Prior Period Adjustment Example. Summary: This is a portion of Form 941 (Revision 1-2005) to illustrate the adjustment of tax liability reported by the employer
with items
included as described in the text. Additionally, these line items are completed:
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“Check one: Monthly schedule depositors: Complete line 17, columns (a) through (d), and check here” checkbox checked
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“17(c) Third month liability” field contains 4500.00
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“17(d) Total liability for quarter” field contains 8500.00
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