Fillable Form 1042: Schedule of Tax Liability (IRS)

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Form 1042: Schedule of Tax Liability (IRS)

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Country of origin: US
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The Internal Revenue Service (IRS) is a government agency responsible for collecting taxes and administering the federal statutory tax laws of the United States. The IRS provide tax assistance to taxpayers and pursue and resolve fraudulent tax filings.

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Tax period ended
Department of the Treasury- Internal Revenue Servic
e
Schedule of Tax Liability
Form 4977
(Rev. February 2002)
Section I.
Form 1042, Withholding Tax
Period Tax liability for period
Tax liability for period
Tax liability for period
Line Line Line
Period Period
ending
(including any taxes assumed (including any taxes assumed (including any taxes assumed on
No. No. No.
ending ending
on Form(s) 1000)
on Form(s) 1000)
Form(s) 1000)
7
7
7
15 15
15
Jan. May Sept.
22
22
22
30
31
31
Jan. total May total Sept. total
25 45
5
7
7
7
15 15
15
Feb.
June Oct.
22 22
22
30 31
28
10
Feb. total
June total
Oct. total
30
50
7
77
15
15 15
March July Nov.
22
22 22
31
31
1
31
Mar. total
15 35
July total
55
Nov. total
77 7
15 15 15
April
August Dec
22
22 22
30
31 31
20 Apr. total
40
Aug. total 60 Dec. total
61
61 Total liability for year (add monthly total lines from above)
Section II.
Form 940, Unemployment Tax
Quarter Liability for Quarter (Do not include state liability)
First
Second
Third
Fourth
Total
Under penalties of perjury, I declare that I have examined the above liability schedule,
and to the best of my knowledge and belief, it is true, correct, and complete.
Date
Title
Signature
Form 4977 (Rev. 02-2002)
Catalog Number 42142L
Name
Employer Identification Number
Number, street, and room or suite no.
Telephone number (optional)
City or town, state, and ZIP code This form supports adjustments to:
Form 1042
Form 940
1
2
3
4
21
22
23
24
6
7
8
9
26
27
28
29
11
12
13
14
31
32
33
34
16
17
18
19
36
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Form 1042: Schedule of Tax Liability (IRS)

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Completed 11 March 2021

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