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CT-1 X:              Adjusted Employer’s Annual Railroad Retirement Tax Return or Claim for Refund
Form
                                        Department of the Treasury — Internal Revenue Service
(January 2009)                                                                                                                              OMB No. 1545-0001

                                                                                                                      Return You Are Correcting ...
  (EIN)                                            —
  Employer identification number
                                                                                                                     Enter the calendar year of the return
                                                                                                                     you are correcting:
  RRB number
                                                                                                                                     (YYYY)
  Name (as shown on latest Form CT-1)


  Address
                 Number              Street                                            Suite or room number
                                                                                                                     Enter the date you discovered errors:

                                                                                                                            /   /
             City                                                         State        ZIP code
                                                                                                                      (MM / DD / YYYY)
Use this form to correct errors made on Form CT-1, Employer’s Annual Railroad Retirement
Tax Return, for one year only. Please type or print within the boxes. Do not attach this form
to Form CT-1.

You MUST complete all three pages. Read the instructions before you complete this form.
   Part 1: Select ONLY one process.

        1. Adjusted railroad retirement tax return. 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 17, if less than 0, may only be applied as a credit to
           your Form CT-1 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 17. Do not check this box if you are correcting ANY underreported amounts on this form.


   Part 2: Complete the certifications.

        3. I certify that I have filed or will file Forms W-2, Wage and Tax Statement, or Forms W-2c, Corrected Wage and Tax Statement,
           as required.
        Note. If you are correcting underreported amounts only, go to Part 3 on page 2 and skip lines 4 and 5. If you are correcting overreported
        amounts, for purposes of the certifications on lines 4 and 5, employee Railroad Retirement Tax Act (RRTA) taxes consist of Tier I Employee
        tax, Tier I Employee Medicare tax, and Tier II Employee tax. Employer RRTA taxes consist of Tier I Employer tax, Tier I Employer Medicare
        tax, and Tier II Employer tax.
        4. If you checked line 1 because you are adjusting overreported amounts, check all that apply. (Check at least one.)
        I certify that:

                 a. I repaid or reimbursed each affected employee for the Employee RRTA taxes overcollected in prior years. I have a written statement
                    from each employee stating that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the
                    overcollection.

                 b. The adjustment is only for Employer RRTA taxes. I could not find the affected employees or each employee did not give me a
                    written statement that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the
                    overcollection.
                 c. The adjustment is for RRTA taxes that I did not withhold from employee compensation.

        5. If you checked line 2 because you are claiming a refund or abatement of overreported RRTA taxes, check all that apply.
           (Check at least one.)
        I certify that:

                 a. I repaid or reimbursed each affected employee for the Employee RRTA taxes overcollected in prior years. I have a written statement
                    from each employee stating that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the
                    overcollection.

                 b. I have a written consent from each affected employee stating that I may file this claim for Employee RRTA taxes overcollected in
                    prior years. I also have a written statement from each employee stating that he or she has not claimed (or the claim was rejected)
                    and will not claim a refund or credit for the overcollection.

                 c. The claim is for Employer RRTA taxes only. I could not find the affected employees; or each employee did not give me a written
                    consent to file a claim for Employee RRTA taxes; or each employee did not give me a written statement that he or she has not
                    claimed (or the claim was rejected) and will not claim a refund or credit for the overcollection.

                 d. The claim is for RRTA taxes that I did not withhold from employee compensation.                                                  Next
                                                                                                                                                CT-1 X
For Privacy Act and Paperwork Reduction Act Notice, see the instructions.                                 Cat. No. 20338T                Form            (1-2009)
Calendar Year (YYYY)
Name                                                                          Employer identification number (EIN)




  Part 3: Enter the corrections for this year. If any line does not apply, leave it blank.
                                                                        Column 2                  Column 3                                 Column 4
                                                Column 1
                                             Total corrected        Amount originally          Difference                                Tax correction
                                             amount (for ALL        reported or as             (If this amount is a
                                                                                           =
                                             employees)             previously corrected       negative number,
                                                               —
                                                                    (for ALL employees)        use a minus sign.)




