Form 96-T - Idaho Magnetic Media Transmittal
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2F
96-T
IDAHO MAGNETIC MEDIA TRANSMITTAL
O
for Tax Year __________
R
EFO00107
M
1099 INFORMATION REQUIRED
10-12-07
You must complete each section of this form. If you don't, we will return your media.
1. Name of transmitter
4. Number and type of media:
Address
_______ Cartridge (s)
_______ CD (s)
State
Zip code
City
_______ Diskette (s)
2. Name of person to contact about this magnetic media file
5. Type of submission
Address
W-2G
1098
1099-A
1099-B
State
Zip code
City
1099-C 1099-Misc 1099-R
1099-S
3. Telephone number of contact person
Summary of Payers Included on Magnetic Media
6.
8.
9.
10.
7.
Total Idaho Withholding
Federal Employer
Number
Idaho Withholding
Identification
o f
from 1099s that match
Name of Payer
Form 956, line 14
Account Number
Number
Payees
$
MAILING ADDRESS
FOR STATE USE ONLY
MAGNETIC MEDIA IS DUE FEBRUARY 29, 2008
Times run
#1
#2
#3
#4
#5
MAIL MEDIA TO:
Electronic Filing Coordinator
Idaho State Tax Commission
Date Received
PO Box 36
Boise, ID 83722-0410
Uploaded By:
Reformat By:
Physical Address:
Electronic Filing Coordinator
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Idaho State Tax Commission
VALID
VALID
VALID
VALID
VALID
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800 Park Blvd Plaza IV
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Boise, ID 83712-7763
Date:
TELEPHONE:
(208) 334-7783
Confirmed:
FOR STATE USE ONLY
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