Form 14446 (Ar) - Virtual Vita/tce Taxpayer Consent (Arabic Version)

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‫ﻭﺯﺍﺭﺓ ﺍﻟﻣﺎﻟﻳﺔ ﺍﻷﻣﺭﻳﻛﻳﺔ – ﺩﺍﺋﺭﺓ ﺿﺭﻳﺑﺔ ﺍﻟﺩﺧﻝ‬
(AR)14446
OMB ‫ﺭﻗﻡ ﻣﻛﺗﺏ‬
‫ﺍﻹﺳﺗﻣﺎﺭﺓ‬
VITA/TCE‫ﺍﻟﻣﻭﺍﻓﻘﺔ ﺍﻹﻟﻛﺗﺭﻭﻧﻳﺔ ﻟﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ ﻓﻲ‬
1545-2222
(2016 ‫)ﺃﻛﺗﻭﺑﺭ‬
‫ﻫﺫﻩ ﺍﻹﺳﺗﻣﺎﺭﺓ ﺇﻟﺯﺍﻣﻳﺔ ﻛﻠﻣﺎ ﺗﻡ ﺇﺳﺗﻛﻣﺎﻝ ﻛﺷﻑ ﺿﺭﺍﺋﺏ ﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ ﻭ/ﺃﻭ ﺗﺩﻗﻳﻕ ﺟﻭﺩﺗﻪ ﺑﻁﺭﻳﻘﺔ ﻟﻳﺳﺕ ﻭﺟﻬ ﺎ ً ﻟﻭﺟﻪ. ﻭﻳﺟﺏ ﺃﻥ ﻳﺷﺭﺡ ﺍﻟﻣﻭﻗﻊ ﻟﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ ﺍﻟﻌﻣﻠﻳﺔ ﺍﻟﺗﻲ ﺳﻳﺗﺑﻌﻬﺎ ﻫﺫﺍ ﺍﻟﻣﻭﻗﻊ‬
‫ﻹﻋﺩﺍﺩ ﻛﺷﻑ ﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ. ﻭﺇﻥ ﺇﻧﻁﺑﻕ ﺫﻟﻙ، ﻳﺟﺏ ﺇﺑﻼﻍ ﺩﺍﻓﻌﻲ ﺍﻟﺿﺭﺍﺋﺏ ﺃﻳﺿ ﺎ َ ﺑﻛﺎﻓﺔ ﺍﻹﺟﺭﺍءﺍﺕ ﻭﺍﻟﺧﻁﺭ ﺍﻟﻣﺭﺗﺑﻁ ﺑﺣﺎﻟﺔ ﻧﻘﻝ ﺑﻳﺎﻧﺎﺗﻬﻡ ﻣﻥ ﻣﻛﺎﻥ ﻣﻭﻗﻊ ﻭﺍﺣﺩ ﺇﻟﻰ ﻣﻛﺎﻥ ﻣﻭﻗﻊ ﺁﺧﺭ )ﺑﺈﺳﺗﺧﺩﺍﻡ‬
