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960311 Schedule B Form 941 Report of Tax Liability for Semiweekly Schedule Depositors Rev. June 2011 OMB No. 1545-0029 Department of the Treasury Internal Revenue Service EIN Employer identification number Report for this Quarter. Check one. 1 January February March Name not your trade name 2 April May June Calendar year 3 July August September Also check quarter 4 October November December Month 1. D EM O Use this schedule to show your TAX LIAB.

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