Form 945-A - Annual Record Of Federal Tax Liability

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945-A
Annual Record of Federal Tax Liability
OMB No. 1545-1430
Form
(Rev. February 2015)
Information about Form 945-A and its instructions is at
Department of the Treasury
File with Form 945, 945-X, CT-1, CT-1 X, 944, or 944-X.
Calendar Year
Internal Revenue Service
Employer identification number (EIN)
Name (as shown on Form 945, 945-X, CT-1, CT-1 X, 944, or 944-X)
You must complete this form if you are required to deposit on a semiweekly schedule or if your tax liability during any month was $100,000 or more.
Show tax liability here, not deposits. (The IRS gets deposit data from electronic funds transfers.) DO NOT change your tax liability by adjustments
reported on any Form 945-X, 944-X, or CT-1 X.
January Tax Liability
February Tax Liability
March Tax Liability
1
17
1
17
1
17
2
18
2
18
2
18
3
19
3
19
3
19
4
20
4
20
4
20
5
21
5
21
5
21
6
22
6
22
6
22
7
23
7
23
7
23
8
24
8
24
8
24
9
25
9
25
9
25
10
26
10
26
10
26
11
27
11
27
11
27
12
28
12
28
12
28
13
29
13
29
13
29
14
30
14
14
30
15
31
15
15
31
16
16
16
A
Total for month
B Total for month
C Total for month
April Tax Liability
May Tax Liability
June Tax Liability
1
17
1
17
1
17
2
18
2
18
2
18
3
19
3
19
3
19
4
20
4
20
4
20
5
21
5
21
5
21
6
22
6
22
6
22
7
23
7
23
7
23
8
24
8
24
8
24
9
25
9
25
9
25
10
26
10
26
10
26
11
27
11
27
11
27
12
28
12
28
12
28
13
29
13
29
13
29
14
30
14
30
14
30
15
15
31
15
16
16
16
D
Total for month
E Total for month
F Total for month
945-A
Form
(Rev. 2-2015)
For Paperwork Reduction Act Notice, see page 4.
Cat. No. 14733M

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