.((‫ﺍﻹﺟﺭﺍء ﻓﻲ )ﺝ( ﺃﻭ )ﺩ‬
:VITA/TCE ‫ﺍﻟﺟﺯء ﺍﻷﻭﻝ – ﻳﺳﺗﻛﻣﻠﻪ ﻣﻭﻗﻊ ﺑﺭﻧﺎﻣﺟﻲ‬
‫ﺇﺳﻡ ﺍﻟﻣﻭﻗﻊ ﺍﻟﺭﺋﻳﺳﻲ/ﻹﺳﺗﻳﻌﺎﺏ ﺍﻟﻣﻌﻠﻭﻣﺎﺕ‬
(‫ﻋﻧﻭﺍﻥ ﺍﻟﻣﻭﻗﻊ )اﻟﺸﺎرع، اﳌﺪﻳﻨﺔ، اﻟﻮﻻﻳﺔ، اﻟﺮﻣﺰ اﻟﱪﻳﺪي‬
‫ﺇﺳﻡ ﻣﻧﺳﻕ ﺍﻟﻣﻭﻗﻊ‬
(SIDN) ‫ﺭﻗﻡ ﻫﻭﻳﺔ ﺍﻟﻣﻭﻗﻊ‬
‫ﺭﻗﻡ ﻫﺎﺗﻑ ﺟﻬﺔ ﺍﻹﺗﺻﺎﻝ ﺑﺎﻟﻣﻭﻗﻊ‬
‫ﺇﺳﻡ ﺟﻬﺔ ﺍﻹﺗﺻﺎﻝ ﺑﺎﻟﻣﻭﻗﻊ‬
:‫ ﻹﻋﺩﺍﺩ ﻛﺷﻑ ﺿﺭﺍﺋﺑﻙ‬VITA/TCE ‫ﻳﺳﺗﺧﺩﻡ ﻫﺫﺍ ﺍﻟﻣﻭﻗﻊ ﺍﻟﻭﺳﻳﻠﺔ )ﺍﻟﻭﺳﺎﺋﻝ( ﺍﻹﻟﻛﺗﺭﻭﻧﻳﺔ ﺍﻟﺗﺎﻟﻳﺔ ﻟﺑﺭﻧﺎﻣﺟﻲ‬
‫ ﺍﻟﻁﺎﺭﺋﺔ ﺍﻟﻣﺅﻗﺗﺔ: ﻳﺳﺗﺧﺩﻡ ﻫﺫﺍ ﺍﻟﻣﻭﻗﻊ ﻋﻣﻠﻳﺔ ﺇﻳﺩﺍﻉ ﻣﺅﻗﺗﺔ ﻓﻲ ﺣﺎﻻﺕ ﺇﻧﻘﻁﺎﻉ ﺍﻹﻧﺗﺭﻧﺕ ﺃﻭ ﺗﻭﻗﻑ ﺑﺭﺍﻣﺞ ﺍﻟﻛﻣﺑﻳﻭﺗﺭ ﺃﻭ ﻓﻲ ﺣﺎﻝ ﻋﺩﻡ ﺗﻭﻓﺭ ﺍﻟﻌﺩﺩ ﺍﻟﻛﺎﻓﻲ ﻣﻥ ﻣﻌﺩﻱ‬VITA/TCE ‫ﺃ. ﺧﻁﺔ‬
.‫ﺍﻟﻛﺷﻭﻑ/ﻣﺭﺍﺟﻌﻲ ﺍﻟﺟﻭﺩﺓ ﻓﻲ ﺍﻟﻣﻭﻗﻊ‬
‫، إﻟﺦ.( ﻹﻋﺩﺍﺩ ﻛﺷﻑ ﺍﻟﺿﺭﺍﺋﺏ‬W-2 ‫ﺏ. ﻣﻭﻗﻊ ﺍﻹﻳﺩﺍﻉ: ﻳﺳﺗﺧﺩﻡ ﻫﺫﺍ ﺍﻟﻣﻭﻗﻊ ﻋﻣﻠﻳﺔ ﺇﻳﺩﺍﻉ ﺗﺗﻣﺛﻝ ﺑﻘﻳﺎﻡ ﺍﻟﻣﻭﻗﻊ ﻳﺎﻹﺣﺗﻔﺎﻅ ﺑﺎﻟﻣﻌﻠﻭﻣﺎﺕ ﺍﻟﻣﻌﺭﻓﺔ ﺑﺎﻟﻬﻭﻳﺔ ﺍﻟﺷﺧﺻﻳﺔ )أرﻗﺎم اﻟﻀﺎﻤن اﻹﺟﺘﺎﻤﻋﻲ، إﺳﺘﺎﻤرة‬
