Form 720X

(January 2002)

Department of the Treasury

Internal Revenue Service

Amended Quarterly Federal Excise Tax Return OMB No. 1545-1759

Type

or

Print

Name

Number, street, and room or suite no.

City or town, state, and ZIP code

Employer identification number

Telephone number (optional)

( )

Adjustments to Liability Reported on Previously Filed Forms 720

(b)

IRS No.

(c)

Tax

(d)

Tax as originally reported

on Form 720 or as

previously adjusted

(e)

Adjusted tax

(f)

Change

(decrease) or increase

3 Statement in Support of Adjustment. Indicate below the statement that applies to the adjustment.

6

Sign

Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge

and belief, it is true, correct, and complete.

Signature Date Title

Type or print name below signature.

For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 32661B Form 720X (1-2002)

4



(a)

Quarter

ending

If the result is a decrease, this is an overpayment. Enter the amount in parentheses and complete line 5.

The claimant has not included the tax in the price of the article and has not collected the

tax from the ultimate purchaser, has repaid the tax to the ultimate purchaser, or has

attached the written consent of the ultimate purchaser to the allowance of the adjustment.

 Use to correct liability reported on previously filed Forms 720.

1

Adjustments to Section 4051(d) Tire Credit

(b)

CRN

(c)

Credit

(d)

Credit as originally

reported on Form 720 or

as previously adjusted

(e)

Adjusted tire credit

(f)

Change

(decrease) or increase

(a)

Quarter

ending

2

366 Section 4051(d) tire credit

366 Section 4051(d) tire credit

4

b

Total adjustments. Combine all amounts in column (f) for lines 1 and 2 and enter the amount

here 

a For IRS Nos. 22, 26, 28, or 27, check the box below.

The claimant has repaid the amount of the tax to the person from whom it was collected

or has obtained the consent of that person to the allowance of the adjustment.

For all other IRS Nos. except for 98, 19, 29, 31, 30, 64, 51, or 20, or if the tax is based on

use (for example, 71, 61, 78, 79, or 101), check the box below.

If the result is an increase, this is a balance due and must be paid with the return. Enclose a check or money order with

Form 720X and make it payable to the “United States Treasury.” Write on the check or money order: “Form 720X,” your name,

address, EIN, and the date Form 720X was signed.

Check if you want the overpayment:

Refunded to you.

5

a

b Applied to your next Form 720. Enter quarter ending date 

See Form 720 for how to apply your overpayment.

Explanation of adjustments. Attach additional sheets if more space is needed.
Form 720X (1-2002) Page 2

Privacy Act and Paperwork Reduction Act

Notice

We ask for the information on this form to carry out

the Internal Revenue laws of the United States.

Section 6011 requires you to provide the requested

information. Section 6109 requires you to provide your

taxpayer identification number. Routine uses of tax

information include giving it to the Department of

Justice for civil and criminal litigation, and to cities,

states, and the District of Columbia for use in

administering their tax laws. If you fail to provide this

information in a timely manner, you may be subject to

penalties and interest. We may also disclose this

information to Federal, state, or local agencies that

investigate or respond to acts or threats of terrorism or

participate in intelligence or counterintelligence

activities concerning terrorism.

You are not required to provide the information

requested on a form that is subject to the Paperwork

Reduction Act unless the form displays a valid OMB

control number. Books or records relating to a form or

its instructions must be retained as long as their

contents may become material in the administration of

any Internal Revenue law. Generally, tax returns and

return information are confidential, as required by

section 6103.

The time needed to complete and file Form 720X will

vary depending on individual circumstances. The

estimated average time is:

Recordkeeping 6 hr., 13 min.

Learning about the law or the form 18 min.

Preparing, copying, and sending

the form to the IRS 24 min.

If you have comments concerning the accuracy of

these time estimates or suggestions for making this

form simpler, we would be happy to hear from you.

You can write to the Tax Forms Committee, Western

Area Distribution Center, Rancho Cordova, CA

95743-0001. Do not send the tax form to this address.

Instead, see Where To File above.

General Instructions

Purpose of Form

Use Form 720X to make adjustments to liability

reported on Forms 720 you have filed for previous

quarters. Do not use Form 720X to make changes to

claims made on Schedule C (Form 720), except for the

section 4051(d) tire credit.

When To File

Generally, adjustments that decrease your tax liability

for a prior quarter must be made within 3 years from

the time the return was filed or 2 years from the time

the tax was paid, whichever is later.

Where To File

Send Form 720X to the Internal Revenue Service

Center, Cincinnati, OH 45999-0009

Specific Instructions

Line 1

Report each adjustment separately on line 1. You must

include the following information for each adjustment:

● A detailed description of the adjustment and

● Computation of the amount.

Column (a)

Column (d)

Enter the tax amount for the IRS No. entered in

column (b) as originally reported on Form 720 or as

later adjusted by you or the IRS.

Column (e)

Enter the adjusted tax liability that should have been

reported for the IRS No. in column (b).

Column (f)

If column (e) is greater than column (d), subtract

column (d) from column (e). This is an increase. If

column (d) is greater than column (e), subtract column

(e) from column (d). This is a decrease. Show the

decrease in parentheses.

Line 2

You must use line 2 to report any adjustments to the

section 4051(d) tire credit for a prior quarter. For

example, if you report an additional taxable vehicle on

line 1 for IRS No. 33, the applicable tire credit is

reported on line 2. See the Instructions for Form 720

for more information on the tire credit.

Line 5

If you want your overpayment:

● Refunded to you, check the box for line 5a.

Signature

Form 720X must be signed by a person authorized by

the entity to sign this return. You must sign Form 720X

even if it is filed with Form 720 to apply an

overpayment.

You can use line 6 on page 1 for your explanation or

you can attach additional sheets as needed.

Section references are to the Internal Revenue Code

unless otherwise noted.

Enter the quarter ending date of the Form 720 you are

amending. If you are amending more than one quarter,

make sure each quarter is clearly identified. Enter the

date in the MMDDYYYY format. For example, if you

are adjusting the first quarter return for 2001, enter

“03312001.”

● Applied to your next Form 720, check the box for

line 5b and enter the quarter ending date of your next

Form 720. You can file Form 720X separately or you

can attach it to your next Form 720.

Caution: If you checked the box on line 5b, be sure to

include the overpayment amount on your next Form

720. See Form 720 for details.