Form 8596-A - Quarterly Transmittal Of Information Returns For Federal Contracts
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18596-A
Quarterly Transmittal of Information Returns
Attach
Form
(Rev. August 2013)
for Federal Contracts
Form(s) 8596
Internal Revenue Service
Department of the Treasury
1 Name of Federal executive agency
2
Employer identification number
3a Name and address of person IRS can contact to request a tax offset
3b Title of person listed in 3a
4 Quarter ending
5
Number of Forms 8596 transmitted
Under penalties of perjury, I declare that I have examined this return and accompanying documents, that they are prepared pursuant
to the requirements of section 6050M, and that, to the best of my knowledge and belief, they are compiled from agency records
maintained in the normal course of business for the purpose of making a true, correct, and complete return as required by section
6050M.
Signature
Title
Date
▶
▶
▶
Instructions
Who must file. The head of every Federal executive agency or
his or her delegate must file Forms 8596 and 8596-A to report
Future developments. For the latest information about
federal contracts. For more information, see Form 8596.
developments related to Form 8596-A and its instructions, such
Boxes 1 and 2. Enter the name and employer identification
as legislation enacted after they were published, go to
number (EIN) of the Federal executive agency that entered into
the contract. If one central office is responsible for filing for the
Purpose of form. Use Form 8596-A to transmit paper Forms
entire agency, use only one name and EIN when filing Forms
8596, Information Return for Federal Contracts, to the Internal
8596 and 8596-A.
Revenue Service. Prepare only one Form 8596-A to transmit all
Boxes 3a and 3b. Enter the name, mailing address, and title of
Forms 8596 for each quarter.
the person to whom requests for an offset against any unpaid
When to file. The due dates for each quarter are as shown
tax liability of the contractor can be sent.
below. Do not file before the end of the quarter.
Box 4. Enter the date the quarter ended. For example, for the
quarter ending March 31, 2013, enter 03312013; June 30, 2013,
Quarter
Due Date
enter 06302013; September 30, 2013, enter 09302013;
January, February, March
April 30
December 31, 2013, enter 12312013.
April, May, June
July 31
Box 5. Enter the number of Forms 8596 being transmitted with
July, August, September
October 31
this Form 8596-A.
October, November, December
January 31
Signature. The head of the Federal executive agency or his or
If the regular due date falls on a Saturday, Sunday, or legal
her delegate must sign and date the form.
holiday, file by the next business day.
See Form 8596 for additional information.
Where to file. File Forms 8596 and 8596-A with Internal
Revenue Service, Attn: 8596, Enterprise Computing Center at
Martinsburg, (IRS/ECC-MTB), 230 Murall Drive, P.O. Box 1359,
Kearneysville, West Virginia 25430.
8596-A
Form
(Rev. 8-2013)
Cat. No. 12307S
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