(Form 941) | fF iT . . OMB No. 1545-0029 (1990)

SCHEDULE B

(Form 941) | fF iT . . OMB No. 1545-0029

uly 1980) Supplemental Record of Federal Tax Liability Fxpires: 631-93

Department of the Treasury

Internal Revenue Service

Name as shown on Form 941 (or Forms 941£, 9418S, 943 or CT 1) Employer identification number Date quarter ended

Record of Federal Tax Liability—Complete this schedule only if your tax liability for any eighth-monthly period this quarter is $100,000

or more. Show tax liability here, not deposits. IRS gets deposit data from FTD coupons. Enter in column (2) your total tax liability for each

eighth-monthly period. You must also enter in columns (3) through (6) your daily tax liability for each eighth-monthly period in which your

tax liability is $100,000 or more. See instructions for examples.

Total Tax Liability For Each Daily Tax Liability

Eighth-Monthly Period First Month of Quarter

1 2 3 4 5 6

A ist 2nd 3rd

B 4th 5th 6th 7th

Cc 8th 9th 10th llth

D 12th 13th 14th 15th

E 16th 17th 18th 19th

F 20th 21st 22nd YY yyy.

G 23rd 24th 25th YY YyyyYYYJ## JJ

H 26th 27th 28th 29th

30th 31st MMMM

Dally Tax Liability

Second Month of Quarter

] Ist 2nd 3rd MMM

J 4th 5th 6th 7th

K 8th 9th 10th 11th

L 12th 13th 14th 15th

M 16th 17th 18th 19th

N 20th 21st 22nd III WYyyyyy

: 23rd 24th 25th YYyyyyyJy

26th 27th 28th 29th

30th 31st YMMMMMMM(V.VO AM MAMMA

Daily Tax Liability

Third Month of Quarter

Q Ist 2nd 3rd MMMM MM

R 4th 5th 6th 7th

$ 8th 9th 10th 1ith

T 12th 13th 14th 15th

U | 16th 17th 18th 19th

Vv 20th 21st 22nd YY yyy.

Ww 2316 24th 25th MMM

th 27th th 29th

30th 31st UMMM

Add amounts in column 2

>» Enter this amount on line /V of the Record of Federal Tax Liability on the bottom of Form 941 (or Forms

941E, 941SS, 943A, Schedule A (Form 941) or CT-1).

Schedule B (Form 941) (7-90)

Page 2

Paperwork Reduction Act Notice.— We

ask for this information to carry out the

Internal Revenue laws of the United States.

We need it to ensure that taxpayers are

complying with these laws and to allow us to

figure and collect the right amount of tax.

You are required to give us this information.

The time needed to complete and file

this form will vary depending on individual

circumstances. The estimated average

time is:

Recordkeeping 5 hrs. 16 min.

Learning about

the law or the form 6 min.

Preparing, copying,

assembling, and sending

the form to IRS 11 min.

If you have comments concerning the

accuracy of these time estimates or

suggestions for making this form more

simple, we would be happy to hear from

you. You can write to both the IRS and the

Office of Management and Budget at the

addresses listed in the instructions of the

tax return with which this form is filed.

Highlights

Item to Note. —Effective for deposit

periods ending after July 31, 1990, if you

accumulate undeposited payroll taxes of

$100,000 or more in any eighth-monthly

period, you are required to deposit the

payroll taxes by the close of the next

banking day after you accumulate

$100,000 or more. You may no longer wait

until the third banking day after the close of

the eighth-monthly period.

For employment taxes required to be

deposited after December 31, 1989, a

four-tiered penalty structure has been

established in which the amount of the

penalty varies with the length of time within

which the taxpayer corrects the failure to

make the required deposit. The failure to

deposit penalty rate will be 2 per cent for

the first five days of delinquency, 5 per cent

for the sixth through the 15th day, 10 per

cent for over 15 days, and 15 per cent if the

taxes are not paid within ten days after the

Service issues the first notice demanding

payment.

Example A: X Co. pays its employees once

every two weeks on Monday. X Co.'s payroll

tax liability for the third quarter of 1990 is:

Payroll Tax Eighth-Monthly

Payroll Date Liability Period

July 9, 1990 150,000 Cc

July 23, 1990 90,000 G

August 6, 1990 150,000 J

August 20, 1990 95,000 N

September 3, 1990 (Holiday)

September 4, 1990 105,000 R

September 17. 1990 95,000 U

The July 9th liability of $150,000 is due by

July 16th, three banking days after the end

of eighth-monthly period C. The next day

rule is not effective until after July 31, 1990.

The July 23rd liability of $90,000 is due by

July 30th, three banking days after the end

of eighth-monthly period G.

The August 6th liability of $150,000 is due

on August 7th. The next banking day rule

applies.

