Section 21 - Field Descriptions

All the Fields are located on Form 8941.

Money amount Fields are dollars only. All other Fields are numeric.

Listed below are the Fields contained in Section 21 showing the Field Designators, title, location on return, and maximum length:

No.

Field

Title

Location

Max Length

21BX

Shop Box Form 8941

Top

1

21EIN

EIN

Top b

9

21CBX

Previous Form 8941 Filed

Top c

1

2101

Number of Employees

Line 1

4

2102

Number of Full Time Employees Tax Year

Line 2

4

2103

Average Annual Wage

Line 3

15

2104

Health Insurance Premiums Paid

Line 4

15

2105

Premiums you Would Have Paid

Line 5

15

2106

Smaller of line 4 or 5

Line 6

15

2107

Multiply line 6 by 16.3%

Line 7

6

2110

Amount of State Subsidies Paid/Tax Credits

Line 10

15

2113

If Line 12 is "0" (zero)

Line 13

4

2114

Number of Employees you Would Have Entered on Line 2

Line 14

4

2116

Add Lines 12 and 15

Line 16

15

2118

Co-op, Estates, Trusts Credit

Line 18

15

2119

Payroll Taxes

Line 19

15

2120

Tax–Exempt Small Employers

Line 20

15

Correction Procedures:

Correct any coding or transcription errors.

For Tax Periods 201312 and prior, enter a "1" in Field 02BX. The Form 8941 did not have Yes/No check boxes in Item A prior to the 2014 revision.

Beginning in TY 2014 Form 8941 will contain Yes/No check boxes for, Field 02BX and must be marked "yes" or "no" . If a 2013 or prior form was used there are no checkboxes., Follow the instruction in (2) above. Do not disallow the credit if the “no” box is checked in this case.

For TY 2014 Form 8941, Field 02BX must be marked "yes" or "no" . If marked "no" , both boxes are checked or no box is checked, correspond for a corrected Form 8941. (Also see the no reply instructions).

If the no box is checked pull the return from processing and send the return back to the filer. SSPND 640.

If no box is checked or both boxes are checked, send the return back to the filer. SSPND 640.