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Get 1545-0256 (Rev

Form 941, 941-M, 941-SS, 943, 945, or 843. Name Employer identification number Telephone number (optional) A This form supports adjustments to: B This form is filed with the return for the period ending (month, year) Part I C Check one box. Form 941-SS Form 943 Form 941 Form 941-M Form 945 Enter the date you discovered the error(s) reported on this form. (If you are making more than one correction and the errors were not discovered at the same time, please explain in Part V.).

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