Purpose of form: This adjustment report shall be used only for the purpose of adjusting a quarterly report previously filed and that has been found to be in error with respect to wages reported.
If this adjustment report indicates an under-payment, attach remittance for the additional amount due. If an over-payment has been made, credit for the over-payment will be issued.
Requirements: If the amounts reported on Form C-4, Wages List for any individual employee is affected by the adjustment to this quarter, attach a Wage List Adjustment Schedule, Form C-7, showing adjustments of "Total wages" (if any) for each individual involved.
A separate report is required for each calendar quarter to be adjusted.
The adjustment report MUST BE signed by an Owner, Officer, Partner, or individual with power of attorney for the business.
If you have any questions, contact the nearest Texas Workforce Commission Tax Office for assistance.
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Completed forms, inquiries, or corrections to the individual information contained in this form shall be sent to the TWC Tax Department, PO Box 149037, Austin, TX 78714-9037, (512) 463-2699. Individuals may receive and review information that TWC collects about the individual by emailing to open.records@twc.state.tx.us or writing to TWC Open Records, 101 E. 15th St., Rm. 266, Austin, TX 78778-0001.
Where do I mail Tax Forms?
Please e-mail questions or comments
to tax@twc.state.tx.us
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