Instructions For Form 943 - 2009 (Page 3 of 4) in pdf

period that included March 12, 2009. Do not include household

Line 12 — Total deposits. Enter the total amount deposited

employees, persons who received no pay during the pay

for the year, including any overpayment from 2008 applied to

period, pensioners, or members of the Armed Forces.

2009, as shown in your records.

Line 13a — COBRA premium assistance payments. Report

An entry of 250 or more on line 1 indicates that you must file

on this line 65% of the COBRA premiums for assistance eligible

Forms W-2 electronically. Call the SSA at 1-800-772-6270 or

individuals. Take the COBRA premium assistance credit on this

visit the SSA’s Employer W-2 Filing Instructions and Information

line only after the assistance eligible individual’s 35% share of

website at for more

the premium has been paid. For COBRA coverage provided

information on electronic filing requirements. SSA no longer

under a self-insured plan, COBRA premium assistance is

accepts magnetic media submissions of wage information.

treated as having been made for each assistance eligible

Line 2 — Total wages subject to social security tax. Enter

individual who pays 35% of the COBRA premium. Do not

the total cash wages subject to social security tax that you paid

include the assistance eligible individual’s 35% of the premium

to your employees for farmwork during the calendar year. Enter

in the amount entered on this line. For more information on the

the amount before deductions. Cash wages include checks,

COBRA premium subsidy, visit the IRS website at

money orders, etc. Do not include (a) the value of noncash

and enter the keyword COBRA.

items such as food or lodging, or (b) pay for services other than

Line 13b — Number of individuals provided COBRA

farmwork. See Purpose of form on page 1 for household

premium assistance on line 13a. Enter the total number of

employee information. See section 3 of Pub. 51 (Circular A) for

individuals provided COBRA premium assistance payments

information on taxable wages. Do not report an employee’s

reported on line 13a. Count each assistance eligible individual

social security wages over $106,800 for 2009. If you, as a

who paid a reduced COBRA premium during the year as one

qualifying employer, receive an approved Form 4029,

individual, whether or not the reduced premium was for

Application for Exemption From Social Security and Medicare

insurance that covered more than one assistance eligible

Taxes and Waiver of Benefits, from one or more of your

individual. For example, if the reduced COBRA premium was

employees, write “Form 4029” to the right of the entry space.

for coverage for a former employee, spouse, and two children,

Line 4 — Total wages subject to Medicare tax. Enter the

you would include one individual in the number entered on line

total cash wages subject to Medicare tax that you paid to your

13b for the premium assistance.

employees for farmwork during the calendar year. Enter the

Line 15 — Balance due. You do not have to pay if line 15 is

amount before deductions. Do not include (a) the value of

under $1. Generally, you should show a balance due on line 15

noncash items such as food or lodging, or (b) pay for services

only if your net tax liability for the year (line 11) is less than

other than farmwork. There is no limit on the amount of wages

$2,500. However, see section 7 of Pub. 51 (Circular A)

subject to Medicare tax. If you, as a qualifying employer,

regarding payments made under the accuracy of deposits rule.

receive an approved Form 4029 from one or more of your

employees, write “Form 4029” to the right of the entry space.

You may pay the amount shown on line 15 using EFTPS, a

credit card, or a check or money order. Do not use a credit card

Line 6 — Federal income tax withheld. Enter federal income

to pay taxes that were required to be deposited. For more

tax withheld on wages paid to your employees. Generally, you

information on paying your taxes with a credit card, see page 1,

must withhold federal income tax from employees from whom

Credit card payments.

you withhold social security and Medicare taxes. See sections 5

and 13 of Pub. 51 (Circular A) for more information on

If you pay by EFTPS or credit card, file your return using the

withholding rules.

Without a payment address on page 2 under Where to file and

do not file Form 943-V, Payment Voucher.

Line 8 — Adjustment to taxes. Use line 8 to:

•

Adjust for rounding of fractions of cents.

If you pay by check or money order, make it payable to the

•

Adjust for the uncollected employee share of social security

United States Treasury. Enter your EIN, Form 943, and the tax

and Medicare taxes on (a) third-party sick pay or (b) group-term

period on your check or money order. Complete Form 943-V

life insurance premiums paid for former employees. See

and enclose with Form 943.

section 9 in Pub. 51 (Circular A).

If you fail to make deposits as required and instead pay

Use a minus sign (if possible) to show a decrease to the

the taxes with Form 943, you may be subject to a

amounts reported on lines 3 or 5. Otherwise, use parentheses.

penalty.

CAUTION

Current year adjustment, fractions of cents. If there is a

Line 16 — Overpayment. If you deposited more than the

small difference between net taxes (line 11) and total deposits

correct amount for the year, you can have the overpayment

(line 12), it may be caused by rounding to the nearest cent each

refunded or applied to your next return by checking the

time you computed payroll. This rounding occurs when you

appropriate box on Line 16.

figure the amount of social security and Medicare tax to be

withheld from each employee’s wages. If the fractions of cents

If line 16 is under $1, we will send you a refund or apply

adjustment is the only entry on line 8, write “Fractions Only” on

TIP

it to your next return only on written request.

the dotted line to the left of the entry space for line 8.

Increases and decreases in tax liability. Because any

Line 17 — Monthly Summary of Federal Tax Liability.

amount shown on line 8 increases or decreases your tax

This is a summary of your yearly tax liability, not a summary of

liability, the adjustment must also be included on your Monthly

deposits made. If line 11 is less than $2,500, do not complete

Summary of Federal Tax Liability on Form 943 (line 17) or Form

line 17 or Form 943-A.

943-A, Agricultural Employer’s Record of Federal Tax Liability.

Complete line 17 only if you were a monthly schedule

For details on how to report adjustments on the Monthly

depositor for the entire year and line 11 is $2,500 or more. The

Summary of Federal Tax Liability, see the instructions for line

amount entered on line 17M must equal the amount reported on

17 below. For details on how to report adjustments on Form

line 11. See section 7 of Pub. 51 (Circular A) for details on the

943-A (for use by semiweekly depositors only), see the

deposit rules. You are a monthly schedule depositor for the

instructions for Form 943-A.

calendar year if the amount of your Form 943 taxes (line 9)

Line 9 — Total taxes after adjustments. Combine lines 7 and

reported for the lookback period is not more than $50,000. The

8; enter the result on line 9.

lookback period is the second calendar year preceding the

Line 10 — Advance earned income credit (EIC) payments

current calendar year. For example, the lookback period for

made to employees. Employees who are eligible can receive

2010 is 2008.

advance earned income credit (EIC) payments with their wages

If you were a semiweekly schedule depositor during any

by giving you Form W-5, Earned Income Credit Advance

part of the year, do not complete line 17. Instead,

Payment Certificate, annually. For more information, see

complete Form 943-A.

CAUTION

sections 6 and 14 of Pub. 51 (Circular A).

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Instructions For Form 943 - 2009 Page 3

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