IRS E-file Instructions

Hello APPROVAL REPAIR SERVICE LLC

Thanks for preparing your Form 941 with TaxBandits. We hope you had a good experience filing your return
quickly and accurately with us.

Return Number 6P0016523280615-3

Quarter Q3 2022 (Jul - Sep)
Tax Year 2022
Total tax after
adjustments and $3,733.75
nonrefundable credits
Total deposits, deferrals,
and refundable credits $31,963.76
less advance
Total Taxes due to the
-
IRS
Mode of Payment EFTPS / Credit Card Check Or Money Order EFW

Transmitted Date 6/14/2023 10:25:21 PM

Thank you for your business, if you have any questions, or need any help, please contact our customer
suppport at support@taxbandits.com, or talk to us online through live chat at TaxBandits.com. We're to help
you keep rolling.

From TaxBandits Team

What to expect from us and the IRS

The IRS will process your return and issue the status of your return. Although, in most cases, it takes less
than a day to get the status of the return from the IRS, the duration might vary based on the volume on
the IRS' end. Once the IRS issues the status of your return we will notify you via email.

Record Keeping

Keep all records of employment taxes for at least four years after filing the 4th quarter for the year. These
should be available for IRS review. Records should include:
• Your employer identification number.
• Amounts and dates of all wage, annuity, and pension payments.
• Amounts of tips reported.
• The fair market value of in-kind wages paid.
• Names, addresses, social security numbers, and occupations of employees and recipients.
• Any employee copies of Form W-2 that were returned to you as undeliverable.
• Dates of employment.
• Periods for which employees and recipients were paid while absent due to sickness or injury and the
amount and weekly rate of payments you or third-party payers made to them.
• Copies of employees' and recipients' income tax withholding allowance certificates (Forms W-4, W-4P,
W-4S, and W-4V).
• Dates and amounts of tax deposits you made.
• Copies of returns filed.
• Records of allocated tips.
• Records of fringe benefits provided, including substantiation.
Form 941 for 2022:
(Rev. June 2022)
Employer’s QUARTERLY Federal Tax Return
Department of the Treasury — Internal Revenue Service
950122
OMB No. 1545-0029

8 5 — 2 3 0 4 0 7 8 Report for this Quarter of 2022

Employer identification number (EIN)
(Check one.)

Name (not your trade name) APPROVAL REPAIR SERVICE LLC 1: January, February, March
2: April, May, June
Trade name (if any)
✔ 3: July, August, September

Address
60 PECOS RD 4: October, November, December
Number Street Suite or room number
Go to www.irs.gov/Form941 for
Las Vegas NV 89101 instructions and the latest information.
City State ZIP code

Foreign country name Foreign province/county Foreign postal code

Read the separate instructions before you complete Form 941. 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: June 12 (Quarter 2), Sept. 12 (Quarter 3), or Dec. 12 (Quarter 4) . . . . . . 1 5

2 Wages, tips, and other compensation . . . . . . . . . . . . . . . . . 2 16250 . 00

3 Federal income tax withheld from wages, tips, and other compensation . . . . . . 3 240 . 00

4 If no wages, tips, and other compensation are subject to social security or Medicare tax Check and go to line 6.
Column 1 Column 2
5a Taxable social security wages* . . 16250 . 00 × 0.124 = 2015 . 00 * Include taxable qualified sick and
family leave wages paid in this
5a (i) Qualified sick leave wages* . 16250 . 00 × 0.062 = 1007 . 50 quarter of 2022 for leave taken
after March 31, 2021, and before
5a (ii) Qualified family leave wages* . 16250 . 00 × 0.062 = 1007 . 50 October 1, 2021, on line 5a. Use
lines 5a(i) and 5a(ii) only for taxable

5b Taxable social security tips . . . . × 0.124 = . qualified sick and family leave
wages paid in this quarter of 2022
16250 . 00 471 . 25
for leave taken after March 31,
5c Taxable Medicare wages & tips . . × 0.029 = 2020, and before April 1, 2021.

