Form 720x - Amended Quarterly Federal Excise Tax Return Page 2
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Form 720X (Rev. 1-2009)
Page
6
Explanation of adjustments. See the instructions for line 6 for requirements. Attach additional sheets with your name and
EIN if more space is needed.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Sign
Here
Signature
Date
Title
Type or print name below signature.
Date
Preparer’s SSN or PTIN
Preparer’s
Paid
Check if
signature
self-employed
Preparer’s
Firm’s name (or
EIN
Use Only
yours if self-employed),
(
)
address, and ZIP code
Phone no.
General Instructions
When To File
Section references are to the Internal Revenue Code unless otherwise
Generally, adjustments that decrease your tax liability for a prior quarter
noted.
must be made within 3 years from the time the return was filed or 2 years
from the time the tax was paid, whichever is later.
Purpose of Form
Where To File
Use Form 720X to make adjustments to liability reported on Forms 720 you
have filed for previous quarters. Do not use Form 720X to make changes to
If you are filing Form 720X separately, send Form 720X to the Department
claims made on Schedule C (Form 720), except for the section 4051(d) tire
of the Treasury, Internal Revenue Service, Cincinnati, OH 45999-0009.
credit and section 6426 credits.
Otherwise, attach Form 720X to your next Form 720.
Caution. You must include in gross income (income tax return) any
Specific Instructions
overpayment from line 4 of Form 720X if you took a deduction on the
income tax return that included the amount of the taxes and that deduction
Line 1
reduced the income tax liability. See Pub. 510, Excise Taxes, for more
information.
Report each adjustment separately on line 1. You can use line 6 for your
explanation or you can attach additional sheets with your name and EIN as
needed.
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