The August 20th liability of $95,000 is due

by August 27th, three banking days after

the end of eighth-monthly period N.

The September 4th liability of $105,000 is

due on September 5th. The next banking

day rule applies.

The September 17th liability of $95,000 is

due by September 24th, three banking days

after the end of eighth-monthly period U.

Example B: Z Co. has three divisions. Z Co.

pays its employees every two weeks. Z Co.

pays each division on a different day.

Division A on every other Monday, Division

B on every other Wednesday and Division C

on every other Friday. Z Co.’s payroll tax

liability from July 15, 1990 through August

15, 1990 is:

Payroll Tax Eighth-Monthly

Payroll Date Liability Period

July 16, 1990 55,000 E

July 18, 1990 50,000 E

July 20, 1990 65,000 F

July 30, 1990 55,000 H

August 1, 1990 40,000 I

August 3, 1990 65,000 |

August 13, 1990 55,000 L

August 15, 1990 40,000 L

Eighth-monthly period E’s liability of

$105,000 is due by Tuesday, July 24th. The

three banking day rule applies. The next day

rule is not effective until after July 31,

1990.

Eighth-monthly period F's liability of

$65,000 is due by Wednesday, July 25th.

The three banking day rule applies.

Eighth-monthly period H’s liability of

$55,000 is due by Friday, August 3rd. The

three banking day rule applies.

Eighth-monthly period I's liability must be

analyzed by day. Wednesday, August 1st’s

liability of $40,000 plus Friday, August

3rd's liability of $65,000 must be deposited

on Monday, August 6th. This deposit is

subject to the next banking day rule once

the undeposited taxes are $100,000 or

more.

Eighth-monthly period L’s liability of

$95,000 is due by Monday, August 20th.

The three banking day rule applies.

General Instructions

Purpose of Form.—Use this form to report

your tax liability (income tax withheld,

backup withholding, plus both employee

and employer social security taxes minus

any advance earned income credit) by day

for any eighth-monthly period in which your

tax liability is $100,000 or more.

Who Must File.—Employers who have a

tax liability of $100,000 or more for any

f ULS. GPO: 1991-282-002/40012

eighth-monthly period must file this form

along with Form 941, Employer's Quarterly

Federal Tax Return, Form 941E, Quarterly

Return of Withheld Federal Income Tax and

Hospital Insurance (Medicare) Tax, Form

941SS, Employer’s Quarterly Federal Tax

Return, Form 943, Employer’s Annual Tax

Return for Agricultural Employees or CT:1,

Employer's Annual Railroad Retirement and

Unemployment Repayment Tax Return.

Specific Instructions

Completing the Supplemental Record of

Federal Tax Liability. —When your

undeposited payroll tax liability (including

backup withholding) is $100,000 or more,

you are required by section 6302(g) to

deposit the tax on the next banking day.

When your payroll tax liability for any

eighth-monthly period is $100,000 or more,

you must report your tax liability on

Schedule B (Form 941) and you must leave

the Record of Federal Tax Liability on the

bottom of Form 941 (or Forms 941E,

941SS, or 943) blank. You must enter in

column (2) your total payroll tax liability for

each eighth-monthly period in which you

have a liability. You must report your tax

liability by day in columns (3) through (6)

for each eighth-monthly period in which

your total tax liability is $100,000 or more.

Example 1. Taxpayer A reports $60,000 of

tax liability for eighth-monthly periods A, D,

L, Q, and T and $110,000 for period I.

Taxpayer A does not have any tax liability for

the eighth-monthly periods not mentioned.

Taxpayer A must leave the Record of

Federal Tax Liability on the bottom of Form

941 blank and file Schedule B (Form 941)

along with Form 941. Taxpayer A must only

enter his/her payroll tax liability by day for

eighth-monthly period | on Schedule B

(Form 941). Taxpayer A must also enter the

total liability in column (2) for eighthmonthly periods A, D, 1, L, Q, and T

Example 2: Taxpayer B reports $45,000 of

tax liability for every eighth-monthly period

except for eighth-monthly periods D, L, and

T, where $165,000 is reported for each

period. Taxpayer B must leave the Record of

Federal Tax Liability on the bottom of Form

941 blank and file Schedule B (Form 941)

along with Form 941. Taxpayer B must

enter his/her tax liability by day on

Schedule B (Form 941) for eighth-monthly

periods D, L, and T Taxpayer B must also

enter the total liability in column (2) for

eighth-monthly periods A through X.

Example 3: Taxpayer C reports $25,000 of

tax liability for eighth-monthly periods A

through X. Taxpayer C is not required to file

Schedule B (Form 941) but instead must

complete the Record of Federal Tax Liability

on the bottom of Form 941.

Note: his is a record of when you were

liable for taxes, NOT a record of when you

made a deposit. Do NOT show Federal tax

deposits on this form.