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Get and Sign 941 Ss Form 2013
November, December
Number
Street
Suite or room number
Instructions and prior year forms are available
at www.irs.gov/form941ss.
City
ZIP code
State
Read the separate instructions before you complete Form 941-SS. Type or print within the boxes.
Part 1: Answer these questions for this quarter.
1
Number of employees who received wages, tips, or other compensation for the pay period
including: Mar. 12 (Quarter 1), June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter...
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