Form 945-A - Annual Record Of Federal Tax Liability - 2017
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4945-A
Annual Record of Federal Tax Liability
OMB No. 1545-1430
Form
(Rev. October 2017)
Go to for the latest information.
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Department of the Treasury
File with Form 945, 945-X, CT-1, CT-1 X, 944, or 944-X.
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Calendar Year
Internal Revenue Service
Employer identification number (EIN)
Name (as shown on Form 945, 945-X, CT-1, CT-1 X, 944, or 944-X)
You must complete this form if you're a semiweekly schedule depositor or became one because your accumulated tax liability during any month was
$100,000 or more. Show tax liability here, not deposits. (The IRS gets deposit data from electronic funds transfers.) Don't change your current year tax
liability by adjustments reported on any Form 945-X, CT-1 X, or 944-X.
January Tax Liability
February Tax Liability
March Tax Liability
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A
Total for month
B Total for month
C Total for month
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April Tax Liability
May Tax Liability
June Tax Liability
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17
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D
Total for month
E Total for month
F Total for month
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945-A
For Paperwork Reduction Act Notice, see page 4.
Form
(Rev. 10-2017)
Cat. No. 14733M
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