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Form 13797 - Compliance Check Report

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Department of the Treasury — Internal Revenue Service

13797

Form

OMB No. 1545-2026

Compliance Check Report

(November 2006)

This page to be completed by the IRS ITG Specialist.

Use this form to fully document the activity and findings from your Compliance Check. This template

is designed to report on data for one entity within the tribe (each Employer Identification Number

(EIN) is considered to be one Entity for this purpose). If you decide to expand to additional tribal

entities, pages 2-7 should be completed for each entity and attached to the final report. Only one

summary sheet should be completed.

If you have any questions regarding a federal tax administration issue during the course of your Compliance

Check, or any questions regarding the completion of this form, please check our web resources, or contact:

Once the Compliance Check is completed, this document should be saved and returned on a 3½''

diskette or CD-Rom to:

In order to assist you in completing the Compliance Check, our records currently indicate the

following information in regard to this entity:

EIN:

Entity Name:

Address:

Required to file the following federal tax returns:

Form 940

Employer’s Annual Federal Unemployment (FUTA) Tax Return

Form 941

Employer’s Quarterly Federal Tax Return

Form 943

Employer’s Annual Return – Agricultural Employees

Annual Return of Withheld Federal Income Tax

Form 945

Return of Exempt Organization

Form 990

Form 1065

Partnership Tax Return

Form 1120

Corporation Income Tax Return

Form 720

Quarterly Federal Excise Tax Return

Form 730

Monthly Tax on Wagering

Form 11-C

Occupational Tax and Registration Return for Wagering

Form 1042

Ann. Withholding Return for U.S. Source Income of Foreign Persons

Form 2290

Highway Use Tax Return

Form 1041

Fiduciary Tax Return

Other

13797

Catalog Number 48503Y

Form

(11-2006)

Form 13797 - Compliance Check Report

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