5d Taxable wages & tips subject to

Additional Medicare Tax withholding . × 0.009 = .
5e Total social security and Medicare taxes. Add Column 2 from lines 5a, 5a(i), 5a(ii), 5b, 5c, and 5d 5e 4501 . 25
5f Section 3121(q) Notice and Demand—Tax due on unreported tips (see instructions) . . 5f .
6 Total taxes before adjustments. Add lines 3, 5e, and 5f . . . . . . . . . . . . 6 4741 . 25

7 Current quarter’s adjustment for fractions of cents . . . . . . . . . . . . . 7 .

8 Current quarter’s adjustment for sick pay . . . . . . . . . . . . . . . . 8 .
9 Current quarter’s adjustments for tips and group-term life insurance . . . . . . . 9 .
10 Total taxes after adjustments. Combine lines 6 through 9 . . . . . . . . . . . 10 4741 . 25

11a Qualified small business payroll tax credit for increasing research activities. Attach Form 8974 11a .
11b Nonrefundable portion of credit for qualified sick and family leave wages for leave taken
before April 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . 11b 1007 . 50
11c Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 11c .
▶ You MUST complete all three pages of Form 941 and SIGN it. Next ■▶
For Privacy Act and Paperwork Reduction Act Notice, see the back of the Payment Voucher. Cat. No. 17001Z Form 941 (Rev. 6-2022)
 951222
Name (not your trade name) Employer identification number (EIN)
APPROVAL REPAIR SERVICE LLC 85-2304078
Part 1: Answer these questions for this quarter. (continued)

11d Nonrefundable portion of credit for qualified sick and family leave wages for leave taken
after March 31, 2021, and before October 1, 2021 . . . . . . . . . . . . . 11d .
11e Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 11e .
11f Reserved for future use . . . . . . . . . . . . .

11g Total nonrefundable credits. Add lines 11a, 11b, and 11d . . . . . . . . . . . 11g 1007 . 50
12 Total taxes after adjustments and nonrefundable credits. Subtract line 11g from line 10 . 12 3733 . 75

13a Total deposits for this quarter, including overpayment applied from a prior quarter and
overpayments applied from Form 941-X, 941-X (PR), 944-X, or 944-X (SP) filed in the current quarter 13a .
13b Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 13b .
13c Refundable portion of credit for qualified sick and family leave wages for leave taken
before April 1, 2021 . . . . . . . . . . . . . . . . . . . . . . . 13c 31963 . 76
13d Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 13d .
13e Refundable portion of credit for qualified sick and family leave wages for leave taken
after March 31, 2021, and before October 1, 2021 . . . . . . . . . . . . . . 13e .
13f Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 13f .
13g Total deposits and refundable credits. Add lines 13a, 13c, and 13e . . . . . . . . 13g 31963 . 76

13h Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 13h .

13i Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 13i .
14 Balance due. If line 12 is more than line 13g, enter the difference and see instructions . . . 14 .
15 Overpayment. If line 13g is more than line 12, enter the difference 28230 . 01 Check one: ✔ Apply to next return. Send a refund.

Part 2: Tell us about your deposit schedule and tax liability for this quarter.
If you’re unsure about whether you’re a monthly schedule depositor or a semiweekly schedule depositor, see section 11 of Pub. 15.

16 Check one: Line 12 on this return is less than $2,500 or line 12 on the return for the prior quarter was less than $2,500,
and you didn’t incur a $100,000 next-day deposit obligation during the current quarter. If line 12 for the prior
quarter was less than $2,500 but line 12 on this return is $100,000 or more, you must provide a record of your
federal tax liability. If you’re a monthly schedule depositor, complete the deposit schedule below; if you’re a
semiweekly schedule depositor, attach Schedule B (Form 941). Go to Part 3.
✔ You were a monthly schedule depositor for the entire quarter. Enter your tax liability for each month and total
liability for the quarter, then go to Part 3.

Tax liability: Month 1 1450 . 00

Month 2 1238 . 61

Month 3 1045 . 14

Total liability for quarter 3733 . 75 Total must equal line 12.
You were a semiweekly schedule depositor for any part of this quarter. Complete Schedule B (Form 941),
Report of Tax Liability for Semiweekly Schedule Depositors, and attach it to Form 941. Go to Part 3.

▶ You MUST complete all three pages of Form 941 and SIGN it. Next ■▶
Page 2 Form 941 (Rev. 6-2022)
 950922
Name (not your trade name) Employer identification number (EIN)
APPROVAL REPAIR SERVICE LLC 85-2304078
Part 3: Tell us about your business. If a question does NOT apply to your business, leave it blank.

