Internal Revenue Service Compliance Certification Form

Download a blank fillable Internal Revenue Service Compliance Certification Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Internal Revenue Service Compliance Certification Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Print
Submit by Email
INTERNAL REVENUE SERVICE COMPLIANCE CERTIFICATION FORM
TO:
NAWIC
COPY TO: Region Director
327 S. Adams St.
Fort Worth, Texas 76104
Fax: 817-877-0324
FROM:
______________________________________________
____________________________
Chapter Name and Number
Region Name
______________________________________________________________
Mailing Address
______________________________________________________________
City, State & Zip Code
CHAPTER FEDERAL ID NUMBER ___________________________________ Year ending date 9/15
The undersigned hereby certifies that in accordance with NAWIC Standard Bylaws for Affiliated Chapters,
Article XI - Duties of Officers, Section 1; and, the Internal Revenue Service requirements, (please check
ALL that apply)
_____We had gross income exceeding $50,000 (990 or 990EZ) and we filed all appropriate forms on ________________.
Date Form is/will be filed
_____We had unrelated business income exceeding $1,000 (990-T). We filed all appropriate forms on ______________.
Date Form is/will be filed
_____We had gross income of less than $50,000 and filed form 990-N (the e-Postcard) on __________________.
Date Form is/will be filed
Further, copies of all documents, if any, have been furnished to the Chapter President for
inclusion in the permanent records of the chapter, and copies, if any, have been maintained with
the Treasurer's files.
Dated: _____________
_____________________________________________
Signature of Chapter President
_____________________________________________
Typed Name of President
_____________________________________________
Business - If applicable
_____________________________________________
Mailing Address
_____________________________________________
City, State & Zip Code
PLEASE DO NOT SEND COPIES OF TAX RETURN TO THE NAWIC OFFICE. YOUR IRS 990, 990T OR E-
POSTCARD ARE DUE TO THE IRS FEBRUARY 15, 2016 TO AVOID PENALTY. WE SUGGEST YOU SEND
THEM ON OR BEFORE DECEMBER 31, 2015. YOUR COMPLIANCE FORM IS DUE INTO THE NAWIC
OFFICE NOVEMBER 1, 2015.
Rev. 06-30-15

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 13325 - Statement Of Assurance Concerning Civil Rights Compliance For Internal Revenue Service Spec Partnerships Form 13325 - Statement Of Assurance Concerning Civil Rights Compliance For Internal Revenue Service Spec Partnerships Financial
Form 13325 - Statement Of Assurance Concerning Civil Rights Compliance For Internal Revenue Service Spec Partnerships Form 13325 - Statement Of Assurance Concerning Civil Rights Compliance For Internal Revenue Service Spec Partnerships Financial
Form 4491-a - Proof Of Claim For Internal Revenue Taxes - Internal Revenue Service Form 4491-a - Proof Of Claim For Internal Revenue Taxes - Internal Revenue Service Legal
Form 668-j - Notice Of Federal Estate Tax Lien Under Internal Revenue Laws - Internal Revenue Service Form 668-j - Notice Of Federal Estate Tax Lien Under Internal Revenue Laws - Internal Revenue Service Financial
Form 4810 - Request For Prompt Assessment Under Internal Revenue Code Section 6510(d) - Internal Revenue Service Form 4810 - Request For Prompt Assessment Under Internal Revenue Code Section 6510(d) - Internal Revenue Service Financial
Form 656-a - Income Certification For Offer In Compromise Application Fee And Payment Form - Internal Revenue Service Form 656-a - Income Certification For Offer In Compromise Application Fee And Payment Form - Internal Revenue Service Financial
Form 8609 - Low-income Housing Credit Allocation And Certification Form - Department Of The Treasury Internal Revenue Service Form 8609 - Low-income Housing Credit Allocation And Certification Form - Department Of The Treasury Internal Revenue Service Financial
Form Publication 784 - Department Of Treasury Internal Revenue Service - Certificate Of Subordination Of Federal Tax Lien Form Publication 784 - Department Of Treasury Internal Revenue Service - Certificate Of Subordination Of Federal Tax Lien Financial
Form W-4 - Employee's Withholding Allowance Certificate - Internal Revenue Service - 2017 Form W-4 - Employee's Withholding Allowance Certificate - Internal Revenue Service - 2017 Financial
Form W-9 - Request For Taxpayer Identification Number And Certification - Internal Revenue Service Form W-9 - Request For Taxpayer Identification Number And Certification - Internal Revenue Service Financial

Related Categories

Parent category: Business
Download
Go