Form 4977: Schedule of Tax Liability

Form 4977, Schedule of Tax Liability, is a one-page Department of the Treasury, Internal Revenue Service form. A box at the top says "This form supports adjustments to" Form 1042 or Form 940, and the filer checks the one that applies.

Section I is for Form 1042, Withholding Tax. It breaks each month into periods ending on the 7th, 15th and 22nd and on the last day of the month, with a total for each month and a total liability for the year on line 61. The liability columns include any taxes assumed on Form(s) 1000. Section II is for Form 940, Unemployment Tax, with a liability for each quarter and a total, and the form says not to include state liability. The schedule is signed under penalties of perjury.

The form prints no separate instructions. This page has the February 2002 revision. The PDF can be filled out free in the browser on this page and downloaded without an account.

Top of page 1 of Form 4977: Schedule of Tax Liability, as printed by IRS

What's on Form 4977

Header

Tax period ended, name, Employer Identification Number, address, an optional telephone number, and boxes for Form 1042 or Form 940.

Section I: Form 1042 periods

Lines 1 through 60 cover January through December, with periods ending on the 7th, 15th and 22nd and on the last day of each month.

Monthly totals and line 61

Each month ends with a total line, such as line 5 for January and line 60 for December. Line 61 is the total liability for the year from the monthly total lines.

Section II: Form 940 quarters

First, second, third and fourth quarter liability and a total, with the note not to include state liability.

Signature

A penalties of perjury declaration with lines for signature, title and date.

How to fill out Form 4977

1
Header
Enter the tax period ended, the name, the Employer Identification Number and the address. The telephone number is optional.
2
Pick the return
Check the box for Form 1042 or Form 940 to show which return the schedule supports adjustments to.
3
Section I periods
For Form 1042, enter the tax liability for each period ending in each month, including any taxes assumed on Form(s) 1000, then the month's total.
4
Line 61
Add the monthly total lines and enter the total liability for the year on line 61.
5
Section II quarters
For Form 940, enter the liability for each quarter and the total. The form says not to include state liability.
6
Sign
Sign under penalties of perjury, then enter the title and date.

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What it supports and what the form says

Supports an adjustment

The form says it supports adjustments to Form 1042 or Form 940. It is a liability schedule, not a return of its own.

No address or deadline printed

The PDF prints no instructions, mailing address or due date. It is the February 2002 revision.

State liability

Section II says "Do not include state liability" in the quarterly Form 940 amounts.

Declaration

The signer declares that they have examined the liability schedule and that, to the best of their knowledge and belief, it is true, correct and complete.

Who completes Form 4977?

Filers adjusting Form 1042
Section I is the liability schedule for Form 1042, Withholding Tax, when the box for Form 1042 is checked.
Filers adjusting Form 940
Section II is the quarterly liability for Form 940, Unemployment Tax, when the box for Form 940 is checked.
Filers with taxes assumed on Form 1000
The Section I columns are headed tax liability for period, including any taxes assumed on Form(s) 1000.
The person who signs
The signer declares under penalties of perjury that the liability schedule is true, correct and complete, and enters a title and date.

The form asks for a name and an Employer Identification Number and supports adjustments to a Form 1042 or Form 940 return. It is signed by a person who gives a title.

Official sources and the blank

Official IRS form page
The agency’s own page for Form 4977.
Blank PDF
The official blank form, to print or fill by hand.

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Questions about Form 4977

What is Form 4977 used for?

It is a schedule of tax liability. The form says it supports adjustments to Form 1042 or Form 940.

How are the Form 1042 periods split?

Section I splits each month into periods ending on the 7th, 15th and 22nd and on the last day of the month, with a monthly total and a yearly total on line 61.

Does Section II include state unemployment tax?

No. Section II says "Do not include state liability."

Is the telephone number required?

The form marks the telephone number as optional.

Does Form 4977 have instructions?

The PDF has no instruction section. The column headings and notes on the form are its only directions.

Form 4977: Schedule of Tax Liability