Form 945-A - Annual Record Of Federal Tax Liability
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3945-A
Form
Annual Record of Federal Tax Liability
OMB No. 1545-1430
(Rev. August 2003)
File with Form 945 or CT-1.
Department of the Treasury
Internal Revenue Service
Name (as shown on Form 945 or CT-1)
Employer identification number
January tax liability
February tax liability
March tax liability
1
17
1
17
1
17
18
18
18
2
2
2
19
19
19
3
3
3
4
20
4
20
4
20
21
21
21
5
5
5
22
22
22
6
6
6
23
23
23
7
7
7
24
24
24
8
8
8
25
25
25
9
9
9
26
26
26
10
10
10
11
27
11
27
11
27
28
28
28
12
12
12
29
29
29
13
13
13
14
30
14
14
30
31
31
15
15
15
16
16
16
A Total for month
B Total for month
C Total for month
April tax liability
May tax liability
June tax liability
1
17
1
17
1
17
2
18
2
18
2
18
3
19
3
19
3
19
4
20
4
20
4
20
5
21
5
21
5
21
6
22
6
22
6
22
7
23
7
23
7
23
8
24
8
24
8
24
9
25
9
25
9
25
10
26
10
26
10
26
11
27
11
27
11
27
12
28
12
28
12
28
13
29
13
29
13
29
14
30
14
30
14
30
15
15
31
15
16
16
16
D Total for month
E Total for month
F Total for month
945-A
Cat. No. 14733M
Form
(Rev. 8-2003)
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