Instructions For Form 943-X (Page 7 of 9) in pdf

reported only once per quarter. For example, an assistance

line 14 (column 1)

-line 14 (column 2)

eligible individual who made monthly payments during the

line 14 (column 3)

If the amount in column 2 is larger than

quarter would only be reported as one individual.

the amount in column 1, use a minus sign

16. Total

in column 3.

Combine lines 13, 14, and 15a and enter the result on line 16.

Copy the amount in column 3 to column 4. However, to

properly show the correction as a credit or balance due

Your credit. If the amount entered on line 16 is less than zero,

item, enter a positive number in column 3 as a negative

for example, “-115.00,” you have a credit because you

CAUTION

number in column 4 or a negative number in column 3 as a

overreported your federal employment taxes.

•

positive number in column 4. Remember, negative amounts in

If you checked the box on line 1, include this amount on line

column 4 represent credits and positive amounts in column 4

12 (“Total deposits”) of Form 943 for the year during which you

represent additional tax.

filed Form 943-X. Do not make any changes to your Monthly

Summary of Federal Tax Liability in Form 943 or on Form

Examples: If line 14, column 3 shows “560.00,” enter

943-A. The amounts reported in your Monthly Summary of

“-560.00” in column 4.

Federal Tax Liability or on Form 943-A should reflect your

If line 14, column 3 shows “-990.00,” enter “990.00” in

actual tax liability for the period.

column 4.

•

If you checked the box on line 2, you are filing a claim for

Example — Advance EIC payments increased: You filed

refund or abatement of the amount shown.

your 2008 Form 943 reporting zero (line left blank) on line 10.

If your credit is less than $1, we will send a refund or apply it

On February 17, 2010, you discovered that you forgot to report

only if you ask us in writing to do so.

the $1,000 in advance EIC payments you made on behalf of

John Smith, one of your employees. You made no other EIC

Amount you owe. You must pay the amount you owe when

payments for your other employees. This is an example of an

you file Form 943-X. You may not use any credit that you show

administrative error. To correct the error, file Form 943-X

on another Form 943-X to pay the amount you owe, even if you

showing the following.

filed for the amount you owe and the credit at the same time.

You may pay the amount you owe on line 16 electronically

Column 1 (corrected amount)

1,000.00

using the Electronic Federal Tax Payment System (EFTPS), by

Column 2 (from Form 943, line 10)

0.00

credit card, debit card, or by a check or money order.

•

Column 3 (difference)

1,000.00

The preferred method of payment is EFTPS. For more

Reverse the mathematical sign of the amount in column 3

information, visit , call EFTPS Customer Service

and enter your correction in column 4.

at 1-800-555-4477 toll free, or get Pub. 966, The Secure Way to

Pay Your Federal Taxes.

•

Column 4 (tax correction)

-1,000.00

To pay by credit or debit card, visit the IRS website at www.

irs.gov and click on the electronic IRS link.

•

Be sure to explain the reasons for this correction on line 19.

If you pay by check or money order, make it payable to

“United States Treasury.” On your check or money order, be

See section 9 of Pub. 51 (Circular A) for more

sure to write your EIN, “Form 943-X,” and the year corrected.

information about administrative errors. The same rules

that apply to withheld federal income taxes also apply to

CAUTION

Do not use a federal tax deposit coupon (Form 8109 or

advance earned income credit (EIC) payments made to

Form 8109-B) to make a payment with Form 943-X.

employees.

CAUTION

15a. COBRA premium assistance payments

You do not have to pay if the amount you owe is less than

If you are correcting the total COBRA premium assistance

$1.

payments reported on line 13a of Form 943, report on this line

Previously assessed FTD penalty. If line 16 reflects

the corrected amount of the 65% of the COBRA premiums for

overreported tax and the IRS previously assessed a

assistance eligible individuals. Report the premium assistance

failure-to-deposit (FTD) penalty, you may be able to reduce the

credit on this line only after the assistance eligible individual’s

penalty. For more information, see the instructions for Form

35% share of the premium has been paid. For COBRA

943-A.

coverage provided under a self-insured plan, COBRA premium

assistance is treated as having been made for each assistance

Part 4: Explain Your Corrections for This

eligible individual who pays 35% of the COBRA premium.

Year

Do not include the assistance eligible individual’s 35% share

of the premium in the amount entered on this line. For more

information on the COBRA premium subsidy, visit the IRS

17. Correction of Both Underreported and

website at enter the keyword “COBRA”.

Overreported Amounts

Copy the amount in column 3 to column 4. However, to

Check the box on line 17 if any corrections you entered on lines

properly show the correction as a credit or balance due item,

6 through 12, and 14 and 15a in column 3 reflect both

enter a positive number in column 3 as a negative number in

underreported and overreported amounts.

column 4, or a negative number in column 3 as a positive

Example: If you had an increase to social security wages of

number in column 4. This is the same procedure as the

$15,000 for employee A and a decrease to social security

Advance Earned Income Credit on line 14.

wages of $5,000 for employee B, you would enter $10,000 on

15b. Number of individuals provided COBRA

line 6, column 3. That $10,000 represents the net change from

premium assistance on line 15a

corrections.

Enter the total number of assistance eligible individuals

On line 19, you must explain the reason for both the $15,000

provided COBRA premium assistance as corrected on line 15a.

increase and the $5,000 decrease.

Count each assistance eligible individual who paid a reduced

18. Did You Reclassify Any Workers?

COBRA premium in the quarter as one individual, whether or

not the reduced premium was for insurance that covered more

Check the box on line 18 if you reclassified any workers to be

than one assistance eligible individual. For example, if the

independent contractors or nonemployees. Also check this box

reduced COBRA premium was for coverage for a former

if the IRS (or you) determined that workers you treated as

employee, spouse, and two children, you would include one

independent contractors or nonemployees should be classified

individual in the number entered on line 15b for the premium

as employees. On line 19, give us a detailed reason why any

assistance reported on line 15a. Further, each individual is

worker was reclassified and, if you used section 3509 rates on

-7-

Instructions For Form 943-X Page 7

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