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Fillable Form 941-X (Rev. April 2012) - irs

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Form (Rev. January 2011) 941-X: Adjusted Employer's QUARTERLY Federal Tax Return or Claim for Refund Department of the Treasury -- Internal Revenue Service -- OMB No. 1545-0029 (EIN) Employer identification number Name (not your trade name) Trade name (if any) Address Number Street Return You Are Correcting ... Check the type of return you are correcting: 941 941-SS Check the ONE quarter you are correcting:...
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