 6. Tier I Employer Tax–
                                                                                                                         .062        =              .
                                                               —                           =
                                                                                  .
                                                        .                                                   .
    Compensation
    (from line 1 of Form CT-1)

 7. Tier I Employer Medicare Tax–
                                                                                                                         .0145 =
                                                                                           =
                                                               —                                                                                    .
                                                        .                         .
    Compensation                                                                                            .
    (from line 2 of Form CT-1)

 8. Tier II Employer Tax–                                                                                             See
                                                                                           =                          instructions                  .
    Compensation                                                                  .
                                                        .                                                   .
                                                               —
    (from line 3 of Form CT-1)
 9. Tier I Employee Tax–                                                                   =                             .062        =
                                                        .                         .                                                                 .
                                                                                                            .
    Compensation                                               —
    (from line 4 of Form CT-1)
10. Tier I Employee Medicare Tax–
                                                                                                                         .0145 =
                                                               —
                                                        .                                  =                                                        .
                                                                                  .                         .
    Compensation
    (from line 5 of Form CT-1)

11. Tier II Employee Tax–                                                                                             See
                                                                                           =
                                                                                                                                                    .
                                                                                  .                                   instructions
                                                        .                                                   .
    Compensation                                               —
    (from line 6 of Form CT-1)

12. Tier I Employer Tax–Sick Pay                                                           =                             .062        =              .
                                                                                                            .
                                                                                  .
                                                        .
    (from line 7 of Form CT-1)                                 —


13. Tier I Employer Medicare Tax–                                                          =                             .0145 =
                                                                                  .                                                                 .
                                                                                                            .
    Sick Pay                                            .      —
    (from line 8 of Form CT-1)

14. Tier I Employee Tax–Sick Pay                                                           =                             .062        =              .
                                                        .                         .                         .
    (from line 9 of Form CT-1)                                 —


15. Tier I Employee Medicare Tax–                                                          =                             .0145 =
                                                                                                                                                    .
                                                        .                         .                         .
    Sick Pay                                                   —
    (from line 10 of Form CT-1)
16. Tax Adjustments                                                                                                   See
                                                                                           =
                                                                                                            .                                       .
                                                                                  .                                   instructions
                                                        .
    (from line 12 of Form CT-1)                                —




                                                                                                                                                    .
17. Total. Combine the amounts in lines 6 through 16 of Column 4
       If line 17 is less than 0:
       ● If you checked line 1, this is the amount you want applied as a credit to your Form CT-1 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 17 is more than 0, 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 17.
                                                                                                                                    Next




       2                                                                                                                                 CT-1 X
Page                                                                                                                            Form              (1-2009)
Calendar Year (YYYY)
Name                                                                                   Employer identification number (EIN)




  Part 4: Explain your corrections for this year.

       18.   Check here if any corrections you entered on a line include both underreported and overreported amounts.
             Explain both your underreported and overreported amounts on line 20.

       19.   Check here if any corrections involve reclassified workers. Explain on line 20.

       20.   You must give us a detailed explanation for how you determined your corrections. See the instructions.




  Part 5: Sign here. You must complete all three pages of this form and sign it.
 Under penalties of perjury, I declare that I have filed an original Form CT-1 and that I have examined this adjusted return or claim and any schedules or
 statements that are attached, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer)
 is based on all information of which preparer has any knowledge.

