Form 941a-Me Loose - Amended Return Of Maine Income Tax Withholding

FORM 941A-ME Loose

MAINE REVENUE SERVICES

2008

AMENDED RETURN

OF MAINE INCOME TAX WITHHOLDING

*0806320*

Period Covered:

Withholding Account Number:

Review instructions on back before completing lines 1 through 5.

Name and Address:

Withholding originally

reported for the quarter ..............

Correct withholding

Name

for the quarter .............................

Amount of Adjustment (+ or -)

(see instructions) ........................

Street Address

Underpayment to be paid

(line 3 amount is negative) .........

Overpayment to be refunded

City

State

ZIP Code

(line 3 amount is positive) ...........

INDIVIDUAL EMPLOYEE/PAYEE/MEMBER WITHHOLDING CORRECTIONS

Originally Reported

Correct

Employee/Payee/Member

Adjustment

Social Security Number

Name of

Originally Reported

Correct

(Column D Minus

or EIN

Employee/Payee/Member

Withholding

ColumnE)

TOTALS

If this Form 941A-ME is received after the end of the tax year to which it applies, the section below must be completed. Please check each box that applies

and attach a detailed explanation of the adjustments and all supporting documentation to this return.

I certify that the overpayment on line 5 is not attributable to income taxes withheld from employees, payees or members.

I certify Forms W-2C or corrected 1099 statements have been issued to employee(s), payee(s) or members(s) as listed on this Form 941A-ME. I

am enclosing the corrected statements to verify my refund request.

I am enclosing an amended Form W-3ME (Reconciliation of Maine Income Tax Withheld) to reﬂ ect changes made on Form 941A-ME.

Note: Pursuant to 36 M.R.S.A. § 5276, if there is an overpayment of tax required to be deducted and withheld under § 5250, a refund shall be made to the employer

only to the extent that the overpayment was not deducted and withheld by the employer.

Under penalties of perjury, I certify that the information contained on this return and attachment(s) is true and correct, and that portion of overpayment

identiﬁ ed on line 5 attributable to over collected withholding tax for the current calendar year has been repaid to employees and written statements have

been obtained from each employee stating that the employee has not claimed and will not claim a refund or credit of the amount of the over collection.

Date: _____________ Signature: _____________________________________ Title: _________________________________________ Telephone: __________________

Contact Person Email: ______________________________________________ Paid Preparer EIN:

Maine Payroll Processor License Number:

6. Explanation of adjustments: _________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

_________________________________________________________________ (check if continued on back of form ____ )

Ofﬁ ce

Make check payable to:

Mail return and check to:

use only

Treasurer, State of Maine

Maine Revenue Services, P.O. Box 1061, Augusta, ME 04332-1061

Form 941a-Me Loose - Amended Return Of Maine Income Tax Withholding - 2008

Related Articles

Related forms

Related Categories