Form 945-X - Adjusted Annual Return Of Withheld Federal Income Tax Or Claim For Refund
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2945-X:
Adjusted Annual Return of Withheld Federal Income Tax or Claim for Refund
Form
Department of the Treasury — Internal Revenue Service
(Rev. February 2012)
OMB No. 1545-1430
Return You Are Correcting ...
Employer identification number
—
(EIN)
Enter the calendar year of the return
you are correcting:
Name (not your trade name)
(YYYY)
Trade name (if any)
Address
Enter the date you discovered errors:
Number
Street
Suite or room number
City
State
ZIP code
(MM / DD / YYYY)
Use this form to correct administrative errors made on Form 945, Annual Return of Withheld Federal Income Tax. Use a separate
Form 945-X for each year that needs correction. Please type or print within the boxes. Do not attach this form to Form 945.
You MUST complete both pages. Read the separate instructions before you complete this form.
Part 1:
Select ONLY one process.
1. Adjusted return of withheld federal income tax. Check this box if you underreported amounts. Also check this box if you overreported
amounts and you would like to use the adjustment process to correct the errors. You must check this box if you are correcting both
underreported and overreported amounts on this form. The amount shown on line 5, if less than zero, may only be applied as a credit to
your Form 945 for the tax period in which you are filing this form.
2. Claim. Check this box if you overreported amounts only and you would like to use the claim process to ask for a refund or abatement of
the amount shown on line 5. Do not check this box if you are correcting ANY underreported amounts on this form.
Part 2:
Enter the corrections for the calendar year you are correcting. If any line does not apply, leave it blank.
Column 1
Column 2
Column 3
Amount originally
Difference
Total corrected
reported or as
(If this amount is a
=
—
amount
previously corrected
negative number,
(for ALL payees)
(for ALL payees)
use a minus sign.)
3. Federal income tax withheld
=
—
(from line 1 of Form 945) .
.
.
.
4. Backup withholding
=
—
(from line 2 of Form 945) .
.
.
.
.
5. Total. Combine the amounts in lines 3 and 4 of Column 3 .
.
.
.
.
.
.
.
If line 5 is less than zero:
• If you checked line 1, this is the amount you want applied as a credit to your Form 945 for the tax period in which you are
filing this form.
• If you checked line 2, this is the amount you want refunded or abated.
If line 5 is more than zero, this is the amount you owe. Pay this amount when you file this return. For information on how to
pay, see Amount You Owe in the instructions for line 5.
Next
▶
■
945-X
For Paperwork Reduction Act Notice, see the separate instructions.
Form
(Rev. 2-2012)
Cat. No. 20336X
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