Form 11-C - Occupational Tax And Registration Return For Wagering Page 6

Download a blank fillable Form 11-C - Occupational Tax And Registration Return For Wagering 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 Form 11-C - Occupational Tax And Registration Return For Wagering 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

Form 11-C(V),
Payment Voucher
Purpose of Form
Box 2. Enter the amount paid with Form 11-C.
Box 3. Enter the same year and month you entered on
Complete Form 11-C(V), Payment Voucher, and file it
the “Return for period from” line at the top of Form 11-C.
with Form 11-C, Occupational Tax and Registration
For example, if your return is for the full period that begins
Return for Wagering. We will use Form 11-C(V) to credit
July 1, 2017, enter 201707.
your payment more promptly and accurately, and to
improve our service to you.
Box 4. Enter your name and address as shown on Form
11-C.
If you have your return prepared by a third party,
provide Form 11-C(V) to the return preparer.
• Enclose your check or money order made payable to
“United States Treasury.” Be sure to enter your EIN,
Specific Instructions
“Form 11-C,” and the tax period on your check or money
Box 1. If you don’t have an EIN, apply for one online. Go
order. Don’t send cash. Don’t staple Form 11-C(V) or your
to the IRS website at You also may
payment to Form 11-C (or to each other).
apply for an EIN by faxing or mailing Form SS-4,
• Detach Form 11-C(V) and send it with your payment
Application for Employer Identification Number, to the
and Form 11-C. See Where to file, earlier.
IRS.
Detach Here and Mail With Your Payment and Form 11-C.
11-C(V)
Payment Voucher
OMB No. 1545-0236
(Rev. December 2017)
Department of the Treasury
Don’t staple or attach this voucher to your payment or Form 11-C.
Internal Revenue Service
1 Enter your employer identification
Dollars
Cents
2
Enter the amount of your payment.
number.
Make your check or money order payable to “United States Treasury”
3 Enter year and month as shown on Form 11-C.
4 Enter your business name (individual name if sole proprietor).
Y
Y
Y
Y
M
M
Enter your address.
Send Form 11-C, this voucher, and payment to:
Department of the Treasury
Enter your city or town, state or province, country, and ZIP or foreign postal code.
Internal Revenue Service
Ogden, UT 84201-0101

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 6