Form Ct-1 X - Adjusted Employer'S Annual Railroad Retirement Tax Return Or Claim For Refund Page 2

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Name
Employer identification number (EIN)
Correcting Calendar Year (YYYY)
Part 3:
Enter the corrections for the calendar year you are correcting. If any line does not apply, leave it blank.
Column 2
Column 3
Column 4
Column 1
Total corrected
Amount originally
Difference
Tax correction
amount (for ALL
reported or as
(If this amount is a
=
—
employees)
previously corrected
negative number,
(for ALL employees)
use a minus sign.)
6.
Tier 1 Employer Tax–
Compensation
=
× .062
=
(Form CT-1, line 1)
.
.
.
.
—
7.
Tier 1 Employer Medicare Tax–
Compensation
=
=
× .0145
(Form CT-1, line 2)
.
.
.
.
—
8.
Tier 2 Employer Tax–
Compensation
See
=
(Form CT-1, line 3)
.
.
.
instructions
.
—
9.
Tier 1 Employee Tax–
Compensation
=
=
× .062*
(Form CT-1, line 4)
.
.
.
.
—
*If you are correcting a 2011 or 2012 return, use .042.
10.
Tier 1 Employee Medicare Tax–
Compensation
=
=
× .0145
(Form CT-1, line 5)
.
.
.
.
—
Tier 1 Employee Additional
11.
Medicare Tax–Compensation
(other than sick pay) (Form CT-1,
line 6; only for years beginning
=
× .009*
=
.
.
.
.
—
after December 31, 2012)
*Certain compensation reported in Column 3 should not be multiplied by .009. See instructions.
Tier 2 Employee Tax–
12.
Compensation (Form CT-1, line 7
(line 6 for years ending before
See
=
January 1, 2013))
.
.
.
.
instructions
—
13.
Tier 1 Employer Tax–Sick Pay
(Form CT-1, line 8 (line 7 for years
=
× .062
=
ending before January 1, 2013))
.
.
.
.
—
14.
Tier 1 Employer Medicare Tax–
Sick Pay (Form CT-1, line 9 (line 8
for years ending before January 1,
=
=
× .0145
2013))
.
.
.
.
—
15.
Tier 1 Employee Tax–Sick Pay
(Form CT-1, line 10 (line 9 for years
=
=
× .062*
ending before January 1, 2013))
.
.
.
.
—
*If you are correcting a 2011 or 2012 return, use .042.
16.
Tier 1 Employee Medicare Tax–
Sick Pay (Form CT-1, line 11 (line
10 for years ending before January
=
=
× .0145
1, 2013))
.
.
.
.
—
17.
Tier 1 Employee Additional
Medicare Tax–Sick Pay (Form
CT-1, line 12; only for years
=
=
× .009*
beginning after December 31, 2012)
.
.
.
.
—
*Certain compensation reported in Column 3 should not be multiplied by .009. See instructions.
Tax Adjustments (Form CT-1, line
18.
14 (line 12 for years ending before
See
=
January 1, 2013))
.
.
.
.
instructions
—
19.
Total. Combine the amounts on lines 6 through 18 of Column 4. Continued on next page .
.
.
.
.
.
.
.
.
Next
▶
■
2
CT-1 X
Page
Form
(Rev. 2-2015)

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