Form 943-X - Adjusted Employer'S Annual Federal Tax Return For Agricultural Employees Or Claim For Refund

Download a blank fillable Form 943-X - Adjusted Employer'S Annual Federal Tax Return For Agricultural Employees Or Claim For Refund in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 943-X - Adjusted Employer'S Annual Federal Tax Return For Agricultural Employees Or Claim For Refund with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

943-X:
Adjusted Employer’s Annual Federal Tax Return for Agricultural
Form
Employees or Claim for Refund
(Rev. February 2012)
Department of the Treasury — Internal Revenue Service
OMB No. 1545-0035
Return You Are Correcting ...
Employer identification number
(EIN)
Enter the Calendar Year of the return
you are correcting:
Name (not your trade name)
(YYYY)
Trade Name (if any)
Address
Number
Street
Suite or room number
Enter the date you discovered errors:
City
State
ZIP code
(MM / DD / YYYY)
Use this form to correct errors you made on Form 943, Employer’s Annual Federal Tax
Return for Agricultural Employees. Use a separate Form 943-X for each year that needs
correction. Please type or print within the boxes. Do not attach this form to Form 943.
You MUST complete all three pages. Read the separate instructions before you complete this form.
Select ONLY one process.
Part 1:
1. Adjusted employment tax return. Check this box if you underreported amounts. Also check this box if you overreported amounts and
you would like to use the adjustment process to correct the errors. You must check this box if you are correcting both underreported
and overreported amounts on this form. The amount shown on line 18, if less than zero, may only be applied as a credit to your Form 943
for the tax period in which you are filing this form.
2. Claim. Check this box if you overreported amounts only and you would like to use the claim process to ask for a refund or abatement
of the amount shown on line 18. Do not check this box if you are correcting ANY underreported amounts on this form.
Part 2:
Complete the certifications.
3. I certify that I have filed or will file Forms W-2, Wage and Tax Statement, or Forms W-2c, Corrected Wage and Tax Statement,
as required.
Note. If you are correcting underreported amounts only, go to Part 3 (skip lines 4 and 5).
4. If you checked line 1 because you are adjusting overreported amounts, check all that apply. (You must check at least one box.)
I certify that:
a. I repaid or reimbursed each affected employee for the social security and Medicare tax overcollected in prior years. I have a
written statement from each employee stating that he or she has not claimed (or the claim was rejected) and will not claim a
refund or credit for the overcollection.
b. The adjustment of social security tax and Medicare tax is for the employer’s share only. I could not find the affected employees or
each employee did not give me a written statement that he or she has not claimed (or the claim was rejected) and will not claim a
refund or credit for the overcollection.
c. The adjustment is for federal income tax, social security tax, and Medicare tax that I did not withhold from employee wages.
5. If you checked line 2 because you are claiming a refund or abatement of overreported employment taxes, check all that apply.
(You must check at least one box.)
I certify that:
a. I repaid or reimbursed each affected employee for the social security and Medicare tax overcollected in prior years. I have a written
statement from each employee stating that he or she has not claimed (or the claim was rejected) and will not claim a refund or
credit for the overcollection.
b. I have a written consent from each affected employee stating that I may file this claim for the employee’s share of social
security and Medicare tax overcollected in prior years. I also have a written statement from each employee stating that he or she
has not claimed (or the claim was rejected) and will not claim a refund or credit for the overcollection.
c. The claim for social security tax and Medicare tax is for the employer’s share only. I could not find the affected employees; or each
employee did not give me a written consent to file a refund claim for the employee’s share of social security and Medicare tax; or
each employee did not give me a written statement that he or she has not claimed (or the claim was rejected) and will not claim a
refund or credit for the overcollection.
d. The claim is for federal income tax, social security tax, and Medicare tax that I did not withhold from employee wages.
Next
943-X
For Paperwork Reduction Act Notice, see separate instructions.
Form
(Rev. 2-2012)
Cat. No. 20332F

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 4