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Taxpayer Information
Amended
Successor Employer
No payments to employees in this tax year
Final: Business Closed or stopped paying wages
Part 1: Tell us about your return. If any line does NOT apply, leave it blank.
Line 1b: If you had to pay state unemployment tax in more than one state, you are a multi-state employer. Check here. Complete Schedule A (Form 940).
Line 2: If you paid wages in a state that is subject to CREDIT REDUCTION. Check here. Complete Schedule A (Form 940).
Part 2: Determine your FUTA tax before adjustments. If any line does NOT apply, leave it blank.
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4a. Fringe Benefits
4b. Group-term life insurance
4c. Retirement/Pension
4d. Dependent Care
4e. Other
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Part 3: Determine your adjustments. If any line does NOT apply, leave it blank.
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$
Part 4: Determine your FUTA tax and balance due or overpayment. If any line does NOT apply, leave it blank.
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Part 5: Report your FUTA tax liability
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Part 6: May we speak with your third-party designee?
Applicant's Mailing Address
Mailing Address (non-US)
Birth Information
Other Information
Passport
Driver's License / State ID
USCIS Documentation
Other
Tax and Employee Number Information
Sign here :

Under penalties of perjury, I (applicant/delegate/acceptance agent) declare that I have examined this application, including accompanying documentation and statements, and to the best of my knowledge and belief, it is true, correct, and complete. I authorize the IRS to share information with my acceptance agent in order to perfect this Form W-7, Application for IRS Individual Taxpayer Identification Number.

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Parent
Court-appointed Guardian
Power of Attorney
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Email Information

Insert the e-mail address to which you want to receive your W9 form.

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