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Ly Tax Return for Household Employees 4141 Form (Rev. November 1994) OMB No. 1545-0034 (For Social Security, Medicare, and Withheld Income Taxes) See separate Instructions. Name Date quarter ended Address and ZIP code Employer identification number FOR IRS USE ONLY If address is different from prior return, check here. 1 1 1 1 1 4 4 4 5 6 1 1 1 1 1 7 7 7 7 2 2 2 2 2 2 8 8 8 9 2 2 2 10 10 3 3 3 3 3 3 10 10 10 10 10 10 10 7 7 1.

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  2. Enter your name, address, and employer identification number in the designated fields. Ensure that all information is accurate for proper processing.
  3. Indicate the calendar quarter for which you are filing the return. Make sure to review any prior returns for consistency.
  4. For each household employee, list the total cash wages subject to social security taxes. This is crucial if you paid $1,000 or more in the calendar year.
  5. Calculate the social security taxes by multiplying the wages from the previous step by 12.4% and enter the amount in the appropriate field.
  6. Next, provide the total cash wages that are subject to Medicare taxes and calculate the amount by multiplying these wages by 2.9%. Enter this amount in the designated space.
  7. If federal income tax was withheld, record that amount in the respective field. This is contingent on your employee's request.
  8. Add the total taxes, which includes the amounts from the previous calculations, and enter the sum in the indicated area.
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232