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Instructions for Form 941-X

Userid: CPMS chema: instrxLeadpct: 100%Pt. size: 10 Draft Ok to PrintAH XSL/XMLF ileid: .. ns/I941X/201704/A/XML/Cycle06/source(Ini t. & Date) _____Page 1 of 16 16:03 - 24-Apr-2017 The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before for form 941-X (April 2017)Adjusted Employer's QUARTERLY Federal Tax Return or Claim for RefundDepartment of the TreasuryInternal Revenue ServiceSection references are to the Internal Revenue Code unless otherwise DevelopmentsFor the latest information about developments related to form 941-X and its Instructions , such as legislation enacted after they were published, go to 's NewEmployee consents to support a claim for refund. Rev. Proc. 2017-28, 2017 14 1061, available at , provides guidance to employers on the requirements for employee consents used by an employer to support a claim for refund of overcollected social security tax and Medicare tax. The revenue procedure clarifies the basic requirements for both a request for employee consent and for the employee consent, and permits a consent to be requested, furnished, and retained in an electronic format as an alternative to a paper format.

Page 2 of 16 Fileid: … ns/I941X/201704/A/XML/Cycle06/source 16:03 - 24-Apr-2017 The type and rule above prints on all proofs including departmental reproduction ...

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