Form 11-C - Occupational Tax And Registration Return For Wagering Page 6

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6
Form 11-C (Rev. 12-2013)
Page
Privacy Act and Paperwork Reduction
The time needed to complete and file this form will
vary depending on individual circumstances. The
Act Notice
estimated average time is: Recordkeeping, 3 hrs., 49
min.; Learning about the law or the form, 57 min.;
We ask for the information on Form 11-C to carry out the
Preparing the form, 2 hrs., 0 min.; and Copying,
Internal Revenue laws of the United States. You are
assembling, and sending the form to the IRS, 16 min.
required to give us the information. We need it to ensure
If you have suggestions for making this form simpler,
that you are complying with these laws and to allow us to
we would be happy to hear from you. You can send us
figure and collect the right amount of tax. Section 4411
comments from Click on “More
imposes a special tax on each person who is engaged in
Information” and then on “Comment on Tax Forms and
receiving wagers for or on behalf of any person liable for
Publications.” Or you can send your comments to:
the tax on wagers. Section 4412 requires that person to
register with the IRS. Form 11-C is used to determine the
Internal Revenue Service
amount of the tax you owe and to register certain
Tax Forms and Publications
information with the IRS. Section 6109 requires you to
SE:W:CAR:MP:TFP
provide your identification number. Unless specifically
1111 Constitution Ave. NW, IR-6526
prohibited by law, routine uses of this information include
Washington, DC 20224
giving it to the Department of Justice for civil and criminal
Do not send the form to this address. Instead, see
litigation; to cities, states, the District of Columbia, and
Where to file, earlier.
U.S. commonwealths and possessions for use in
We respond to many letters by telephone. Therefore, it
administering their tax laws; to other countries under a
would be helpful if you would include your daytime phone
tax treaty; to federal and state agencies to enforce federal
number, including the area code, in your correspondence.
nontax criminal laws; or to federal law enforcement and
Although we cannot respond individually to each
intelligence agencies to combat terrorism. If you fail to
comment received, we do appreciate your feedback and
provide this information in a timely manner, you may be
will consider your comments as we revise our tax
subject to penalties.
products.
You are not required to provide the information
requested on a form that is subject to the Paperwork
Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form or its
instructions must be retained as 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 section 6103.

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