Form 941a-Me Loose - Amended Return Of Maine Income Tax Withholding - 2008

ADVERTISEMENT

FORM 941A-ME Loose
MAINE REVENUE SERVICES
2008
AMENDED RETURN
00
OF MAINE INCOME TAX WITHHOLDING
*0806320*
0
8
0
8
Period Covered:
/
/
/
/
to
MM
DD
YY
MM
DD
YY
-
Withholding Account Number:
Review instructions on back before completing lines 1 through 5.
Name and Address:
1.
Withholding originally
,
,
.
reported for the quarter ..............
$
2.
Correct withholding
Name
,
,
.
for the quarter .............................
$
3.
Amount of Adjustment (+ or -)
,
,
.
(see instructions) ........................
$
Street Address
4.
Underpayment to be paid
,
,
.
(line 3 amount is negative) .........
$
5.
Overpayment to be refunded
City
State
ZIP Code
,
,
.
(line 3 amount is positive) ...........
$
INDIVIDUAL EMPLOYEE/PAYEE/MEMBER WITHHOLDING CORRECTIONS
A
B
C
D
E
F
Originally Reported
Correct
Employee/Payee/Member
Employee/Payee/Member
Adjustment
Social Security Number
Social Security Number
Name of
Originally Reported
Correct
(Column D Minus
or EIN
or EIN
Employee/Payee/Member
Withholding
Withholding
ColumnE)
TOTALS
If this Form 941A-ME is received after the end of the tax year to which it applies, the section below must be completed. Please check each box that applies
and attach a detailed explanation of the adjustments and all supporting documentation to this return.
I certify that the overpayment on line 5 is not attributable to income taxes withheld from employees, payees or members.
I certify Forms W-2C or corrected 1099 statements have been issued to employee(s), payee(s) or members(s) as listed on this Form 941A-ME. I
am enclosing the corrected statements to verify my refund request.
I am enclosing an amended Form W-3ME (Reconciliation of Maine Income Tax Withheld) to refl ect changes made on Form 941A-ME.
Note: Pursuant to 36 M.R.S.A. § 5276, if there is an overpayment of tax required to be deducted and withheld under § 5250, a refund shall be made to the employer
only to the extent that the overpayment was not deducted and withheld by the employer.
Under penalties of perjury, I certify that the information contained on this return and attachment(s) is true and correct, and that portion of overpayment
identifi ed on line 5 attributable to over collected withholding tax for the current calendar year has been repaid to employees and written statements have
been obtained from each employee stating that the employee has not claimed and will not claim a refund or credit of the amount of the over collection.
Date: _____________ Signature: _____________________________________ Title: _________________________________________ Telephone: __________________
-
Contact Person Email: ______________________________________________ Paid Preparer EIN:
Maine Payroll Processor License Number:
6. Explanation of adjustments: _________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________
_________________________________________________________________ (check if continued on back of form ____ )
Offi ce
PD
Make check payable to:
Mail return and check to:
use only
Treasurer, State of Maine
Maine Revenue Services, P.O. Box 1061, Augusta, ME 04332-1061

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go