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Schedule B (Form 941): Report of Tax Liability for Semiweekly Schedule Depositors OMB No. 1545-0029 970311 <br />Calendar year 201$ Department of the Treasury— Internal Revenue Service Report for this Quarter <br />Employer identification number 822039870 1: January, February, March <br />Name (not your trade name) MENDEL 76 SOUTHEAST TX INVESTMENTS LLC 2: April, May, June <br />Use this schedule to show your TAX UABIUTYforth aquarter; don't use it to show your deposits, When you filet his form 3: July, August, September <br />with Form 941 or Form 941 -SS, don't change your tax liability by adjustments reported on any Forms 841-X or „44-X. You <br />must fill out this form and attach it to Form 941 or Form 941 -SS if you're a semiweekly schedule depositor or became one X 4: October, November, December <br />because your accumulated tax liability on any day was $100,000 or more. Enter your daily tax liability on the numbered space <br />that corresponds to the date wages were paid. See Section 11 in Pub. 15 for details. <br />Month 1 <br />1 9 17 25 <br />Tax liability for Month 1 <br />50386.76 <br />21 j�-- 10 l i S 126F-2502728 25027.2$ <br />_ <br />3 1271 <br />11 �� 19 <br />. 20 <br />4 i 127 253_594$ 1 28 r L <br />5 _ 13 _ 121 � 1291 <br />6 14 1 22 30 <br />71 .,.....,..._....� 15 23 31 <br />81 1 16F_ 124 <br />Month2 2 _ <br />1r 11 <br />_� g 5504.3$ 17 � 1 25 Tax liability for Month 2 <br />— — 49791.64 <br />21 10 118 1261 <br />31 11 19 127 <br />41 12 i 20 _.,... � 128 <br />1 71 <br />51 1 13 F- � 21 1 29 F— I . <br />71 15 _ _ 123 242$7.26131 I...,...._..... <br />$....... 1g _124� <br />Month 3 <br />1 r ---� 91 __1171 i 25 [ 1 liability for Month 3 <br />— <br />__1 — 4$53$.13 <br />21 _ 10 _......_ 118 � 1281_ � <br />3 _ 11 19 27 <br />4 _,..._..,.... 12 20 ,,.,.,. 28 <br />_26.06 <br />5 13 21 25180.82 1.1 B17941B <br />7 94161 NTF 2581401 <br />6 14 22 30 Copyright 2017 Greatlandt <br />71 23331.25 — 15 23 131 1 <br />Nalco -Forms Software Only <br />81 —71617 124 1 Total liability for the quarter <br />Fill in your total liability for the quarter (Month 1 + Month 2 + Month 3) ► 148716.53 <br />Total must equal line 12 on Form 941 or Form 941 -SS, <br />For Paperwork Reduction Act Notice, see separate Instructions. CAA IRS.govtform941 Schedule B (Form 941) (Rev. 1-2017) <br />