Instructions For Form 943-X Page 5

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Employee signature
Example — Social security wages decreased: You
Date
reported $9,000 as social security wages on line 2 of your 2008
Form 943. In December of 2009, you discovered that you
included $2,000 in social security wages for one of your
Do not send these statements to the IRS. Keep them for
employees twice. To correct the error, figure the difference on
your records.
Form 943-X as shown.
In certain situations, you may not have repaid or reimbursed
your employees or obtained their consents prior to filing a claim,
Column 1 (corrected amount)
7,000.00
such as in cases where the period of limitations on credit or
Column 2 (from line 2 of Form 943)
- 9,000.00
refund is about to expire. In those situations, file Form 943-X,
Column 3 (difference)
- 2,000.00
but do not check a box on line 5. Tell us on line 19 that you
Use the difference in column 3 to determine your tax
‘‘have not repaid or reimbursed employees or obtained
correction.
consents.’’ However, you must certify that you have repaid or
reimbursed your employees or obtained consents before the
Column 3 (difference)
-2,000.00
IRS can grant the claim.
Tax rate (12.4%)
x .124
Column 4 (tax correction)
-248.00
5c. Check the box on line 5c to certify that your overreported
tax is only for the employer share of social security and
Be sure to explain the reasons for this correction on line 19.
Medicare tax. Affected employees did not give you consent to
7. Total Wages Subject to Medicare Tax
file a claim for refund for the employee share of social security
and Medicare tax, they could not be found, or would not (or
If you are correcting the taxable Medicare wages you reported
could not) give you a statement described on line 5b.
on line 4 of Form 943, enter the total corrected amount in
column 1. In column 2, enter the amount you originally reported
5d. Check the box on line 5d to certify that your overreported
or as previously corrected. In column 3, enter the difference
amount is only for federal income tax, social security tax, and
between columns 1 and 2.
Medicare tax that you did not withhold from your employees.
line 7 (column 1)
Part 3: Enter the Corrections for This
-line 7 (column 2)
Year
line 7 (column 3)
If the amount in column 2 is larger than the
amount in column 1, use a minus sign in
column 3.
What Amounts Should You Report in Part 3?
Multiply the amount in column 3 by .029 (2.9% tax rate) and
In columns 1 and 2 of lines 6 through 8, show amounts for all of
enter that result in column 4.
your employees, not just for those employees whose amounts
you are correcting.
line 7 (column 3)
x .029
If a correction that you report in column 4 includes both
line 7 (column 4)
If the amount in column 3 used a minus sign,
underreported and overreported amounts (see the instructions
also use a minus sign in column 4.
for line 17), give us details for each error on line 19.
Note. If you are correcting only the employer share of tax on a
Because special circumstances apply for lines 9 through 12
decrease to Medicare wages, use .0145 (1.45%) when
and 14, read the instructions for each line carefully before
multiplying the amount in column 3. If you are correcting both
entering amounts in the columns.
shares of tax for some employees and only the employer share
for other employees, enter the properly calculated amount in
If you previously adjusted or amended Form 943 using
column 4. Be sure to explain your calculations on line 19.
!
Form 941c, Form 943-X, Form 843, an “amended” Form
Example — Medicare wages decreased: Following
943, by filing a “supplemental” Form 943, or because of
CAUTION
Example — Social security wages decreased in the instructions
an IRS examination change, show amounts in column 2 that
for line 6, the wages that you counted twice were also taxable
include those previously reported corrections.
Medicare wages. To correct the error, figure the difference on
6. Taxable Wages Subject to Social Security
Form 943-X as shown.
Tax:
Column 1 (corrected amount)
7,000.00
If you are correcting the taxable social security wages you
Column 2 (from line 4 of Form 943)
- 9,000.00
reported on line 2 of Form 943, enter the total corrected amount
Column 3 (difference)
- 2,000.00
in column 1. In column 2, enter the amount you originally
Use the difference in column 3 to determine your tax
reported or as previously corrected. In column 3, enter the
correction.
difference between columns 1 and 2.
Column 3 (difference)
-2,000.00
line 6 (column 1)
Tax rate (2.9%)
x .029
-line 6 (column 2)
Column 4 (tax correction)
-58.00
line 6 (column 3)
If the amount in column 2 is larger than the
amount in column 1, use a minus sign in
Be sure to explain the reasons for this correction on line 19.
column 3.
8. Federal Income Tax Withheld
Multiply the amount in column 3 by .124 (12.4% tax rate) and
enter that result in column 4.
If you are correcting the federal income tax withheld from
wages, enter the total corrected amount in column 1. In column
line 6 (column 3)
2, enter the amount you originally reported or as previously
x .124
corrected. In column 3, enter the difference between columns 1
line 6 (column 4)
If the amount in column 3 used a minus sign,
and 2.
also use a minus sign in column 4.
Note. If you are correcting only the employer share of tax on a
line 8 (column 1)
-line 8 (column 2)
decrease to social security wages, use .062 (6.2%) when
line 8 (column 3)
If the amount in column 2 is larger than the
multiplying the amount shown in column 3. If you are correcting
amount in column 1, use a minus sign in
both shares of tax for some employees and only the employer
column 3.
share for other employees, enter the properly calculated
amount in column 4. Be sure to show your calculations on line
Copy the amount in column 3 to column 4. Include any
19.
minus sign shown in column 3.
-5-

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