Form Ct-1 X - Adjusted Employer'S Annual Railroad Retirement Tax Return Or Claim For Refund Page 2
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1
2
3
4Name
Employer identification number (EIN)
Calendar Year (YYYY)
Part 3: Enter the corrections for this year. If any line does not apply, leave it blank.
Column 1
Column 2
Column 3
Column 4
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.)
Tier I Employer Tax–
6a.
=
=
× .062*
.
.
.
.
Compensation
—
(from line 1 of Form CT-1)*
*Use line 1a, not line 1, only for corrections to the 2010 Form CT-1.
*Complete lines
b.
Number of qualified employees paid
6b and 6c only for
=
exempt compensation including sick
corrections to the
.
.
.
—
pay April 1 - December 31, 2010
2010 Form CT-1.
(from line 1c of Form CT-1)*
c.
Exempt compensation (other than
=
=
× .062
.
.
.
.
—
tips and sick pay) paid to qualified
employees April 1 - December 31,
2010 (from line 1d of Form CT-1)*
7.
Tier I Employer Medicare Tax–
Compensation
=
=
× .0145
.
.
.
.
—
(from line 2 of Form CT-1)
8.
Tier II Employer Tax–
See
Compensation
=
.
.
.
.
instructions
—
(from line 3 of Form CT-1)
9.
Tier I Employee Tax–
=
=
Compensation
× .062*
.
.
.
.
—
(from line 4 of Form CT-1)*
*Multiply by .042 in line 9 instead of .062 only for corrections to the 2011 Form CT-1.
10.
Tier I Employee Medicare Tax–
Compensation
=
=
× .0145
.
.
.
.
—
(from line 5 of Form CT-1)
11.
Tier II Employee Tax–
See
Compensation
=
.
.
.
instructions
.
—
(from line 6 of Form CT-1)
12a.
Tier I Employer Tax–Sick Pay
=
=
× .062*
.
.
.
.
—
(from line 7 of Form CT-1)*
*Use line 7a, not line 7, only for corrections to the 2010 Form CT-1.
b.
Exempt sick pay paid to qualified
=
× .062*
=
employees April 1 - December 31,
.
.
.
.
—
2010 (from line 7c of Form CT-1)*
*Complete line 12b only for corrections to the 2010 Form CT-1.
Tier I Employer Medicare Tax–
13.
=
× .0145
=
Sick Pay
.
.
.
.
—
(from line 8 of Form CT-1)
14.
Tier I Employee Tax–Sick Pay
=
× .062*
=
.
.
.
.
—
(from line 9 of Form CT-1)*
*Multiply by .042 in line 14 instead of .062 only for corrections to the 2011 Form CT-1.
Tier I Employee Medicare Tax–
15.
Sick Pay
=
=
× .0145
.
.
.
.
—
(from line 10 of Form CT-1)
16.
Tax Adjustments
See
=
(from line 12 of Form CT-1)
.
.
.
.
instructions
—
17a.
Number of qualified employees
*Complete lines 17a
=
paid exempt compensation
and 17b only for
.
.
.
—
(including sick pay) March 19-31,
corrections to the
2010 (from line 15a of Form CT-1)*
2010 Form CT-1.
b.
Exempt compensation (other than
=
=
× .062
tips) paid to qualified employees
.
.
.
.
—
March 19-31, 2010 (from line 15b of
Form CT-1)*
18.
Total. Combine the amounts in lines 6a through 17b of Column 4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
If line 18 is less than 0:
• If you checked line 1, this is the amount you want applied as a credit to your Form CT-1 for the tax period in which you are
filing this form.
• If you checked line 2, this is the amount you want refunded or abated.
If line 18 is more than 0, this is the amount you owe. Pay this amount when you file this return. For information on how to pay,
see Amount you owe in the instructions for line 18.
Your correction may be subject to interest. For details, see Penalties and Interest in the separate Instructions for Form CT-1 X.
Next
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2
CT-1 X
Page
Form
(Rev. 1-2012)
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