                                                                                                    Print your
                                                                                                    name here
               Sign your
               name here                                                                            Print your
                                                                                                    title here

                                                                                                     Best daytime phone (                   )        –
                                      /        /
                        Date

 Paid preparer’s use only                                                                Check if you are self-employed
                                                                                                               Preparer’s
 Preparer’s name                                                                                               SSN/PTIN

                                                                                                                                    /           /
 Preparer’s signature                                                                                          Date
 Firm’s name (or yours if
 self-employed)                                                                                                EIN

                                                                                                                              (         )             –
 Address                                                                                                       Phone

 City                                                                            State                         ZIP code

       3                                                                                                                                            CT-1 X
Page                                                                                                                                        Form             (1-2009)
Form CT-1 X: Which process should you use?
Type of errors
you are
correcting

Underreported    Use the adjustment process to correct underreported amounts.
amounts          ● Check the box on line 1.
ONLY
                 ● Pay the amount you owe from line 17 when you file Form CT-1 X.

Overreported                         If you are filing Form CT-1 X
                 The process you                                       Choose either process to correct the
amounts                              MORE THAN 90 days before
                 use depends on                                        overreported amounts.
ONLY                                 the period of limitations on
                 when you file
                                                                       Choose the adjustment process if you want the
                                     credit or refund for Form
                 Form CT-1 X.
                                                                       amount shown on line 17 credited to your Form
                                     CT-1 expires . . .
                                                                       CT-1 for the period in which you file Form CT-1 X.
                                                                       Check the box on line 1.
                                                                       OR
                                                                       Choose the claim process if you want the
                                                                       amount shown on line 17 refunded to you or
                                                                       abated. Check the box on line 2.

                                     If you are filing Form CT-1 X     You must use the claim process to correct the
                                     WITHIN 90 days of the             overreported amounts. Check the box on line 2.
                                     expiration of the period of
                                     limitations on credit or refund
                                     for Form CT-1 . . .

BOTH                                 If you are filing Form CT-1 X
                 The process you                                       Choose either the adjustment process or both
underreported                        MORE THAN 90 days before
                 use depends on                                        the adjustment process and the claim process
and                                  the period of limitations on
                 when you file                                         when you correct both underreported and
overreported                         credit or refund for Form CT-1
                 Form CT-1 X.                                          overreported amounts.
amounts                              expires . . .
                                                                       Choose the adjustment process if combining
                                                                       your underreported and overreported amounts
                                                                       results in a balance due or creates a credit that
                                                                       you want applied to Form CT-1.

                                                                       ● File one Form CT-1 X, and
                                                                       ● Check the box on line 1 and follow the
                                                                         instructions on line 17.
                                                                       OR
                                                                       Choose both the adjustment process and the
                                                                       claim process if you want the overreported
                                                                       amount refunded to you or abated.
                                                                       File two separate forms.
                                                                       1. For the adjustment process, file one Form
                                                                          CT-1 X to correct the underreported amounts.
                                                                          Check the box on line 1. Pay the amount you
                                                                          owe from line 17 when you file Form CT-1 X.

                                                                       2. For the claim process, file a second Form
                                                                          CT-1 X to correct the overreported amounts.
                                                                          Check the box on line 2.

                                     If you are filing Form CT-1 X     You must use both the adjustment process and
                                     WITHIN 90 days of the             claim process.
                                     expiration of the period of       File two separate forms:
                                     limitations on credit or
                                                                       1. For the adjustment process, file one Form
                                     refund for Form CT-1 . . .
                                                                          CT-1 X to correct the underreported amounts.
                                                                          Check the box on line 1. Pay the amount you
                                                                          owe from line 17 when you file Form CT-1 X.
                                                                       2. For the claim process, file a second Form
                                                                          CT-1 X to correct the overreported amounts.
                                                                          Check the box on line 2.

