Application For Filing Information Returns Electronically (Fire) Page 2
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General Instructions
Block 8 – Affidavit. This application must be completed and submitted
by: (a) the owner, if the applicant is a sole proprietorship, (b) the
Purpose of Form: Submit Form 4419 to request authorization to
president, vice president, or other principal officer, if the applicant is a
electronically file any of the forms shown in Block 7. Complete all
corporation, (c) a responsible and duly authorized member or officer
required information. Transmitters who file for multiple payers may
having knowledge of its affairs, if the applicant is a partnership,
submit one application and use the assigned Transmitter Control Code
government entity, or other unincorporated organization, or (d) the
(TCC) for all payers. If your application is approved, a five-character
fiduciary, if the applicant is a trust or an estate.
alphanumeric TCC will be assigned to your organization.
Check the box to confirm that you have read the affidavit and are
Form 4419 can be completed online at https://fire.irs.gov.
authorized to sign on behalf of the transmitter and/or payer. Required.
Note: In order to file electronically through the FIRE System, you must
Block 9 - The form must be signed and dated by an official of the
have software or a service provider that will create the file in the standard
company or organization requesting authorization to file electronically.
ASCII format. A scanned or PDF document will not be accepted.
Required.
Forms W-2: Do not use Form 4419 to request authorization to
For further information concerning the electronic filing of information
electronically file Forms W-2. Form W-2 information is only sent to the
returns, visit IRS.gov. The following publications are available:
Social Security Administration (SSA). Contact SSA if you have any
questions concerning the electronic filing of Forms W-2 at
• Publication 1220, Specifications for Electronically Filing Form
1-800-772-6270.
1097, 1098, 1099, 3921, 3922, 5498, and W-2G
We will delete your TCC if you don’t file your information returns for two
• Publication 1187, Specifications for Electronically Filing Form
consecutive tax years. Once deleted, from our database, you will need to
1042-S, Foreign Person's U.S. Source Income Subject to
submit another Form 4419.
Withholding
Revised Form 4419 information: Check the box located at the top of
• Publication 1239, Specifications for Electronically Filing Form
Form 4419 and provide the current TCC assigned to the business. A
8027, Employers Annual Information Return of Tip Income and
revised Form 4419 can only be submitted if you are updating information
Allocated Tips
for a previously submitted and approved Form 4419 for the following
• Publication 4810, Specifications for Electronically Filing Form
information:
8955-SSA, Annual Registration Statement Identifying Separated
• Block 1 - Legal name and address
Participants and Deferred Vested Benefits Paperwork
• Block 3 - Person to contact or contact information
Mail or Fax Form 4419 to:
Changes to the blocks listed below require you to submit a new Form
Internal Revenue Service
4419. A new TCC will be assigned to the transmitter/payer.
230 Murall Drive, Mail Stop 4360
(Do not check the Revised box.)
Kearneysville, WV 25430
• Block 2 - EIN
Fax: (877) 477-0572 (within the U.S)
• Block 7 - Type of return to be reported
(304) 579-4105 (International)
Note: A revised Form 4419 can only be submitted on paper.
Contact the IRS Monday through Friday
• (866) 455-7438 (Toll Free)
Specific Instructions
• (304) 263-8700 (International)
Due Date: In order to ensure timely filing, submit Form 4419 at least 45
Note: A TCC will not be issued over the phone or via email.
days before the due date of the return.
If you don’t receive your TCC within 45 days, contact the IRS at the
When completing this form, please print or type clearly.
phone numbers listed above.
Block 1 - Enter the legal name associated with the EIN in Block 2 and
Paperwork Reduction Act Notice: We ask for the information on these
the complete address of the organization that will submit electronic files
forms to carry out the Internal Revenue Laws of the United States. You
(transmitter and/or payer). Required.
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
Block 2 - Enter the Employer Identification Number (EIN), Qualified
OMB control number. Books or records relating to a form must be
Intermediary Number (QI-EIN), Withholding Partnership Number
retained as long as their contents may become material in the
(WP-EIN), or Withholding Trust Number (WT-EIN) of the organization
administration of any Internal Revenue law. Generally, tax returns and
transmitting the electronic files. Social Security Numbers (SSN) are not
return information are confidential, as required by Code section 6103.
permitted. Required.
The time needed to provide this information would vary depending on
Block 3 - Enter the name, title, email address and telephone number
individual circumstances. The estimated average time is:
(with area code) of the person to contact about this application. This
should be a person who is knowledgeable about the electronic filing of
Preparing Form 4419 . . . . . . . . . . . . . . . . . . . . . . . 20 minutes.
your information returns. Required.
If you have comments concerning the accuracy of this time estimate or
Block 4 - Check the appropriate box to indicate if you are requesting a
suggestions for making this form simpler, we would be happy to hear
Transmitter Control Code (TCC) solely for the electronic filing of Form
from you. Write to the Tax Forms Committee, Western Area Distribution
8809, Application for Extension of Time To File Information Returns.
Center, Rancho Cordova, CA 95743-0001. DO NOT SEND FORM 4419
TO THIS OFFICE. Refer to the instructions above on where to mail or
Block 5 - Check the appropriate box to indicate if you are a foreign
fax.
transmitter who does not have a nine-digit Taxpayer Identification
Number. Required.
Block 6 - Enter the tax year that you wish to begin filing electronically.
Required.
Block 7 - Only check the box next to the returns you will electronically
file with the IRS. A separate TCC will be assigned for each box checked
in Block 7.
4419
Catalog Number 41639J
Form
(Rev. 4-2016)
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