
29
.
.
.
.
6
14
22
30
.
.
.
.
7
15
23
31
.
.
.
8
16
24
Month 2
.
.
.
.
Tax liability for Month 2
1
9
17
25
.
.
.
.
.
2
10
18
26
.
.
.
.
3
11
19
27
.
.
.
.
4
12
20
28
.
.
.
.
5
13
21
29
.
.
.
.
6
14
22
30
.
.
.
.
7
15
23
31
.
.
.
8
16
24
Month 3
.
.
.
.
Tax liability for Month 3
1
9
17
25
.
.
.
.
.
2
10
18
26
.
.
.
.
3
11
19
27
.
.
.
.
4
12
20
28
.
.
.
.
5
13
21
29
.
.
.
.
6
14
22
30
.
.
.
.
7
15
23
31
.
.
.
8
16
24
Total liability for the quarter
Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3)
.
Total must equal line 12 on Form 941 or Form 941-SS.
For Paperwork Reduction Act Notice, see separate instructions.
Schedule B (Form 941) (Rev. 1-2017)
IRS.gov/form941
Cat. No. 11967Q