Form Ar941x - State Of Arkansas Amended Withholding Report - 2008
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1
2State of Arkansas
AR941X
Amended Withholding Report
(R 6/25/08)
Wages
Pension
Pass Through
I declare under penalties of perjury that I have examined this return and to the best of my knowledge and belief, it is a true, correct and complete return.
Signature
________________________________________________________
Date __________________________
Phone __________________________
FOR OFFICE USE ONLY
Federal Employer Identification Number
Period Covered
Due Date
A
B
REF ID
Name of
$
1. Amended Tax Withheld
Corporation
Attn
$
2. Original Reported Amount
Address
$
3. Amended Tax Due or (Refund)
City, State, Zip
(Subtract Line 1 from Line 2)
EXPLANATION OF CHANGES TO WITHHOLDING AMOUNT:
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Parent category: Financial