Form 941 PDF by U.S. Internal Revenue Service
This is the Employer's Quarterly Federal Tax Return (Form 941), used by employers to report federal income tax, social security tax, and Medicare tax withheld from employee wages. It also reports the employer's share of social security and Medicare taxes. This form is filed quarterly with the IRS and includes a payment voucher (Form 941-V) for submitting payments.
Form 941 for 2025: Employer's QUARTERLY Federal Tax Return
(Rev. March 2025)
Department of the Treasury Internal Revenue Service
950124
OMB No. 1545-0029
Report for this Quarter of 2025
(Check one.)
[ ] 1: January, February, March
[ ] 2: April, May, June
[ ] 3: July, August, September
[ ] 4: October, November, December
Go to www.irs.gov/Form941 for instructions and the latest information.
Employer identification number (EIN) | [ein] | |
Name (not your trade name) | [business name] | |
Trade name (if any) | [trade names] | |
Address | ||
[street number] | [street name] | [suite number or floor] |
[city name] | [state]/[foreign providence/county] | [zip code]/[foreign postal code] |
[foreign country name] |
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) | [____] |
2 Wages, tips, and other compensation | [____] |
3 Federal income tax withheld from wages, tips, and other compensation | [____] |
4 If no wages, tips, and other compensation are subject to social security or Medicare tax | [ ] Check here and go to line 6. |
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 | [____] |
5f Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions) | [____] |
6 Total taxes before adjustments. Add lines 3, 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 | [____] |
11 Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 | [____] |
12 Total taxes after adjustments and nonrefundable credits. Subtract line 11 from line 10. | [____] |
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 | [____] |
14 Balance due. If line 12 is more than line 13, enter the difference and see instructions | [____] |
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.
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