17 If your business has closed or you stopped paying wages . . . . . . . . . . . . . . . Check here, and

enter the final date you paid wages / / ; also attach a statement to your return. See instructions.

18 If you’re a seasonal employer and you don’t have to file a return for every quarter of the year . . . Check here.

19 Qualified health plan expenses allocable to qualified sick leave wages for leave taken before April 1, 2021 19 .
20 Qualified health plan expenses allocable to qualified family leave wages for leave taken before April 1, 2021 20 .
21 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 21 .
22 Reserved for future use . . . . . . . . . . . . . . . . . . . . . . 22 .
23 Qualified sick leave wages for leave taken after March 31, 2021, and before October 1, 2021 23 .
24 Qualified health plan expenses allocable to qualified sick leave wages reported on line 23 24 .
25 Amounts under certain collectively bargained agreements allocable to qualified sick
leave wages reported on line 23 . . . . . . . . . . . . . . . . . . . 25 .
26 Qualified family leave wages for leave taken after March 31, 2021, and before October 1, 2021 26 .
27 Qualified health plan expenses allocable to qualified family leave wages reported on line 26 27 .
28 Amounts under certain collectively bargained agreements allocable to qualified family
leave wages reported on line 26 . . . . . . . . . . . . . . . . . . . 28 .
Part 4: May we speak with your third-party designee?
Do you want to allow an employee, a paid tax preparer, or another person to discuss this return with the IRS? See the instructions
for details.

Yes. Designee’s name and phone number

Select a 5-digit personal identification number (PIN) to use when talking to the IRS.
✔ No.

Part 5: Sign here. You MUST complete all three pages of Form 941 and SIGN it.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

✗
Print your
name here Kaj Douglas Sr
Sign your
name here Print your
title here Owner

Date 6 / 14 / 2023 Best daytime phone (702) 596-8173

Paid Preparer Use Only Check if you’re self-employed . . .

Preparer’s name PTIN

Preparer’s signature Date / /

Firm’s name (or yours
if self-employed) EIN

Address Phone

City State ZIP code

Page 3 Form 941 (Rev. 6-2022)

Worksheet 1. Credit for Qualified Sick and Family Leave Wages
Paid This Quarter of 2022 for Leave Taken After March 31, 2020,
and Before April 1, 2021 Keep for Your Records
Determine how you will complete this worksheet. (If you’re a third-party payer, you must complete this worksheet for each client for which
it is applicable, on a client-by-client basis.)
If you paid qualified sick leave wages and/or qualified family leave wages this quarter for leave taken after March 31, 2020, and before April 1, 2021,
complete Step 1 and Step 2. Caution: Use Worksheet 2 to figure the credit for qualified sick and family leave wages paid this quarter of 2022 for leave
taken after March 31, 2021, and before October 1, 2021.

Step 1. Determine the employer share of social security tax this quarter after it is reduced by any credit claimed on Form 8974
and any credit to be claimed on Form 5884-C and/or Form 5884-D
1a Enter the amount of social security tax from Form 941, Part 1, line 5a, column 2 . . . . . . . 1a
1b Enter the amount of social security tax from Form 941, Part 1, line 5b, column 2 . . . . . . . 1b
1c Add lines 1a and 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c
1d Multiply line 1c by 50% (0.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d
1e If you’re a third-party payer of sick pay that isn't an agent and you're claiming credits for
amounts paid to your employees, enter the employer share of social security tax included
on Form 941, Part 1, line 8 (enter as a positive number) . . . . . . . . . . . . . . . . . . . . . . . . . 1e
1f Subtract line 1e from line 1d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1f
1g If you received a Section 3121(q) Notice and Demand during the quarter, enter the amount
of the employer share of social security tax from the notice . . . . . . . . . . . . . . . . . . . . . . 1g
1h Employer share of social security tax. Add lines 1f and 1g . . . . . . . . . . . . . . . . . . . . 1h
1i Enter the amount from Form 941, Part 1, line 11a (credit from Form 8974) . . . . . . . . . . . . 1i
1j Enter the amount to be claimed on Form 5884-C, line 11, for this quarter . . . . . . . . . . . . . 1j
1j(i) Enter the amount to be claimed on Form 5884-D, line 12, for this quarter . . . . . . . . . . . . . 1j(i)
1k Total nonrefundable credits already used against the employer share of social
security tax. Add lines 1i, 1j, and 1j(i) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1k
1l Employer share of social security tax remaining. Subtract line 1k from line 1h . . . . . . 1l

