Reminder:
Internal Revenue Manual Part 3. Submission Processing · 2026-10-03 edition · updated 2026-10-04 · United States
Use these instructions for form revision 2017 only.
Additional Medicare Tax Withholding allocated to the listed client EIN from Form 943, Line 7
Enter the amount from column (e) box 1 through 10 of Sch R and/or box 1 through 23 of Sch R Continuation Sheet for form revision 2017.
LN nn Col f- Fam Lv
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