TaxMe

1. Number of employees who received wages, tips, or other compensation for the pay period:

4. If no wages, tips, and other compensation are subject to social security or Medicare tax, check here:

Worksheet 1 will pre-fill automatically.

Amount

Tax

5a. Taxable social security wages:

x 0.124 =

5a(i). Qualified sick leave wages:

x 0.062 =

5a(j). Qualified sick leave wages excluded from the definition of employment under section 3121(b):

5a(ii). Qualified family leave wages:

x 0.062 =

5a(jj). Qualified family leave wages excluded from the definition of employment under section 3121(b):

5b. Taxable social security tips:

x 0.124 =

5c. Taxable Medicare wages & tips:

x 0.029 =

5c(i). Qualified sick leave wages included on line 5c, but not included on line 5a(i), column 1, because the wages reported on that line were limited by the social security wage base:

5c(ii). Qualified family leave wages included on line 5c, but not included on line 5a(ii), column 1, because the wages reported on that line were limited by the social security wage base:

5d. Taxable wages & tips subject to Additional Medicare Tax withholding:

x 0.009 =

5e. Total social security and Medicare taxes:

5f. Section 3121(q) Notice and Demand - Tax due on unreported tips (see instructions):

5f(i). If you received a Section 3121(q) Notice and Demand during the quarter, enter the amount of the employer share of social security tax from the notice:

6. Total taxes before adjustments:

7. Current quarter’s adjustment for fractions of cents:

8. Current quarter’s adjustment for sick pay:

8(i). If you are a third-party payer of sick pay that isn't an agent and you're claiming credits for amounts paid to your employees, enter the employer share of social security tax included in line 8 above (enter as positive number):

9. Current quarter’s adjustments for tips and group-term life insurance:

10. Total taxes after adjustments:

11a. Qualified small business payroll tax credit for increasing research activities. Attach form 8974: (not supported)

11b. Nonrefundable portion of credit for qualified sick and family leave wages:

11c. Nonrefundable portion of employee retention credit:

11d. Total nonrefundable credits:

12. Total taxes after adjustments and nonrefundable credits:

13a. Total deposits for this quarter, including overpayment applied from a prior quarter and overpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X (SP) filed in the current quarter:

13b. Reserved for future use:

13c. Refundable portion of credit for qualified sick and family leave wages:

13d. Refundable portion of employee retention credit:

13e. Total deposits, deferrals and refundable credits:

13f. Total advances received from filing Form(s) 7200 for the quarter:

13g. Total deposits, deferrals and refundable credits less advances:

14. Balance due.

Check here if you want to pay your balance due with this return.

15. Overpayment.

Apply to next return.

Send a refund.

FEDERAL DEBIT (limited to a maximum amount of $2,500.00)

Your Federal Debit is limited to an amount no greater than $2500.00. If your employment form shows an amount due greater than $2500.00 your are responsible to make any additional payments.

This Electronic Funds Withdrawal (EFW) payment option cannot be used for making federal tax deposits. Deposits can be submitted using the Electronic Federal Tax Payment System (EFTPS). For more information refer to the tax form Instructions for each respective form.

Entities that do not bank in the United States that need to make a payment cannot pay using EFW or EFTPS. However, payments can be made by check or money order payable to “United States Treasury” and mail to the address shown in the specific form’s instruction.

Once your return is accepted, information pertaining to your payment, such as account information, payment date, or amount, cannot be changed. If changes are needed, the only option is to cancel the payment and choose another payment method. In the event your financial institution is unable to process your payment request, you will be responsible for making other payment arrangements, and for any penalties and interest incurred.

To revoke or cancel an EFW payment, the taxpayer should contact the IRS E-file Payment Inquiry and Cancellation Service at 1-888-353-4537. Wait at least ten (10) days from when the IRS e-file return was accepted before calling. The caller should be prepared to provide the EIN, the exact payment amount (dollars and cents), and bank account number entered in the payment record. Cancellations must be made by 11:59 p.m. ET two business days prior to the scheduled payment date.

BANKING INFORMATION (ALL fields required)

Checking

Savings

PERJURY STATEMENT: Under penalties of perjury, I declare that I have an approved role (as identified in the instructions for the employment tax return) within the company listed above and that I've examined a copy of the electronic return and accompanying schedules and statements for the period shown above and to the best of my knowledge and belief, they're true, correct, and complete. I further declare that the amounts in Part I of Form 8879-EMP are the amounts shown on the copy of the electronic return. I consent to allow the electronic return originator (ERO), Tax Me, LLC., to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days before the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I've selected a personal identification number (PIN) as the signature for the electronic return and, if applicable, the consent to electronic funds withdrawal. I Agree

Form 941-SS Employer's QUARTERLY Federal Tax Return American Samoa, Guam, the Commonwealth of the Northern Mariana Islands, and the U.S. Virgin Islands (only for Q1 2021)