Form 8935-T - Transmittal Of Airline Payments Reports - 2009
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14343
8935-T
Transmittal of Airline Payments Reports
Form
OMB No. 1545-2140
(June 2009)
Department of the Treasury
Internal Revenue Service
1
FILER’S name
2
Employer identification number
3a Name of person to contact
Street address (including room or suite number)
3b Telephone number
(
)
City, state, and ZIP code
3c Email address
4 Payment date(s)
5 Total amount reported
6
Number of Forms 8935 transmitted
$
Under penalties of perjury, I declare that I have examined this transmittal and accompanying forms, and, to the best of my knowledge and belief, they are true,
correct, and complete.
Signature
Title
Date
Privacy Act and Paperwork Reduction Act Notice. We ask
Instructions
for the information on these forms to carry out the Internal
Revenue laws of the United States. You are required to give
Purpose of form. Use Form 8935-T to transmit paper Forms
us the information. We need it to figure and collect the right
8935, Airline Payments Report, to the Internal Revenue
amount of tax.
Service.
Who must file. Every commercial passenger airline carrier
Public Law 110-458 section 125, and Internal Revenue
that pays one or more airline payment amounts as defined in
Code section 408A and its regulations, require you to file an
section 125(b)(1) of Public Law 110-458 must file
information return with the IRS and furnish a statement to
Form 8935-T to transmit paper Forms 8935.
recipients. Section 6109 and its regulations require you to
provide your taxpayer identification number on what you file.
When to file. File Forms 8935 and 8935-T within 90 days of
the date of making the airline payment(s) to qualified current
Routine uses of this information include giving it to the
and former employees. For payments made before
Department of Justice for civil and criminal litigation, and to
December 24, 2008, file Forms 8935 and 8935-T by March
cities, states, and the District of Columbia for use in
23, 2009.
administering their tax laws. We may also disclose this
information to other countries under a tax treaty, to federal
Attach all Forms 8935 to only one Form 8935-T for
and state agencies to enforce federal nontax criminal laws,
payments made before December 24, 2008. For payments
or to federal law enforcement and intelligence agencies to
made after December 23, 2008, attach Forms 8935 to only
combat terrorism. If you fail to provide this information in a
one Form 8935-T per payment date. You can attach Forms
timely manner, you may be subject to penalties.
8935 for more than one payment date as long as all payment
dates are within 90 days of the filing date.
You are not required to provide the information requested
on a form that is subject to the Paperwork Reduction Act
Where to file. Send Form 8935-T with attachments to:
unless the form displays a valid OMB control number. Books
Department of the Treasury
or records relating to a form or its instructions must be
Internal Revenue Service Center
retained as long as their contents may become material in
Kansas City, MO 64999
the administration of any Internal Revenue law. Generally, tax
Boxes 1 and 2. Enter the name, address, and employer
returns and return information are confidential, as required by
identification number (EIN) of the carrier or other filer of this
section 6103.
form.
The time needed to complete and file this form will vary
Boxes 3a, 3b, and 3c. Enter the name, telephone number,
depending on individual circumstances. The estimated
and email address of the person at the airline carrier who can
average time is:
be contacted for more information.
Learning about the law or the form
10 min.
Box 4. Enter the date(s) the payments were made.
Preparing the form
15 min.
Box 5. Enter the total amount(s) paid as reported on the
If you have comments concerning the accuracy of these
attached Form(s) 8935.
time estimates or suggestions for making this form simpler,
Box 6. Enter the number of Forms 8935 being transmitted
we would be happy to hear from you. You can write to the
with this Form 8935-T.
Internal Revenue Service, Tax Products Coordinating
Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave.
Signature. The contact or other responsible person at the
NW, IR-6526, Washington, DC 20224. Do not send these
commercial passenger airline carrier must sign and date
forms to this address. Instead, see Where to file earlier.
Form 8935-T.
8935-T
Cat. No. 52695Z
Form
(6-2009)
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