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                                                                                                                                         960311
Schedule B (Form 941):
Report of Tax Liability for Semiweekly Schedule Depositors                                                      OMB No. 1545-0029
(Rev. March 2024)              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
Calendar year                                                (Also check quarter)    3: July, August, September
                                                                                     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 schedule with Form 941, 
don’t change your tax liability by adjustments reported on any Forms 941-X or 944-X. You must fill out this schedule and attach it to Form 941 
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.                                              .
For Paperwork Reduction Act Notice,     www.irs.gov/Form941   Cat. No. 11967Q                                   Schedule B (Form 941) (Rev. 3-2024)
see separate instructions.






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