Form Ct-1 And Ct-1(V) - Employer'S Annual Railroad Retirement Tax Return - 2012

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CT-1

OMB No. 1545-0001

Employer’s Annual Railroad Retirement Tax Return

Form

2012

Department of the Treasury

Information about Form CT-1 and its separate instructions is at

▶

Internal Revenue Service

Name

Employer identification number (EIN)

Type

If final return,

Address (number and street)

RRB number

check here.

▶

City, state, and ZIP code

Calendar year

Part I

Railroad Retirement Taxes. On lines 1 through 10 below, enter the amount of compensation paid in 2012

for each tax. Then, multiply it by the rate shown and enter the tax.

Compensation

Rate

Tax

Tier I Employer Tax—Compensation (other than tips and sick pay) $

× 6.2%

= 1

Tier I Employer Medicare Tax—Compensation (other than tips

and sick pay)

× 1.45% = 2

Tier II Employer Tax—Compensation (other than tips)

× 12.1% = 3

Tier I Employee Tax—Compensation (other than sick pay) .

× 4.2%

= 4

Tier I Employee Medicare Tax—Compensation (other than sick

pay) (for tips, see instructions) .

× 1.45% = 5

Tier II Employee Tax—Compensation (for tips, see instructions)

× 3.9%

= 6

× 6.2%

= 7

Tier I Employer Tax—Sick pay .

Tier I Employer Medicare Tax—Sick pay

× 1.45% = 8

Tier I Employee Tax—Sick pay .

× 4.2%

= 9

× 1.45% = 10

Tier I Employee Medicare Tax—Sick pay

Total tax based on compensation (add lines 1 through 10) .

Adjustments to employer and employee railroad retirement taxes based on compensation. See the

instructions for line 12 and attach required statements.

Fractions of Cents $

Other $

= 12

Total railroad retirement taxes based on compensation (line 11 as adjusted by line 12) .

▶

Total railroad retirement tax deposits for the year, including overpayment applied from a prior year

and overpayment applied from Form CT-1 X

Balance due. If line 13 is more than line 14, enter the difference and see the instructions

Overpayment. If line 14 is more than line 13, enter the difference

▶

Check one:

Apply to next return.

Send a refund.

• All filers: If line 13 is less than $2,500, do not complete Part II or Form 945-A.

• Semiweekly schedule depositors: Complete Form 945-A and see the Part II instructions on page 2.

• Monthly schedule depositors: Complete Part II on page 2.

Yes. Complete the following.

No.

Third-

Do you want to allow another person to discuss this return with the IRS (see the instructions)?

Party

Personal identification

Designee’s

Phone

Designee

name

no.

number (PIN)

▶

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge

Sign

and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Here

Print Your

Signature

Name and Title

Date

▶

Print/Type preparer’s name

Preparer’s signature

Date

PTIN

Paid

Check