Form 11-C - Occupational Tax And Registration Return For Wagering Page 5

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5
Form 11-C (Rev. 12-2017)
Page
Privacy Act and Paperwork Reduction
The time needed to complete and file this form will vary
depending on individual circumstances. The estimated
Act Notice
burden for this form is: Recordkeeping, 3 hr., 49 min.;
We ask for the information on Form 11-C to carry out the
Learning about the law or the form, 57 min.; Preparing
Internal Revenue laws of the United States. You’re
the form, 2 hr., 0 min.; and Copying, assembling, and
required to give us the information. We need it to ensure
sending the form to the IRS, 16 min.
that you’re complying with these laws and to allow us to
If you have comments concerning the accuracy of
figure and collect the right amount of tax. Section 4411
these time estimates or suggestions for making this form
imposes a special tax on each person who is engaged in
simpler, we’d be happy to hear from you. You can send
receiving wagers for or on behalf of any person liable for
us comments from Or you
the tax on wagers. Section 4412 requires that person to
can write to:
register with the IRS. Form 11-C is used to determine the
Internal Revenue Service
amount of the tax you owe and to register certain
Tax Forms and Publications
information with the IRS. Section 6109 requires you to
1111 Constitution Ave. NW, IR-6526
provide your identification number. Unless specifically
Washington, DC 20224
prohibited by law, routine uses of this information include
Don’t send the form to this address. Instead, see
giving it to the Department of Justice for civil and criminal
Where to file, earlier.
litigation; to cities, states, the District of Columbia, and
U.S. commonwealths and possessions for use in
administering their tax laws; to other countries under a
tax treaty; to federal and state agencies to enforce federal
nontax criminal laws; or to federal law enforcement and
intelligence agencies to combat terrorism. If you fail to
provide this information in a timely manner, you may be
subject to penalties.
You aren't required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form or its
instructions must be retained as long as their contents
may become material in the administration of any Internal
Revenue law. Generally, tax returns and return
information are confidential, as required by section 6103.

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