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overreported your tax on your 2014 fourth quarter Form 941 and

You must check the box on line 2 if you have a credit and the

want to choose the adjustment process. To allow the IRS

period of limitations on credit or refund for Form 941 will expire

enough time to process the credit, you file Form 941-X on July 1,

within 90 days of the date you file Form 941-X. See Is There a

2015, and take the credit on your third quarter 2015 Form 941.

Deadline for Filing Form 941-X, earlier.

If you currently file Form 944 and you are making a

The IRS usually processes claims shortly after they are filed.

correction to a previously filed Form 941 that will be

The IRS will notify you if your claim is denied, accepted as filed,

TIP

claimed as a credit on Form 944, file Form 941-X before

or selected to be examined. See Pub. 556, Examination of

December in any year before the expiration of the period of

Returns, Appeal Rights, and Claims for Refund, for more

limitations for the previously filed Form 941. In the year that the

information.

period of limitations for the previously filed Form 941 expires, file

Unless the IRS corrects Form 941-X during processing or you

Form 941-X at least 90 days before the expiration date.

owe other taxes, penalties, or interest, the IRS will refund the

amount shown on line 20, plus any interest that applies.

Specific Instructions:

You may not file a refund claim to correct federal

income tax or Additional Medicare Tax actually withheld

Part 1: Select ONLY One Process

from employees.

CAUTION

Because Form 941-X may be used to file either an adjusted

Part 2: Complete the Certifications

employment tax return or a claim for refund or abatement, you

must check one box on either line 1 or line 2. Do not check both

You must complete all certifications that apply by checking the

boxes.

appropriate boxes. If all of your corrections relate to

underreported amounts, complete line 3 only; skip lines 4 and 5

1. Adjusted Employment Tax Return

and go to Part 3. If your corrections relate to overreported

Check the box on line 1 if you are correcting underreported

amounts, you have a duty to ensure that your employees' rights

amounts or overreported amounts and you would like to use the

to recover overpaid employee social security and Medicare

adjustment process to correct the errors.

taxes that you withheld are protected. The certifications on lines

4 and 5 address the requirement to:

If you are correcting both underreported amounts and

Repay or reimburse your employees for the overcollection of

overreported amounts on this form, you must check this box. If

employee social security and Medicare taxes, or

you check this box, any negative amount shown on line 20 will

Obtain consents from your employees to file a claim on their

be applied as a credit (tax deposit) to your Form 941 or Form

behalf. See Notice 2015-15 for guidance on consents.

944 for the period in which you are filing this form. See

Example—You want your overreported tax applied as a credit to

3. Filing Forms W-2 or Forms W-2c

Form 941, earlier.

Check the box on line 3 to certify that you filed or will file Forms

If you owe tax. Pay the amount shown on line 20 by the time

W-2 or Forms W-2c with the SSA, as required, showing your

you file Form 941-X. Generally, you will not be charged interest if

employees' correct wage and tax amounts. See the General

you file on time, pay on time, enter the date you discovered the

Instructions for Forms W-2 and W-3 for detailed information

error, and explain the correction on line 23.

about filing requirements. References to Form W-2 on Form

941-X and in these instructions also apply to Forms W-2AS,

If you have a credit. You overreported employment taxes (you

W-2CM, W-2GU, and W-2VI unless otherwise noted.

have a negative amount on line 20) and want the IRS to apply

the credit to Form 941 or Form 944 for the period during which

You must check the box on line 3 to certify that you filed

you filed Form 941-X. The IRS will apply your credit on the first

Forms W-2 or Forms W-2c even if your corrections on Form

day of the Form 941 or Form 944 period during which you filed

941-X do not change amounts shown on those forms. For

Form 941-X. However, the credit you show on Form 941-X,

example, if your only correction to Form 941 involves misstated

line 20, may not be fully available on your Form 941 or Form 944

tax adjustments (see the instructions for line 13, later), check the

if the IRS corrects it during processing or you owe other taxes,

box on line 3 to certify that you already filed all required Forms

penalties, or interest. The IRS will notify you if your claimed

W-2 and W-2c with the SSA.

credit changes or if the amount available as a credit on Form 941

or Form 944 was reduced because of unpaid taxes, penalties, or

4. Certifying Overreporting Adjustments

interest.

If you overreported federal income tax, social security tax,

Do not check the box on line 1 if you are either: (a)

Medicare tax, or Additional Medicare Tax and checked the box

correcting overreported amounts and the period of

on line 1, check the appropriate box on line 4. You may need to

limitations on credit or refund for Form 941 will expire

check more than one box. If you obtained written statements

CAUTION

within 90 days of the date you file Form 941-X, or (b) claiming a

from some employees but you could not locate employees or

credit for COBRA premium assistance payments and you

secure the statements of the remaining employees, check all

reduced your deposits in anticipation of the credit. Instead, in

applicable boxes. Provide a summary on line 23 of the amount of

either case, check the box on line 2 to file a Form 941-X under

the corrections both for the employees who provided written

the claim process. See Is There a Deadline for Filing Form

statements and for those who did not.

941-X, earlier. Also see the instructions for lines 19a and 19b,

4a. Check the box on line 4a if your overreported amount

later.

includes each affected employee share of overcollected taxes.

You are certifying that you repaid or reimbursed the employee

2. Claim

share of current and prior year taxes and you received written

Check the box on line 2 to use the claim process if you are

statements from the employees stating that they did not and will

correcting overreported amounts only and you are claiming a

not receive a refund or credit for the prior year taxes. You are

refund or abatement for the negative amount (credit) shown on

certifying that you adjusted federal income tax or Additional

line 20. Do not check this box if you are correcting any

Medicare Tax withheld from employees for the current calendar

underreported amounts on this form.

year only. Do not send these statements to the IRS. Keep them

-5-

Instructions for Form 941-X (Rev. 4-2015)

Instructions For Form 941-X - Adjusted Employer'S Quarterly Federal Tax Return Or Claim For Refund - 2017 Page 5

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