Form 5884-C - Work Opportunity Credit For Qualified Tax-Exempt Organizations Hiring Qualified Veterans Page 4

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Form 5884-C (1-2012)
Page
As these instructions were being prepared for print,
You can apply for a PTIN online or by filing Form W-12, IRS
!
the employment tax returns for the 1st quarter of 2012
Paid Preparer Tax Identification Number (PTIN) Application and
were being revised to allow for the recent 2 month
Renewal. For more information about applying for a PTIN online,
CAUTION
extension of the 4.2% employee social security tax
visit the IRS website at
rate. The specific line numbers that will be used to report taxable
Generally, you are not required to complete this section if you
social security wages and tips on future revisions of these
are filing Form 5884-C as a reporting agent and have a valid
returns were not available.
Form 8655, Reporting Agent Authorization, on file with the IRS.
However, a reporting agent must complete this section if the
Line 11
reporting agent offered legal advice, for example, advising the
If your credit is less than $1, we will send a refund or apply it
client on determining whether its workers are qualified veterans
only if you ask us in writing to do so.
for purposes of this credit.
Line 12
Paperwork Reduction Act Notice. We ask for the information
on this form to carry out the Internal Revenue laws of the United
You may pay the amount you owe on line 12 electronically using
States. You are required to give us the information. We need it
the Electronic Federal Tax Payment System (EFTPS), by credit
to ensure that you are complying with these laws and to allow
or debit card, or by a check or money order.
us to figure and collect the right amount of tax.
• The preferred method of payment is EFTPS. For more
You are not required to provide the information requested on
information, visit , call EFTPS Customer Service
a form that is subject to the Paperwork Reduction Act unless
at 1-800-555-4477 toll free, or see Pub. 966, The Secure Way to
the form displays a valid OMB control number. Books or
Pay Your Federal Taxes.
records relating to a form or its instructions must be retained as
• To pay by credit or debit card, visit the IRS website at
long as their contents may become material in the
administration of any Internal Revenue law. Generally, tax
returns and return information are confidential, as required by
• If you pay by check or money order, make it payable to
section 6103.
“United States Treasury.” On your check or money order, be
sure to write your EIN, “Form 5884-C,” and the year (and
The time needed to complete and file this form will vary
quarter if applicable) indicated on line 3.
depending on individual circumstances. The estimated burden
for taxpayers who file this form is shown below.
You do not have to pay if the amount you owe is less than $1.
Recordkeeping
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. 5 hr., 15 min.
Signature
Learning about the law or the form .
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. 35 min.
Form 5884-C must be signed by the president, vice president,
Preparing and sending the form
treasurer, assistant treasurer, chief accounting officer, or other
to the IRS
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. 42 min.
corporate officer (such as tax officer) authorized to sign. A
receiver, trustee, or assignee must sign any return filed for the
If you have comments concerning the accuracy of these time
organization. For a trust, the authorized trustee must sign.
estimates or suggestions for making this form simpler, we would
be happy to hear from you. You can write to the Internal
Paid Preparer
Revenue Service, Tax Products Coordinating Committee,
SE:W:CAR:MP:T:M:S, 1111 Constitution Ave. NW, IR-6526,
A paid preparer must sign Form 5884-C and provide the
Washington, DC 20224. Do not send Form 5884-C to this
information in the Paid Preparer Use Only section if the preparer
address. Instead, see Where To File, earlier.
was paid to prepare Form 5884-C and is not an employee of the
filing entity. Paid preparers must sign paper returns with a
manual signature. The preparer must give the organization a
copy of Form 5884-C in addition to the copy to be filed with the
IRS.
If you are a paid preparer, enter your Preparer Tax
Identification Number (PTIN) in the space provided. Include your
complete address. If you work for a firm, enter the firm’s name
and the EIN of the firm. You cannot use your PTIN in place of
the EIN of the tax preparation firm.

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