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Payroll Reports SAMPLE 941 QUARTERLY REPORT Page 1 ABC COMPANY STORE 1 STREET ADDRESS ANYTOWN, USA 01010 PHONE (123)456-7890 FAX (123)098-7654 PAYROLL QUARTERLY REPORT FOR QTR 4 SOC-SEC-NO GROSS WAGES DS06301 PAGE 0001 STATE ALL STORE ALL BEGINNING 10/01/98 - ENDING 12/31/98 EMP NO NAME FICA SS FICA MED WAGES WAGES 72600.00 9999999.99 FUTA WAGES 7000.00 SUTA WAGES 1 NUMERO UNO 123-45-6789 QTR: YTD: 2520.00 3445.00 2520.00 3445.00 2520.00 3445.00 2520.00 3445.00 1800 BROOKS/GARTH 474-92-6211 QTR: YTD: 1992.00 2952.00 1992.00 2952.00 1992.00 2952.00 1992.00 2952.00 1992.00 2952.00 2400 DENVER/JOHN 455-12-3221 QTR: YTD: 1920.00 3200.00 1920.00 3200.00 1920.00 3200.00 1920.00 3200.00 1920.00 3200.00 3200 IDOL/BILLY 990-89-3131 QTR: YTD: 2640.00 4647.50 2640.00 4647.50 2640.00 4647.50 2640.00 4647.50 2640.00 4647.50 4000 LENNON/JOHN 551-89-1122 QTR: YTD: 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00 5000.00 5000 NELSON/WILLIE 474-90-1230 QTR: YTD: 3600.00 5625.00 3600.00 5625.00 3600.00 5625.00 3600.00 5625.00 3600.00 5625.00 6000 RAITT/BONNIE 545-82-6542 QTR: YTD: 6320.00 10320.00 6320.00 10320.00 6320.00 10320.00 3000.00 7000.00 6320.00 10320.00 EXTRA LIMIT NEW HIRE THIS QTR Page 2 ABC COMPANY STORE 1 STREET ADDRESS ANYTOWN, USA 01010 PHONE (123)456-7890 FAX (123)098-7654 PAYROLL QUARTERLY REPORT FOR QTR 4 DS06301 PAGE 0002 STATE ALL STORE ALL BEGINNING 10/01/98 - ENDING 12/31/98 QUARTER 1 QUARTER 2 QUARTER 3 QUARTER 4 TOTAL TAXABLE SS FICA WAGES TOTAL NONTAXABLE SS FICA WAGES (UNDER (OVER 72600.00) 72600.00) .00 .00 .00 .00 11197.50 .00 23992.00 .00 YEAR-TO-DATE 35189.50 .00 TOTAL TAXABLE MEDICARE WAGES TOTAL NONTAXABLE MEDICARE WAGES (UNDER9999999.99) (OVER 9999999.99) .00 .00 .00 .00 11197.50 .00 23992.00 .00 35189.50 .00 TOTAL TAXABLE FUTA WAGES TOTAL NONTAXABLE FUTA WAGES (UNDER (OVER 7000.00) 7000.00) .00 .00 .00 .00 11197.50 .00 20672.00 3320.00 31869.50 3320.00 TOTAL TAXABLE SUTA WAGES TOTAL NONTAXABLE SUTA WAGES (UNDER (OVER 10500.00) 10500.00) .00 .00 .00 .00 10272.50 925.00 21472.00 2520.00 31744.50 3445.00 TOTAL WAGES UNDER EXTRA LIMIT TOTAL WAGES OVER EXTRA LIMIT (UNDER (OVER ) ) .00 .00 .00 .00 .00 11197.50 .00 23992.00 .00 35189.50 Page 3 ABC COMPANY STORE 1 STREET ADDRESS ANYTOWN, USA 01010 PHONE (123)456-7890 FAX (123)098-7654 TOTAL TOTAL TOTAL TOTAL FEDERAL FICA STATE LOCAL TAXES TAXES TAXES TAXES TOTAL WAGES PAID TOTAL NUMBER OF EMPLOYEES PAID 54 PAYROLL QUARTERLY REPORT FOR QTR 4 DS06301 PAGE 0003 STATE ALL STORE ALL BEGINNING 10/01/98 - ENDING 12/31/98 QUARTER 1 QUARTER 2 QUARTER 3 QUARTER 4 .00 .00 .00 .00 .00 .00 .00 .00 1911.76 854.32 755.27 100.75 4078.61 1831.95 1184.32 99.50 YEAR-TO-DATE 5990.37 2686.27 1939.59 200.25 .00 0 .00 0 11197.50 6 23992.00 7 35189.50 7 Dim11
