Administration Tax Compliance Form
Instructions:
Complete all sections of this form accurately and legibly.
Attach any additional schedules or documentation required by law.
Retain a copy of this form for your records.
Submit this form by the due date specified by the tax authorities.
Taxpayer Information
Full Name: | |
Social Security Number (SSN) / Employer Identification Number (EIN): | |
Date of Birth (if individual taxpayer): | |
Business Name (if applicable): | |
Business Address (if applicable): | |
Financial Information
Total Gross Income (including wages, salaries, tips, interest, dividends, etc.): | |
Total Deductions (including mortgage interest, charitable contributions, etc.): | |
Total Taxable Income: | |
Total Tax Withheld (federal and state): | |
Estimated Tax Payments: | |
Total Tax Due (or refund): | |
Declaration:
I, [Your Name], declare under penalties of perjury that I have examined this Administration Tax Compliance Form, including any accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete.
[Month, Day, Year]
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