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Utah State Tax Commission
Discrepancy Report
For Annual Withholding Reconciliation
Check box if Amended Report
When To Use This Form
If your business changed entity types or merged with another company during the tax year and lines 4 and 6 of your Utah Annual Withholding Reconciliation, form TC-941R, do not balance, you must file this form explaining the discrepancy and reconciling the withholding tax returns with the W-2s (or other withholding forms) issued by your company.
Federal employer identification no.
Utah withholding account number
Check the reason your W-2s and 1099s and/or TC-941R are being filed for more than one Utah Employer Withholding Account.
Business merged with another business
Business changed from a sole proprietorship to a partnership, LLC or corporation
Business changed from a partnership to a sole proprietorship, LLC or corporation
Business changed from a LLC to a sole proprietorship, partnership or corporation
Business changed from a corporation to a sole proprietorship, partnership or LLC
Other (explain): ______________________________________________________________________________
Reconciliation Calculation
Column A |
Column B |
Column C |
Column D |
Utah employer withholding |
Yearly total tax withheld as |
Utah withholding tax as |
Difference in amounts reported |
account numbers |
reported on TC-941R, line 6 |
reported on TC-941R, line 4 |
(subtract Column C from Column B) |
|
|
|
|
$ |
$ |
|
$ |
Totals (Column D must equal zero)
Under penalties provided by law, I declare, to the best of my knowledge, this report is true and correct.
Instructions For Reconciliation Calculation Above
Column A: Enter the Utah employer withholding account number of each account for which you filed quarterly Utah Withholding Returns, TC-941, during the year.
Column B: Enter the sum of the withholding reported on TC-941R, line 6 for each account number.
Column C: Enter the total withholding reported on the TC-941R, line 4 for each account number.
Column D: Subtract Column C from Column B and enter the result. The total of Column D should be zero. If the result is not zero, the following are possible explanations.
1.You may have made an error. Check the amounts on TC-941s and TC-941R to ensure you entered the correct figures.
2.You may have underpaid the withholding tax. If the withholding reported in Column C is greater than the sum of the withholding in Column B (i.e., the difference is a negative number in Column D), you have underpaid.
3.You may have overpaid the withholding tax. If the withholding reported in Column C is less than the sum of the withholding in Column B (i.e., the difference is a positive number in Column D), you have overpaid.
You may pay the additional tax or request the refund by filing an amended form TC-941 for the period(s) you either underpaid or overpaid.