This is an example of a Form 8941 with fields.Field 21CBX is shown on Form 8941, Line A. Field 21LNB is shown on Form 8941, Line B. Field 21BXC is shown on Form 8941, Line C. Field 21LN1 is shown on Form 8941, Line 1. Field 2102 is shown on Form 8941, Line 2. Field 2103 is shown on Form 8941, Line 3. Field 2104 is shown on Form 8941, Line 4. Field 2105 is shown on Form 8941, Line 5. Field 2110 is shown on Form 8941, Line 10. Field 2113 is shown on Form 8941, Line 13. Field 2114 is shown on Form 8941, Line 14. Field 2115 is shown on Form 8941, Line 15. Field 2116 is shown on Form 8941, Line 16. Field 2116V is shown on Form 8941, Line 16 (right margin). Field 2118 is shown on Form 8941, Line 18 (Form 1120-C only). Field 2118V is shown on Form 8941, Line 18 (Form 1120-C only)(right margin).