Sample / Informational Use Only

Create a 941 in minutes

Fill in your quarterly payroll totals on the left — your 941 preview updates live on the right. This tool produces a sample document for personal record-keeping; it is not filed with the IRS.

Quarter

Employer

Part 1 · This Quarter's Totals

LIVE PREVIEW

Form 941 Employer's Quarterly Federal Tax Return

Quarter 1: January, February, March · 2026

For informational / sample purposes only — not an official IRS document.

Employer

Employer Name

, CA

EIN

Part 1: Answer these questions for this quarter
Line 1 · Number of employees who received wages this quarter1
Line 2 · Wages, tips, and other compensation$0.00
Line 3 · Federal income tax withheld from wages$0.00
Line 5a · Taxable social security wages (× 12.4%)$0.00
Line 5c · Taxable Medicare wages & tips (× 2.9%)$0.00
Line 5d · Additional Medicare Tax withholding (× 0.9%)$0.00
Line 6 · Total taxes before adjustments$0.00
Line 12 · Total taxes after adjustments and credits$0.00
Line 13 · Total deposits for this quarter$0.00
Line 14 · Balance due$0.00