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Get and Sign Form 941 X 2009
June
City
State
ZIP code
3: July, August, September
Use this form to correct errors you made on Form 941 or 941-SS for one quarter only.
Type or print within the boxes. You MUST complete all three pages. Read the
instructions before completing this form. Do not attach this form to Form 941 or 941-SS.
4: October, November, December
Enter the calendar year of the quarter
you are correcting:
Part 1: Select ONLY one process.
1. Adjusted employment tax return. Check this box if you...
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