Form M-941-Am - Instructions For Amended Return Of Income Taxes Withheld

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Instructions for Form M-941-AM
Amended Return of Income Taxes Withheld
Who Can Use Form M-941-AM?
If line 3 is a negative number, submit this form with Form CA-6, Ap-
plication for Abatement, to: Massachusetts Department of Revenue,
Employers who withhold income taxes and are amending an origi-
PO Box 7031, Boston, MA 02204. Enter all negative amounts in
nally filed Form M-941A, M-941, M-942, or M-941D should use Form
parenthesis, for example: ($1,500).
M-941-AM.
Lines 4 & 5 Penalties & Interest
Note: Form M-941-AM can only be used to make corrections to the
Penalties are imposed for late filing of a return and late payment on
tax period shown on the return. Adjustments cannot be made to a
a return. Interest will be due on the unpaid balance. Leave lines 4
period other than the period in question.
and 5 blank and you will be billed for additional penalty and interest
Line 1 Corrected Amount Withheld
or call the Customer Service Bureau at 1-800-392-6089 (in-state) or
Enter the total corrected amount withheld for the period in question.
(617) 887-MDOR for assistance in calculating proper penalty and in-
terest amounts.
Line 2 Original Amount Reported
Enter the amount that was originally reported for this period.
Line 6 Total Amount Due
Add lines 3, 4 and 5 to arrive at the Total Amount Due for this period.
Line 3 Difference
Subtract line 2 from line 1 and enter the difference in line 3. If line 3
You must explain reasons for adjustments:
is a positive number, this is the additional tax you owe. You may owe
penalties and interest on this amount. Mail Form M-941-AM, along
with payment to: Massachusetts Department of Revenue, PO Box
7004, Boston, MA 02204.

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