Form 8913 - Credit For Federal Telephone Excise Tax Paid - 2006
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1
28913
OMB No. 1545-2051
Credit for Federal Telephone Excise Tax Paid
Form
2006
See the separate instructions.
Department of the Treasury
Attachment
Internal Revenue Service
63
Attach to your income tax return.
Sequence No.
Name(s) as shown on your income tax return
Identifying number
Enter the federal telephone excise tax billed during each period as listed in column (a) of lines 1–14 below.
By filing this form, you are certifying that you (1) have not received from your service provider a credit or refund of the tax paid on
long distance service or bundled service billed after February 28, 2003, and before August 1, 2006, and (2) will not ask your
provider for a credit or refund or have withdrawn any request submitted to the provider for a credit or refund.
Caution. See the instructions for explanations of the services that qualify for a credit or refund of the federal telephone excise tax.
Amount of federal excise tax on long distance or
bundled service only
(b) Long
(d) Tax credit or
(c) Bundled
(e) Interest
(a) Bills dated during:
distance
refund (add
service
(see instructions)
service
columns (b) and (c))
1
March, April, and
May 2003
$
$
$
$
2
June, July, and
August 2003
3
September, October, and
November 2003
4
December 2003; January
and February 2004
5
March, April, and
May 2004
6
June, July, and
August 2004
7
September, October, and
November 2004
8
December 2004; January
and February 2005
9
March, April, and
May 2005
10
June, July, and
August 2005
11
September, October, and
November 2005
12
December 2005; January
and February 2006
13
March, April, and
May 2006
14 June and
July 2006
15
Add lines 1–14 in columns (d) and (e)
$
$
16
Total credit or refund requested. Add columns (d) and (e) on line 15. Enter here
and on Form 1040, line 71; Form 1040A, line 42; Form 1040EZ, line 9; Form
1040EZ-T, line 1a; Form 1040NR, line 69; Form 1040NR-EZ, line 21; Form 1120,
line 32g; Form 1120-A, line 28g; Form 1120S, line 23d; Form 1041, line 24f;
Form 1041-N, line 17; Form 1065, line 23; Form 990-T, line 44f; or the proper
line of other returns
$
8913
For Paperwork Reduction Act Notice, see page 2.
Cat. No. 37723M
Form
(2006)
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