Instructions For Form 941-X - Adjusted Employer'S Quarterly Federal Tax Return Or Claim For Refund - 2010 Page 4

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How Should You Report Negative Amounts?
IF you are in . . . . . . .
THEN use this address . . .
Form 941-X uses negative numbers to show reductions in tax
Special filing addresses for
(credits) and positive numbers to show additional tax (amounts
exempt organizations; federal,
Department of the Treasury
you owe).
state, and local governmental
Internal Revenue Service
entities; and Indian tribal
When reporting a negative amount in columns 3 and 4, use
Ogden, UT 84201-0005
governmental entities; regardless
a minus sign instead of parentheses. For example, enter
of location
“-10.59” instead of “(10.59).” However, if you are completing the
return on your computer and your software only allows you to
Connecticut, Delaware, District of
use parentheses to report negative amounts, you may use
Columbia, Georgia, Illinois,
them.
Indiana, Kentucky, Maine,
Maryland, Massachusetts,
How Should You Make Entries on Form 941-X?
Department of the Treasury
Michigan, New Hampshire, New
Internal Revenue Service
You can help the IRS process Form 941-X timely and
Jersey, New York, North Carolina,
Cincinnati, OH 45999-0005
accurately if you follow these guidelines.
Ohio, Pennsylvania, Rhode
Island, South Carolina,
Type or print your entries.
Tennessee, Vermont, Virginia,
Use Courier font (if possible) for all typed or
West Virginia, Wisconsin
computer-generated entries.
Omit dollar signs. You may use commas and decimal points,
Alabama, Alaska, Arizona,
if desired. Enter dollar amounts to the left of any preprinted
Arkansas, California, Colorado,
decimal point and cents to the right of it.
Florida, Hawaii, Idaho, Iowa,
Always show an amount for cents. Do not round entries to
Kansas, Louisiana, Minnesota,
Department of the Treasury
whole dollars.
Mississippi, Missouri, Montana,
Internal Revenue Service
Complete all three pages and sign Form 941-X on page 3.
Nebraska, Nevada, New Mexico,
Ogden, UT 84201-0005
Staple multiple sheets in the upper-left corner.
North Dakota, Oklahoma, Oregon,
South Dakota, Texas, Utah,
What About Penalties and Interest?
Washington, Wyoming
Generally, your correction of an underreported amount will not
Internal Revenue Service
be subject to a failure-to-pay penalty, failure-to-deposit penalty,
No legal residence or principal
P.O. Box 409101
or interest if you:
place of business in any state
Ogden, UT 84409
File on time (by the due date of the quarter in which you
discover the error),
Pay the amount shown on line 20 when you file Form 941-X,
Enter the date you discovered the error, and
How Should You Complete Form 941-X?
Explain in detail the grounds and facts relied on to support
the correction.
Use One Form 941-X for Each Quarter You Are
No correction will be eligible for interest-free treatment if any
Correcting.
of the following apply.
The amounts underreported relate to an issue that was
Use a separate Form 941-X for each Form 941 that you are
raised in an examination of a prior period.
correcting. For example, if you found errors on your Forms 941
You knowingly underreported your employment tax liability.
for the third and fourth quarters of 2009, file one Form 941-X to
You received a notice and demand for payment.
correct the 2009 third quarter Form 941. File a second Form
You received a Notice of Determination of Worker
941-X to correct the 2009 fourth quarter Form 941.
Classification.
EIN, Name, and Address
Overview of the Process
Enter your EIN, name, and address in the spaces provided.
Also enter your name and EIN on the top of pages 2 and 3, and
The process for adjusting or filing a claim to correct a previously
on any attachments. If your address has changed since you
filed Form 941 is outlined below.
filed your Form 941, enter the corrected information and the
If you underreported the tax. If you underreported the tax
IRS will update your address of record.
on a previously filed Form 941, check the box on line 1 and pay
any additional amount you owe when you file Form 941-X. For
Return You Are Correcting. . .
details on how to make a payment, see the instructions for line
In the box at the top of page 1 of Form 941-X, check the type of
20 on page 9.
return (Form 941 or Form 941-SS) you are correcting. Check
Example — You underreported employment taxes: On
the appropriate box for the one quarter you are correcting.
June 20, 2010, you discover an error that results in additional
Enter the calendar year of the Form 941 you are correcting.
tax on your 2009 fourth quarter Form 941. File Form 941-X by
Enter the quarter and calendar year on pages 2 and 3, and on
July 31, 2010, and pay the amount you owe when you file. See
any attachments.
When Should You File Form 941-X? on page 2. Do not attach
Form 941-X to your 2010 second quarter Form 941.
Enter the Date You Discovered Errors
If you overreported the tax. If you overreported the tax on
You must enter the date you discovered errors. If you are
a previously filed Form 941, you may choose one of the
reporting several errors that you discovered at different times,
following options.
enter the earliest date you discovered them here. You discover
Use the adjustment process. Check the box on line 1 to apply
an error when you have enough information to be able to
any credit (negative amount) from line 20 to Form 941 for the
correct it. Report any subsequent dates and related errors on
quarter during which you file Form 941-X.
line 23.
Use the claim process. Check the box on line 2 to file a claim
on Form 941-X requesting a refund or abatement of the amount
Must You Make an Entry on Each Line?
shown on line 20.
You must provide all of the information requested at the top of
To ensure that the IRS has enough time to process a
page 1 of Form 941-X. You must check one box (but not both)
credit for an overreporting adjustment in the quarter
TIP
in Part 1. You must check the box on line 3 and any applicable
during which you file Form 941-X, you are encouraged
boxes on lines 4 and 5. In Part 3, if any line does not apply,
to file Form 941-X correcting the overreported amount in the
leave it blank. Complete Parts 4 and 5 as instructed.
first two months of a quarter. For example, if you discover an
-3-

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