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Schedule B (Form 941):

Report of Tax Liability for Semiweekly Schedule Depositors
960311

(Rev. March 2024)

Department of the Treasury — Internal Revenue Service

OMB No. 1545-0029

Employer identification number(EIN)
-

Name (not your trade name)

Calendar year
2 0 2 4

(Also check quarter)
Report for this Quarter... (Check one.)
uncheckbox 1: January, February, March
uncheckbox 2: April, May, June
uncheckbox 3: July, August, September
uncheckbox 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
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Tax liability for Month 1

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Month 2
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Tax liability for Month 2

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Month 3
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Tax liability for Month 3

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Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3).

Total must equal line 12 on Form 941.

Total liability for the quarter

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For Paperwork Reduction Act Notice,
see separate instructions.

 www.irs.gov/Form941

Cat. No. 11967Q

Schedule B (Form 941) (Rev. 3-2024)