Adjusted Employer's QUARTERLY Federal Tax Return or Claim for Refund
Section references are to the Internal Revenue Code unless otherwise noted.
Revised: 04/2012
Table of Contents
- Instructions for Form 941-X - Introductory Material
- General Instructions:Understanding Form 941-X
- What Is the Purpose of Form 941-X?
- Where Can You Get Help?
- When Should You File Form 941-X?
- Is There a Deadline for Filing Form 941-X?
- Where Should You File Form 941-X?
- How Should You Complete Form 941-X?
- Use a Separate Form 941-X for Each Quarter You Are Correcting
- EIN, Name, and Address
- Return You Are Correcting
- Enter the Date You Discovered Errors
- Must You Make an Entry on Each Line?
- How Should You Report Negative Amounts?
- How Should You Make Entries on Form 941-X?
- What About Penalties and Interest?
- Overview of the Process
- Specific Instructions:
- Part 1: Select ONLY one process
- Part 2: Complete the Certifications
- Part 3: Enter the Corrections for This Quarter
- What Amounts Should You Report in Part 3?
- 6. Wages, Tips, and Other Compensation
- 7. Income Tax Withheld from Wages, Tips, and Other Compensation
- 8. Taxable Social Security Wages
- 9. Taxable Social Security Tips
- 10. Taxable Medicare Wages and Tips
- 11. Section 3121(q) Notice and Demand—Tax on Unreported Tips
- 12. Employer's Social Security Tax Exemption
- 13. Tax Adjustments
- 14–16. Special Additions to Wages for Federal Income Tax, Social Security Tax, and Medicare Tax
- 17. Subtotal
- 18. Advance EIC Payments Made to Employees
- 19a.COBRA Premium Assistance Payments
- 19b.Number of Individuals Provided COBRA Premium Assistance on line 19a
- 19c. Number of Qualified Employees Paid Exempt Wages/Tips March 19–31
- 19d. Exempt Wages/Tips Paid to Qualified Employees March 19-31
- 20–21. Total
- Part 4: Explain Your Corrections for This Quarter
- Part 5. Sign Here
- How Can You Order Forms and Publications from the IRS?
- Additional Information
- Instructions for Form 941-X - Notices
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