Form 941 - Entries on Line 11, 12a and 12b, and Lines 14 and 15 are BlankPicture of Form 941 Revision January 2013 with entries shown on Line 11, 12a and 12b, Line 14 and 15 are blank. Line 13 has been verified. The entry on Line 13 is not correct, an asterisk has been edited to the left of the entry and the correct amount edited to the left of the asterisk. Line 14 has also been edited to show a balance is due.