‫ﻓﻲ ﺍﻟﻣﻭﻗﻊ ﻧﻔﺳﻪ ﺇﻧﻣﺎ ﻓﻲ ﻭﻗﺕ ﻻﺣﻕ. ﻭﻣﻥ ﺧﻼﻝ ﻫﺫﻩ ﺍﻟﻌﻣﻠﻳﺔ، ﺳﺗﻌﻭﺩ ﺇﻟﻰ ﺍﻟﻣﻭﻗﻊ ﻧﻔﺳﻪ ﻟﻣﺭﺍﺟﻌﺔ ﺟﻭﺩﺓ ﺍﻟﻛﺷﻑ ﺍﻟﻣﺳﺗﻛﻣﻝ ﻟﻠﺿﺭﺍﺋﺏ ﻭ/ﺃﻭ ﺍﻟﺗﻭﻗﻳﻊ ﻋﻠﻳﻪ. ﻭﺳﻳﺷﺭﺡ ﻟﻙ ﺍﻟﻣﻭﻗﻊ ﺍﻟﻭﺳﻳﻠﺔ ﺍﻟﺗﻲ‬
.‫ﺳﺗﺳﺗﺧﺩﻡ ﻟﻺﺗﺻﺎﻝ ﺑﻙ ﺇﻥ ﺩﻋﺕ ﺍﻟﺣﺎﺟﺔ ﺇﻟﻰ ﻣﻌﻠﻭﻣﺎﺕ ﺇﺿﺎﻓﻳﺔ ﻹﻋﺩﺍﺩ ﻭ/ﺃﻭ ﻣﺭﺍﺟﻌﺔ ﺟﻭﺩﺓ ﻛﺷﻑ ﺍﻟﺿﺭﺍﺋﺏ‬
‫ﺝ. ﻣﻭﻗﻊ ﺇﺳﺗﻳﻌﺎﺏ ﺍﻟﻣﻌﻠﻭﻣﺎﺕ ﺑﺎﻹﺿﺎﻓﺔ ﺇﻟﻰ ﻣﻭﻗﻊ ﻹﻋﺩﺍﺩ ﺍﻟﻛﺷﻭﻑ ﻭ/ﺃﻭ ﻣﺭﺍﺟﻌﺔ ﺍﻟﺟﻭﺩﺓ: ﺗﺗﻣﺛﻝ ﻫﺫﻩ ﺍﻟﻭﺳﻳﻠﺔ ﺑﺄﻥ ﻳﺗﺭﻙ ﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ ﺍﻟﻣﻌﻠﻭﻣﺎﺕ ﺍﻟﻣﻌﺭﻓﺔ ﺑﻬﻭﻳﺗﻪ ﺍﻟﺷﺧﺻﻳﺔ )أرﻗﺎم اﻟﻀﺎﻤن‬
‫، وﻏﺮﻴﻫﺎ ﻣﻦ اﻟﻮﺛﺎﺋﻖ( ﻓﻲ ﺍﻟﻣﻭﻗﻊ ﻣﻥ ﺃﺟﻝ ﺇﻋﺩﺍﺩ ﻭ/ﺃﻭ ﻣﺭﺍﺟﻌﺔ ﺟﻭﺩﺓ ﻛﺷﻑ ﺍﻟﺿﺭﺍﺋﺏ ﻓﻲ ﻣﻭﻗﻊ ﺁﺧﺭ. ﻭﻣﻥ ﺧﻼﻝ ﻫﺫﻩ ﺍﻟﻌﻣﻠﻳﺔ، ﻳﻣﻛﻥ ﺇﺭﺳﺎﻝ ﻣﻌﻠﻭﻣﺎﺕ ﻛﺷﻑ ﺿﺭﺍﺋﺏ‬W-2 ‫اﺟﺘﺎﻤﻋﻲ، إﺳﺘﺎﻤرة‬
‫ﺍﻟﺩﺍﻓﻊ ﺇﻟﻰ ﻣﻛﺎﻥ ﺁﺧﺭ ﻟﺳﺑﺏ ﺃﻭ ﺃﻛﺛﺭ ﻣﻥ ﺍﻷﺳﺑﺎﺏ ﺍﻟﺗﺎﻟﻳﺔ: ﺇﺟﺭﺍء ﻣﻘﺎﺑﻠﺔ ﻣﻊ ﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ، ﺃﻭ ﺇﻋﺩﺍﺩ ﻛﺷﻑ ﺍﻟﺿﺭﺍﺋﺏ، ﺃﻭ ﺇﺟﺭﺍء ﻋﻣﻠﻳﺔ ﻣﺭﺍﺟﻌﺔ ﺟﻭﺩﺓ. ﻭﺳﻳﻌﻭﺩ ﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ ﺇﻟﻰ ﻣﻭﻗﻊ‬
