Form Ct-941x - Amended Connecticut Reconciliation Of Withholding - 2003 Page 2

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Explanation to Changes to the Connecticut Reconciliation
Enter the line number from Page 1 for each item you are changing and give the reason for each change. Attach all supporting forms
and schedules for items changed. Be sure to include the business name and tax registration numbers on any attachments.
Form CT-941X Instructions
Amended Connecticut Reconciliation of Withholding
Important:
Information Section
This form must be filed before the end of the current
calendar year to correct Connecticut income tax withholding errors
Enter the name of the employer, address, Connecticut Tax
made during the same calendar year. This form may not be filed
Registration Number, and Federal Employer Identification
after the end of the calendar year to correct Connecticut income tax
Number in the spaces provided. Check the appropriate box to
withholding errors made during that calendar year unless to correct
indicate the type of quarterly return you are amending. Also,
an administrative error.
check the appropriate box and enter the calendar year to identify
Purpose
the quarterly return being amended.
Use Form CT-941X to correct Form CT-941, Connecticut
Specific Instructions
Q u a r t e r l y R e c o n c i l i a t i o n o f W i t h h o l d i n g , Form CT-945,
Connecticut Annual Reconciliation of Withholding for Nonpayroll
In the first column, enter the amount reported on the original
Amounts, or Form CT-941 (DRS/P), Connecticut Quarterly
Form CT-941, Form CT-945, or Form CT-941(DRS/P).
Reconciliation of Withholding for Household Employers, as it
In the second column, enter the net increase or net decrease for
was originally filed. Form CT-941X can only be used to correct
each line which has been changed. (Any decrease should be in
a single period. If additional periods require correction, or if you
parentheses.)
are amending for more than one type of return, a separate Form
In the third column, enter the amount that should have been
CT-941X must be completed for each period and for each type
reported on the original Form CT-941, Form CT-945, or Form
of return that you are amending.
CT-941(DRS/P).
To c l a i m a r e f u n d f o r t h e o v e r pa y m e n t o f C o n n e c t i c u t
Line 10: If the amount on Line 10 is a net tax due, you must
withholding tax, Form CT-941X must be filed within three years
complete Line 11 and Line 12. If Line 10 is a credit,
from the due date of the original return. If you filed federal
enter the same amount on Line 12 and complete
Form 941c, you must file Form CT-941X no later than 90 days
the overpayment section.
after the date of filing the amended federal return. If the tax
reported on your federal Form 941 or federal Form 945 is
Line 11: The unpaid amount is subject to interest of 1% (.01)
changed or corrected by the Internal Revenue Service or other
per month, or fraction of a month, from the due date.
competent authority, you must file Form CT-941X to report the
Line 12: Add Line 10 and Line 11. Enter total.
change or correction no later than 90 days after the final
determination of such change or correction.
Attachments
Note: Form CT-941X is not to be used to correct any mistakes
A copy of your federal Form 941c, quarterly reconciliations of
made on Form CT-W3, Connecticut Annual Reconciliation of
withholding from other states (original and corrected copies),
Withholding, or Form CT-1096, Connecticut Annual Summary
and all federal Forms W-2c must be attached to support your
and Transmittal of Information Returns. To correct any errors
changes.
made on Form CT-W3 or Form CT-1096, you must submit a
r e v i s e d F o r m C T - W 3 or Form CT-1096 c l e a r l y l a b e l e d
Signature
“AMENDED.” The total amounts reported for Connecticut tax
This form must be signed by the employer. Anyone paid to prepare
withheld on Line 3 of Form(s) CT-941, Form CT-945, or if
the tax return must sign the return. The preparer’s Federal
applicable, Form(s) CT-941X, for the calendar year must agree
Employer Identification Number, firm name, and firm address
with the total amount reported on Form CT-W3, Line 1, or Form
must also be entered in the space provided.
CT-1096, Line 1, or both. The total amounts reported for gross
C o n n e c t i c u t w a g e s or n o n p a y r o l l a m o u n t s o n F o r m ( s )
CT-941, Form CT-945, Line 2, or if applicable, Form(s)
CT-941X, Line 2, for the calendar year must agree with total
Connecticut wages reported on Form CT-W3, Line 2, or total
nonpayroll amounts reported on Form CT-1096, Line 2, or
both.
CT-941X Back (Rev. 12/03)

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