Instructions For Form 941-Ss - Employer'S Quarterly Federal Tax Returnamerican Samoa, Guam, The Commonwealth Of The Northern Mariana Islands, And The U.s. Virgin Islands - 2003 Page 4

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Section 6011 requires you to provide the requested
Third Party Designee
information if the tax is applicable to you. Section 6109
If you want to allow any individual, corporation, firm,
requires you to provide your EIN. If you fail to provide this
organization, or partnership to discuss your Form 941-SS
information in a timely manner, you may be subject to
with the IRS, check the “Yes” box in the Third Party
penalties and interest.
Designee section of the return. Also, enter the
You are not required to provide the information
designee’s name, phone number, and any five numbers
requested on a form that is subject to the Paperwork
the designee chooses as his or her personal identification
Reduction Act unless the form displays a valid OMB
number (PIN). The authorization applies only to the tax
control number. Books or records relating to a form or its
form on which it appears.
instructions must be retained as long as their contents
By checking the ‘‘Yes’’ box, you are authorizing the
may become material in the administration of any Internal
IRS to call the designee to answer any questions relating
Revenue law.
to the information reported on your tax return. You are
Generally, tax returns and return information are
also authorizing the designee to:
confidential, as required by section 6103. However,
Exchange information concerning your tax return with
section 6103 allows or requires the Internal Revenue
the IRS and
Service to disclose or give the information shown on your
Request and receive written tax return information
tax return to others described in the Code. For example,
relating to your tax return, including copies of notices,
we may disclose your tax information to the Department
correspondence, and account transcripts.
of Justice for civil and criminal litigation, and to cities,
You are not authorizing the designee to receive any
states, and the District of Columbia for use in
refund check, bind you to anything (including additional
administering their tax laws. We may also disclose this
tax liability), or otherwise represent you before the IRS. If
information to Federal and state agencies to enforce
you want to further expand the designee’s authorization
Federal nontax criminal laws and to combat terrorism.
or want the designee to automatically receive copies of
We may give this information to other countries pursuant
notices, see Publication 947, Practice Before the IRS
to tax treaties.
and Power of Attorney.
The time needed to complete and file this form will
The Third Party Designee authorization automatically
vary depending on individual circumstances. The
expires 1 year from the due date (without regard to
estimated average time is: Recordkeeping, 10 hr., 15
extensions) for filing your Form 941-SS. If you or your
min.; Learning about the law or the form, 18 min.;
designee want to terminate the authorization, send a
Preparing and sending the form to the IRS, 28 min.
written statement of revocation to the IRS service center
where the return was processed.
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
Privacy Act and Paperwork Reduction Act Notice.
write to the Tax Products Coordinating Committee,
We ask for the information on this form to carry out the
Western Area Distribution Center, Rancho Cordova, CA
Internal Revenue laws of the United States. We need it to
95743-0001. Do not send Form 941-SS to this address.
figure and collect the right amount of tax. Subtitle C,
Instead, see Where To File on page 1.
Employment Taxes, of the Internal Revenue Code
imposes employment taxes on wages. This form is used
to determine the amount of the taxes that you owe.
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