New York Amended Quarterly Combined Withholding, and Wage Reporting

Amended Quarterly Combined Withholding, and Wage Reporting
NYS-45-X:1/19:Amended Quarterly Combined Withholding, Wage Reporting, and Unemployment Insurance Return:nys45x
NYS-45-X

Amended Quarterly Combined Withholding,
Wage Reporting, and Unemployment Insurance Return

(1/19)

If seasonal employer, mark an X in the box:

UI Employer registration number

This return should be completed to amend a
previously filed return. A separate return must be
completed for each quarter to be amended. Mark only
one box to indicate the quarter and enter the year.

Withholding identification number
Employer legal name:

Jan 1 Mar 31

Part A - Unemployment insurance (UI) information
Previously reported amounts
	1.	 Total remuneration paid
		 this quarter.......................
	2.	 Remuneration paid this quarter
		 in excess of the UI wage base .	
		 since January 1 (see instr.)........
	 3.	 Wages subject to contribution

	

	 (subtract line 2 from line 1) ......

Apr 1 Jun 30

1

2

July 1 Sep 30

Correct amounts

3

Oct 1 Dec 31

Year

4

Difference

Y  Y

UI
SK

00

00

00

00

00

00

00

00

00

	4.	 Enter your
	 	 total UI rate
	 	 (see instructions)
  %
	
	5.	 UI contributions due
	 	 (multiply line 3 x line 4) . .......	5a	

5b

	6.	 Overpayment to be applied to outstanding liabilities and/or refunded
		
(if line 5a is greater than 5b, enter the difference here) . ............................................
	7.	 Additional unemployment insurance amount due
		
(if line 5a is less than 5b, enter the difference here) ......................................................................................................................

Part B - Withholding tax (WT) information

Correct amounts (an amount equal to or
greater than zero must be entered on each line)

Previously reported amounts

WT
SK

	8.	 New York State
		 tax withheld.........................
	9.	 New York City
		 tax withheld.........................
	10.	 Yonkers
		 tax withheld.........................
	 1.	 Total tax withheld
1
	 	 (add lines 8, 9, and 10)............

Complete Parts C and D on
back of this form, if required.

	12.	 If you marked line 20b on your previous quarter’s Form NYS-45, enter the
		 amount from line 20 of that form.................................................................... 	
	13.	 Form NYS-1 payments made for the quarter you are amending .................. 	
	14.	 WT payments made with previously filed Forms NYS-45 (line 19) and/or
		 Form NYS-45-X (line 19) for the quarter you are amending.......................... 	
	15.	 Total payments (add amounts on lines 12, 13, and 14) ......................................... 	

51919412

	16.	 Overpayment, if any, shown on previously filed Forms NYS-45 (line 20)
		 and/or Form NYS-45-X (line 18) ................................................................... 	
17.	 Subtract line 16 from line 15 ......................................................................... 	
18.	 Overpayment to be applied to outstanding liabilities and/or refunded
		(if line 17 is greater than line 11, enter the difference here) .............................................
	19.	 Additional withholding tax amount due
		
(if line 17 is less than line 11, enter the difference here) ........................................................................................................................
	 0.	 Additional payment due (add lines 7 and 19 ; make one remittance payable to NYS Employment Contributions and Taxes).
2
		
An overpayment of either UI contributions or withholding tax cannot be used to offset an amount due for the other.....................

	Sign your return: I certify that the information on this return is to the best of my knowledge and belief true, correct, and complete. If you are using a paid preparer or a payroll service, complete the section on the back.
	 Signature (see instructions)	
	Telephone number

	(   )

Date

Signer’s name (please print)	

Title

For office
use only
Postmark

Received date

AI

SI

NYS-45-X (1/19) (back)
UI Employer registration number

Withholding identification number

Part C - Amended employee wage and withholding information
Amended quarterly employee/payee wage reporting and withholding information

(Do not use negative numbers. See instructions on filing amended wage and withholding information.)
a	 Social Security number

b	

Last name, first name, middle initial

	
c
	

Total UI remuneration
paid this quarter

 	 Gross federal wages or
d
	distribution (see instructions)

	e

 	Total NYS, NYC, and
Yonkers tax withheld

Part D - Form NYS-1 corrections/additions
Use Part D only for corrections/additions to the quarter being reported in Part B of this return. All corrections to withholding information originally reported
on Web- or paper-filed Form(s) NYS-1 for the quarter must be reported here by completing columns a, b, c, and d. All additional withholding information not
previously reported on Form(s) NYS-1 must be reported here by completing only columns c and d. Lines 8 through 11, Correct amounts column, on the front
of this return, must reflect these corrections/additions. See Form NYS-45-X-I, Instructions for Form NYS‑45‑X.
a
Original
last payroll date reported
on Form NYS-1, line A (mmdd)

b
Original
total withheld
reported on Form NYS-1, line 4

c
Correct
last payroll date
(mmdd)

d
Correct
total withheld

Note: Complete Form DTF‑95, Business Tax Account Update, to report changes in federal identification
number/withholding ID number, ownership, business name, business activity, telephone number,
owner/officer/partner/responsible person information, or changes that affect any other tax administered by
the Tax Department. For questions regarding additional changes to your unemployment insurance account,
call the UI Employer Hotline at 1-888-899‑8810.

51919429

If you are using a paid preparer or a payroll service, the section below must be completed:
	 Preparer’s signature		

Paid
preparer’s
use
	 Preparer’s firm name (or yours, if self-employed)	

Date	

Preparer’s NYTPRIN		

Address			

Preparer’s SSN or PTIN

Firm’s EIN		

Payroll service’s name

NYTPRIN
excl code
Telephone number	

(    )

Payroll
service’s
EIN

•	 File original return and keep a copy for your records.
	•	
Complete lines 7 and 19 to ensure proper credit of 			
Checklist for mailing:	

		 your payment.
	Enter your Withholding ID number on your remittance.
	Make remittance payable to NYS Employment Contributions and Taxes.
	
	 Enter your telephone number below your signature.
			
Need help or forms? See the instructions.

	•
	•
•

Mail to:

NYS EMPLOYMENT CONTRIBUTIONS AND TAXES
PO BOX 4119
BINGHAMTON NY 13902-4119