‫ﺇﺳﺗﻳﻌﺎﺏ ﺍﻟﻣﻌﻠﻭﻣﺎﺕ ﻟﻣﺭﺍﺟﻌﺔ ﺟﻭﺩﺓ ﺍﻟﻛﺷﻑ ﺍﻟﻣﺳﺗﻛﻣﻝ ﻟﻠﺿﺭﺍﺋﺏ ﺃﻭ ﺍﻟﺗﻭﻗﻳﻊ ﻋﻠﻳﻪ. ﻭﺇﻥ ﻟﺯﻡ ﺍﻷﻣﺭ، ﺳﻳﺷﺭﺡ ﺍﻟﻣﻭﻗﻊ ﺍﻟﻭﺳﻳﻠﺔ ﺍﻟﺗﻲ ﺳﺗﺳﺗﺧﺩﻡ ﻟﻺﺗﺻﺎﻝ ﺑﺩﺍﻓﻊ ﺍﻟﺿﺭﺍﺋﺏ ﺇﻥ ﺩﻋﺕ ﺍﻟﺣﺎﺟﺔ ﺇﻟﻰ‬
.‫ﻣﻌﻠﻭﻣﺎﺕ ﺇﺿﺎﻓﻳﺔ ﺃﺛﻧﺎء ﺇﻋﺩﺍﺩ ﻭ/ﺃﻭ ﻣﺭﺍﺟﻌﺔ ﺟﻭﺩﺓ ﻛﺷﻑ ﺍﻟﺿﺭﺍﺋﺏ‬
:‫ﻭﺳﺗﻧﻘﻝ ﻣﻌﻠﻭﻣﺎﺗﻙ ﺍﻟﺷﺧﺻﻳﺔ ﺇﻟﻰ ﻣﻭﻗﻊ ﻣﻛﺎﻥ ﺁﺧﺭ ﻋﺑﺭ‬
‫ﺍﻟﺑﺭﻳﺩ ﺍﻹﻟﻛﺗﺭﻭﻧﻲ‬
‫ﺍﻟﻔﺎﻛﺱ‬
‫ﺍﻟﺑﺭﻳﺩ ﺍﻟﻌﺎﺩﻱ‬
(‫ﻏﻳﺭ ﺫﻟﻙ )ﻳﺮﺟﻰ اﻟﴩح‬
(‫ﺩ. ﻭﺳﻳﻠﺔ ﻣﻌﺗﻣﺩﺓ ﺃﺧﺭﻯ )ﻳﺭﺟﻰ ﺍﻟﺷﺭﺡ‬
(‫ﻣﻌﻠﻭﻣﺎﺕ ﺍﻹﺗﺻﺎﻝ ﺑﺎﻟﻣﻭﻗﻊ )ﻣﻌﻠﻮﻣﺎت اﳌﻮﻗﻊ ﻟﻠﻤﻮﻗﻊ اﻟﺬي ﺳﻴﺴﺘﻠﻢ ﻣﻌﻠﻮﻣﺎت داﻓﻌﻲ اﻟﴬاﺋﺐ ﻹﻋﺪاد و/أو ﻣﺮاﺟﻌﺔ ﺟﻮدة ﻛﺸﻒ ﴐاﺋﺒﻬﻢ، إن ﻛﺎﻧﺖ ﻣﻌﺮوﻓﺔ‬
(‫ﻋﻧﻭﺍﻥ ﺍﻟﻣﻭﻗﻊ )اﻟﺸﺎرع، اﳌﺪﻳﻨﺔ، اﻟﻮﻻﻳﺔ، اﻟﻌﻨﻮان اﻟﱪﻳﺪي‬
‫ﺇﺳﻡ ﻣﻧﺳﻕ ﺍﻟﻣﻭﻗﻊ‬
(SIDN) ‫ﺭﻗﻡ ﻫﻭﻳﺔ ﺍﻟﻣﻭﻗﻊ‬
‫ﺭﻗﻡ ﻫﺎﺗﻑ ﺟﻬﺔ ﺍﻹﺗﺻﺎﻝ ﺑﺎﻟﻣﻭﻗﻊ‬
‫ﺇﺳﻡ ﺟﻬﺔ ﺍﻹﺗﺻﺎﻝ ﺑﺎﻟﻣﻭﻗﻊ‬
(AR)14446
68092Q ‫ﺍﻟﻛﺗﺎﻟﻭﺝ ﺭﻗﻡ‬
(2016-10 ‫)ﺗﻌﺩﻳﻝ‬
‫ﺍﻹﺳﺗﻣﺎﺭﺓ‬

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