This version of the form is not currently in use and is provided for reference only. Download this version of IRS Form 941-X for the current year.
IRS Form 941-X, Adjusted Employer's Quarterly Federal Tax Return or Claim for Refund is a form used to correct mistakes on previously filed IRS Forms 941 or 941-SS. This form can be used to make Form 941 corrections for under-reported or over-reported amounts.
IRS Form 941-X is used to correct the following: wages, tips, and other compensation; income tax withheld from wages, tips, and other compensation; taxable social security wages; taxable social security tips; taxable Medicare wages and tips; taxable wages and tips subject to additional Medicare tax withholding, qualified small businesspayroll tax credit for increasing research activities; and credits for COBRA premium assistance payments.
The most recent version of the document was issued by the Internal Revenue Service (IRS) on April 1, 2017 . A fillable version of the form is available for download below.
Over-reported taxes can be corrected within 2 years from the date when the over-reported taxes were paid or within 3 years from filing the form. Under-reported taxes should be corrected before the form due date for that quarter and the tax must be paid by the time the form is filed.
If the document is filed on time, under-reported taxes are paid by the time of filing, the grounds for corrections are explained in details and the date of error discovery is provided, the employer will not be subject to failure-to-pay penalties.
The mailing address for the form depends on the location of the person filing this form. The complete list of mailing addresses can be found in the IRS-issued instructions for IRS Form 941-X.
Part 1. The desired process.
Part 2. Certifications.
Part 3. Corrections for the quarter.
Part 4. Explanations for corrections.
Part 5. Signature field.
Print your name and title, enter your best daytime phone number and sign the form. If you are a paid preparer, fill the Paid Preparer Use Only part. Check the box, if you are self-employed, provide your name, your firm's name, address, Preparer Tax Identification Number (PTIN), EIN and phone number.
The following people have authority to sign IRS Form 941-X: the owner of the business, president, vice president, other authorized principal officer, a responsible and authorized member, partner, or an officer having knowledge of partnership affairs, the owner of a limited liability company (LLC) or an authorized principal officer and fiduciary of a trust.
To request a refund or abatement of arrested interest or penalties, the employer should use IRS Form 843, Claim for Refund and Request for Abatement. IRS Form 941-X cannot be used for these purposes.
If you discovered a mistake on your form, file another one, correcting the same form and mail it before the due date.