                                                                                                              CT-1 X
                                                                                                       Form            (1-2009)

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Form CT-1X Adjusted Employer's Annual Railroad Retirement Tax Return or Claim for Refund

  • 1. CT-1 X: Adjusted Employer’s Annual Railroad Retirement Tax Return or Claim for Refund Form Department of the Treasury — Internal Revenue Service (January 2009) OMB No. 1545-0001 Return You Are Correcting ... (EIN) — Employer identification number Enter the calendar year of the return you are correcting: RRB number (YYYY) Name (as shown on latest Form CT-1) Address Number Street Suite or room number Enter the date you discovered errors: / / City State ZIP code (MM / DD / YYYY) Use this form to correct errors made on Form CT-1, Employer’s Annual Railroad Retirement Tax Return, for one year only. Please type or print within the boxes. Do not attach this form to Form CT-1. You MUST complete all three pages. Read the instructions before you complete this form. Part 1: Select ONLY one process. 1. Adjusted railroad retirement tax return. 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 17, if less than 0, may only be applied as a credit to your Form CT-1 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 17. Do not check this box if you are correcting ANY underreported amounts on this form. Part 2: Complete the certifications. 3. I certify that I have filed or will file Forms W-2, Wage and Tax Statement, or Forms W-2c, Corrected Wage and Tax Statement, as required. Note. If you are correcting underreported amounts only, go to Part 3 on page 2 and skip lines 4 and 5. If you are correcting overreported amounts, for purposes of the certifications on lines 4 and 5, employee Railroad Retirement Tax Act (RRTA) taxes consist of Tier I Employee tax, Tier I Employee Medicare tax, and Tier II Employee tax. Employer RRTA taxes consist of Tier I Employer tax, Tier I Employer Medicare tax, and Tier II Employer tax. 4. If you checked line 1 because you are adjusting overreported amounts, check all that apply. (Check at least one.) I certify that: a. I repaid or reimbursed each affected employee for the Employee RRTA taxes overcollected in prior years. I have a written statement from each employee stating that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the overcollection. b. The adjustment is only for Employer RRTA taxes. I could not find the affected employees or each employee did not give me a written statement that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the overcollection. c. The adjustment is for RRTA taxes that I did not withhold from employee compensation. 5. If you checked line 2 because you are claiming a refund or abatement of overreported RRTA taxes, check all that apply. (Check at least one.) I certify that: a. I repaid or reimbursed each affected employee for the Employee RRTA taxes overcollected in prior years. I have a written statement from each employee stating that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the overcollection. b. I have a written consent from each affected employee stating that I may file this claim for Employee RRTA taxes overcollected in prior years. I also have a written statement from each employee stating that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the overcollection. c. The claim is for Employer RRTA taxes only. I could not find the affected employees; or each employee did not give me a written consent to file a claim for Employee RRTA taxes; or each employee did not give me a written statement that he or she has not claimed (or the claim was rejected) and will not claim a refund or credit for the overcollection. d. The claim is for RRTA taxes that I did not withhold from employee compensation. Next CT-1 X For Privacy Act and Paperwork Reduction Act Notice, see the instructions. Cat. No. 20338T Form (1-2009)
  • 2. Calendar Year (YYYY) Name Employer identification number (EIN) Part 3: Enter the corrections for this year. If any line does not apply, leave it blank. Column 2 Column 3 Column 4 Column 1 Total corrected Amount originally Difference Tax correction amount (for ALL reported or as (If this amount is a = employees) previously corrected negative number, — (for ALL employees) use a minus sign.) 6. Tier I Employer Tax– .062 = . — = . . . Compensation (from line 1 of Form CT-1) 7. Tier I Employer Medicare Tax– .0145 = = — . . . Compensation . (from line 2 of Form CT-1) 8. Tier II Employer Tax– See = instructions . Compensation . . . — (from line 3 of Form CT-1) 9. Tier I Employee Tax– = .062 = . . . . Compensation — (from line 4 of Form CT-1) 10. Tier I Employee Medicare Tax– .0145 = — . = . . . Compensation (from line 5 of Form CT-1) 11. Tier II Employee Tax– See = . . instructions . . Compensation — (from line 6 of Form CT-1) 12. Tier I Employer Tax–Sick Pay = .062 = . . . . (from line 7 of Form CT-1) — 13. Tier I Employer Medicare Tax– = .0145 = . . . Sick Pay . — (from line 8 of Form CT-1) 14. Tier I Employee Tax–Sick Pay = .062 = . . . . (from line 9 of Form CT-1) — 15. Tier I Employee Medicare Tax– = .0145 = . . . . Sick Pay — (from line 10 of Form CT-1) 16. Tax Adjustments See = . . . instructions . (from line 12 of Form CT-1) — . 