Form 720x - Amended Quarterly Federal Excise Tax Return
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4720X
Amended Quarterly Federal Excise Tax Return
Form
(Rev. March 2013)
OMB No. 1545-1759
Information about Form 720X and its instructions is at
▶
Department of the Treasury
Use to correct a previously filed Form 720.
Internal Revenue Service
▶
Name (as shown on Form 720)
Employer identification number (EIN)
Type
Telephone number (optional)
Number, street, and room or suite no.
or
Print
City or town, state, and ZIP code
1
Adjustments to Liability Reported on Previously Filed Forms 720
(d)
(f)
(a)
(b)
(c)
Tax as originally reported
(e)
Change
Quarter
(subtract col. (d)
IRS No.
Tax
on Form 720 or as
Adjusted tax
ending
previously adjusted
from col. (e))
2
Adjustments to Schedule C (Form 720) (see instructions for allowable adjustments)
(d)
(f)
(a)
(b)
(c)
Credit as originally
(e)
Change
Quarter
(subtract col. (e)
CRN
Credit
reported on Form 720 or
Adjusted credit
ending
as previously adjusted
from col. (d))
3
Statement in Support of Adjustment. For tax decreases only, indicate below the statement that applies to the adjustment.
a For IRS Nos. 22, 26, 28, or 27, only collectors using the regular method for deposits check the box below.
The claimant has repaid the amount of the tax to the person from whom it was collected or
has obtained the consent of that person to the allowance of the adjustment.
b For all other IRS Nos. except for 18, 21, 98, 19, 29, 31, 30, 133, 64, 125, 51, 117, and 20, or if
the tax was based on use for 71, 79, 112, 118, 120–124, 61, and 101, check the box below.
The claimant has not included the tax in the price of the article and has not collected the tax
from the purchaser, has repaid the tax to the ultimate purchaser, or has attached the written
consent of the ultimate purchaser to the allowance of the adjustment.
Caution. IRS No. 71 can only be adjusted for periods ending before January 1, 2008.
IRS Nos. 61 and 101 can only be adjusted for periods ending before October 1, 2006.
4
Total adjustments. Combine all amounts in column (f) for lines 1 and 2 and enter the amount
4
here
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If the result is a balance due, pay the amount with this return. Enclose a check or money order with Form 720X and make it
payable to “United States Treasury.” Write on the check or money order: “Form 720X,” your name, address, EIN, and the date
Form 720X was signed. Complete line 6 on page 2.
If the result is an overpayment, complete lines 5 and 6.
5
Check if you want the overpayment:
a
Refunded to you.
b
Applied to your next Form 720. Enter quarter ending date.
▶
See Form 720 for how to apply your overpayment.
720X
For Paperwork Reduction Act Notice, see the Instructions for Form 720.
Form
(Rev. 3-2013)
Cat. No. 32661B
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