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

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

Report for this Quarter of 2024 

(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.

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.

Sign your 

name here

Date / /

Print your 

name here

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 State ZIP code

Page 2 Form 941 (Rev. 3-2024)
Form 941-V, 

Payment Voucher

Purpose of Form

Complete Form 941-V if you’re making a payment with 

Form 941. We will use the completed voucher to credit 

your payment more promptly and accurately, and to 

improve our service to you. 

Making Payments With Form 941

To avoid a penalty, make your payment with Form 941 

only if:

• Your total taxes after adjustments and nonrefundable 

credits (Form 941, 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 11 of Pub. 15 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 11 of Pub. 15 for deposit 

instructions. Don’t use Form 941-V to make federal tax 

deposits.

▲! CAUTION

Use Form 941-V when making any payment with 

Form 941. However, if you pay an amount with

Form 941 that should’ve been deposited, you 

may be subject to a penalty. See Deposit Penalties in

section 11 of Pub. 15.

Specific Instructions

Box 1—Employer identification number (EIN). If you 

don’t have an EIN, you may apply for one online by going 

to 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, write 

“Applied For” and the date you applied in this entry space.

Box 2—Amount paid. Enter the amount paid with

Form 941.

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.

• Enclose your check or money order made payable to 

“United States Treasury.” Be sure to enter your 

EIN, “Form 941,” and the tax period (“1st Quarter 2024,” 

“2nd Quarter 2024,” “3rd Quarter 2024,” or “4th Quarter 

2024”) on your check or money order. Don’t send cash. 

Don’t staple Form 941-V or your payment to Form 941 (or 

to each other).

• Detach Form 941-V and send it with your payment 

and Form 941 to the address in the Instructions for 

Form 941.

Note: You must also complete the entity information 

above Part 1 on Form 941.

Detach Here and Mail With Your Payment and Form 941.

Form 941-V

Department of the Treasury 

Internal Revenue Service 

Payment Voucher

Don’t staple this voucher or your payment to Form 941.

OMB No. 1545-0029

2024

1 Enter your employer identification 

number (EIN).

–

2

Enter the amount of your payment.

Make your check or money order payable to “United States Treasury.”

Dollars Cents

3 Tax Period

1st 

Quarter

2nd 

Quarter

3rd 

Quarter

4th 

Quarter

4 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.