17. Total. Combine the amounts in lines 6 through 16 of Column 4 If line 17 is less than 0: ● If you checked line 1, this is the amount you want applied as a credit to your Form CT-1 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 17 is more than 0, 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 17. Next 2 CT-1 X Page Form (1-2009)
  • 3. Calendar Year (YYYY) Name Employer identification number (EIN) Part 4: Explain your corrections for this year. 18. Check here if any corrections you entered on a line include both underreported and overreported amounts. Explain both your underreported and overreported amounts on line 20. 19. Check here if any corrections involve reclassified workers. Explain on line 20. 20. You must give us a detailed explanation for how you determined your corrections. See the instructions. Part 5: Sign here. You must complete all three pages of this form and sign it. Under penalties of perjury, I declare that I have filed an original Form CT-1 and that I have examined this adjusted return or claim and any schedules or statements that are attached, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Print your name here Sign your name here Print your title here Best daytime phone ( ) – / / Date Paid preparer’s use only Check if you are self-employed Preparer’s Preparer’s name SSN/PTIN / / Preparer’s signature Date Firm’s name (or yours if self-employed) EIN ( ) – Address Phone City State ZIP code 3 CT-1 X Page Form (1-2009)
  • 4. Form CT-1 X: Which process should you use? Type of errors you are correcting Underreported Use the adjustment process to correct underreported amounts. amounts ● Check the box on line 1. ONLY ● Pay the amount you owe from line 17 when you file Form CT-1 X. Overreported If you are filing Form CT-1 X The process you Choose either process to correct the amounts MORE THAN 90 days before use depends on overreported amounts. ONLY the period of limitations on when you file Choose the adjustment process if you want the credit or refund for Form Form CT-1 X. amount shown on line 17 credited to your Form CT-1 expires . . . CT-1 for the period in which you file Form CT-1 X. Check the box on line 1. OR Choose the claim process if you want the amount shown on line 17 refunded to you or abated. Check the box on line 2. If you are filing Form CT-1 X You must use the claim process to correct the WITHIN 90 days of the overreported amounts. Check the box on line 2. expiration of the period of limitations on credit or refund for Form CT-1 . . . BOTH If you are filing Form CT-1 X The process you Choose either the adjustment process or both underreported MORE THAN 90 days before use depends on the adjustment process and the claim process and the period of limitations on when you file when you correct both underreported and overreported credit or refund for Form CT-1 Form CT-1 X. overreported amounts. amounts expires . . . Choose the adjustment process if combining your underreported and overreported amounts results in a balance due or creates a credit that you want applied to Form CT-1. ● File one Form CT-1 X, and ● Check the box on line 1 and follow the instructions on line 17. OR Choose both the adjustment process and the claim process if you want the overreported amount refunded to you or abated. File two separate forms. 1. For the adjustment process, file one Form CT-1 X to correct the underreported amounts. Check the box on line 1. Pay the amount you owe from line 17 when you file Form CT-1 X. 2. For the claim process, file a second Form CT-1 X to correct the overreported amounts. Check the box on line 2. If you are filing Form CT-1 X You must use both the adjustment process and WITHIN 90 days of the claim process. expiration of the period of File two separate forms: limitations on credit or 1. For the adjustment process, file one Form refund for Form CT-1 . . . CT-1 X to correct the underreported amounts. Check the box on line 1. Pay the amount you owe from line 17 when you file Form CT-1 X. 2. For the claim process, file a second Form CT-1 X to correct the overreported amounts. Check the box on line 2. CT-1 X Form (1-2009)