Step 2. Figure the sick and family leave credit

2a Qualified sick leave wages reported on Form 941, Part 1, line 5a(i), column 1 . . . . . . . . . 2a
2a(i) Qualified sick leave wages included on Form 941, Part 1, line 5c, but not included on Form
941, Part 1, line 5a(i), column 1, because the wages reported on that line were limited by
the social security wage base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(i)
2a(ii) Total qualified sick leave wages. Add lines 2a and 2a(i) . . . . . . . . . . . . . . . . . . . . . . . . . 2a(ii)
2a(iii) Qualified sick leave wages excluded from the definition of employment under sections
3121(b)(1)–(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(iii)
2b Qualified health plan expenses allocable to qualified sick leave wages (Form 941, Part 3,
line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2b
2c Employer share of Medicare tax on qualified sick leave wages. Multiply line 2a(ii) by 1.45%
(0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c
2d Credit for qualified sick leave wages. Add lines 2a(ii), 2a(iii), 2b, and 2c . . . . . . . . . . . 2d
2e Qualified family leave wages reported on Form 941, Part 1, line 5a(ii), column 1 . . . . . . . 2e
2e(i) Qualified family leave wages included on Form 941, Part 1, line 5c, but not included on
Form 941, Part 1, line 5a(ii), column 1, because the wages reported on that line were
limited by the social security wage base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e(i)
2e(ii) Total qualified family leave wages. Add lines 2e and 2e(i) . . . . . . . . . . . . . . . . . . . . . . . 2e(ii)
2e(iii) Qualified family leave wages excluded from the definition of employment under sections
3121(b)(1)–(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e(iii)
2f Qualified health plan expenses allocable to qualified family leave wages (Form 941, Part 3,
line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2f
2g Employer share of Medicare tax on qualified family leave wages. Multiply line 2e(ii) by
1.45% (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g
2h Credit for qualified family leave wages. Add lines 2e(ii), 2e(iii), 2f, and 2g . . . . . . . . . 2h
2i Credit for qualified sick and family leave wages. Add lines 2d and 2h . . . . . . . . . . . . 2i
2j Nonrefundable portion of credit for qualified sick and family leave wages for leave
taken after March 31, 2020, and before April 1, 2021. Enter the smaller of line 1l or
line 2i. Enter this amount on Form 941, Part 1, line 11b . . . . . . . . . . . . . . . . . . . . . . . . . 2j
2k Refundable portion of credit for qualified sick and family leave wages for leave
taken after March 31, 2020, and before April 1, 2021. Subtract line 2j from line 2i and
enter this amount on Form 941, Part 1, line 13c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2k

Instructions for Form 941 (Rev. 6-2022) -21-

Worksheet 2. Credit for Qualified Sick and Family Leave Wages
Paid This Quarter of 2022 for Leave Taken After March 31, 2021,
and Before October 1, 2021 Keep for Your Records
Determine how you will complete this worksheet. (If you’re a third-party payer, you must complete this worksheet for each client for which
it is applicable, on a client-by-client basis.)
If you paid qualified sick leave wages and/or qualified family leave wages this quarter for leave taken after March 31, 2021, and before October 1, 2021,
complete Step 1 and Step 2. Caution: Use Worksheet 1 to figure the credit for qualified sick and family leave wages paid this quarter of 2022 for leave
taken after March 31, 2020, and before April 1, 2021.

Step 1. Determine the employer share of Medicare tax

1a Enter the amount of Medicare tax from Form 941, Part 1, line 5c, column 2 . . . . . . . . . . . 1a
1b Multiply line 1a by 50% (0.50) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b
1c If you’re a third-party payer of sick pay that isn't an agent and you're claiming credits for
amounts paid to your employees, enter the employer share of Medicare tax included on
Form 941, Part 1, line 8 (enter as a positive number) . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c
1d Subtract line 1c from line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1d
1e If you received a Section 3121(q) Notice and Demand during the quarter, enter the amount
of the employer share of Medicare tax from the notice . . . . . . . . . . . . . . . . . . . . . . . . . . 1e
1f Employer share of Medicare tax. Add lines 1d and 1e . . . . . . . . . . . . . . . . . . . . . . . . 1f

