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) | [____] - [____][____][____][____][____][____][____] | |
Name (not your trade name) | [____] | |
Trade name (if any) | [____] | |
Address | ||
Number [____] | Street [____] | Suite or room number [____] |
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 = | [____] |
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