Step 2. Figure the sick and family leave credit

2a Qualified sick leave wages for leave taken after March 31, 2021, and before October 1,
2021 (Form 941, Part 3, line 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a
2a(i) Qualified sick leave wages included on Form 941, Part 3, line 23, that were not included as
wages reported on Form 941, Part 1, lines 5a and 5c, because the qualified sick leave
wages were excluded from the definition of employment under sections 3121(b)(1)–
(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(i)
2a(ii) Subtract line 2a(i) from line 2a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(ii)
2a(iii) Qualified sick leave wages included on Form 941, Part 3, line 23, that were not included as
wages reported on Form 941, Part 1, line 5a, because the qualified sick leave wages were
limited by the social security wage base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(iii)
2a(iv) Subtract line 2a(iii) from line 2a(ii) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2a(iv)
2b Qualified health plan expenses allocable to qualified sick leave wages for leave taken after
March 31, 2021, and before October 1, 2021 (Form 941, Part 3, line 24) . . . . . . . . . . . . . 2b
2c Amounts under certain collectively bargained agreements allocable to qualified sick leave
wages for leave taken after March 31, 2021, and before October 1, 2021 (Form 941, Part 3,
line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2c
2d Employer share of social security tax on qualified sick leave wages. Multiply line 2a(iv) by
6.2% (0.062) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2d
2e Employer share of Medicare tax on qualified sick leave wages. Multiply line 2a(ii) by 1.45%
(0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2e
2f Credit for qualified sick leave wages. Add lines 2a, 2b, 2c, 2d, and 2e . . . . . . . . . . . . 2f
2g Qualified family leave wages for leave taken after March 31, 2021, and before October 1,
2021 (Form 941, Part 3, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g
2g(i) Qualified family leave wages included on Form 941, Part 3, line 26, that were not included
as wages reported on Form 941, Part 1, lines 5a and 5c, because the qualified family leave
wages were excluded from the definition of employment under sections 3121(b)(1)–
(22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g(i)
2g(ii) Subtract line 2g(i) from line 2g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g(ii)
2g(iii) Qualified family leave wages included on Form 941, Part 3, line 26, that were not included
as wages reported on Form 941, Part 1, line 5a, because the qualified family leave wages
were limited by the social security wage base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g(iii)
2g(iv) Subtract line 2g(iii) from line 2g(ii) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2g(iv)
2h Qualified health plan expenses allocable to qualified family leave wages for leave taken
after March 31, 2021, and before October 1, 2021 (Form 941, Part 3, line 27) . . . . . . . . . 2h
2i Amounts under certain collectively bargained agreements allocable to qualified family
leave wages for leave taken after March 31, 2021, and before October 1, 2021 (Form 941,
Part 3, line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2i
2j Employer share of social security tax on qualified family leave wages. Multiply line 2g(iv) by
6.2% (0.062) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2j
2k Employer share of Medicare tax on qualified family leave wages. Multiply line 2g(ii) by
1.45% (0.0145) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2k
2l Credit for qualified family leave wages. Add lines 2g, 2h, 2i, 2j, and 2k . . . . . . . . . . . . 2l
2m Credit for qualified sick and family leave wages. Add lines 2f and 2l . . . . . . . . . . . . . 2m
2n Enter any credit claimed under section 41 for increasing research activities with respect to
any wages taken into account for the credit for qualified sick and family leave
wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2n
2o Credit for qualified sick and family leave wages after adjusting for other credits.
Subtract line 2n from line 2m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2o
2p Nonrefundable portion of credit for qualified sick and family leave wages for leave
taken after March 31, 2021, and before October 1, 2021. Enter the smaller of line 1f or
line 2o. Enter this amount on Form 941, Part 1, line 11d . . . . . . . . . . . . . . . . . . . . . . . . . 2p
2q Refundable portion of credit for qualified sick and family leave wages for leave
taken after March 31, 2021, and before October 1, 2021. Subtract line 2p from line 2o
and enter this amount on Form 941, Part 1, line 13e . . . . . . . . . . . . . . . . . . . . . . . . . . . 2q

-22- Instructions for Form 941 (Rev. 6-2022)