Form 1000 - Ownership Certificate Page 2

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Form 1000 (Rev. 12-05)
Page
States. You are required to give us the information. We need it
Instructions to Owner, Fiduciary, Trustee,
to ensure that you are complying with these laws and to allow
or Agent
us to figure and collect the right amount of tax.
How To File. File this form with the withholding agent for
You are not required to provide the information requested on a
interest payments on bonds that have a tax-free covenant and
form that is subject to the Paperwork Reduction Act unless the
that were issued before 1934 by a domestic corporation or a
form displays a valid OMB control number. Books or records
resident or nonresident foreign corporation.
relating to a form or its instructions must be retained as long as
their contents may become material in the administration of any
Use a separate Form 1000 for each issue of bonds.
Internal Revenue law. Generally, tax returns and return
Instructions to Withholding Agents
information are confidential, as required by Internal Revenue
Code section 6103.
Use Form 1042 to summarize Forms 1000. Do not send Form
The time needed to complete and file this form will vary
1000 to the Internal Revenue Service. Keep Form 1000 for at
depending on individual circumstances. The estimated average
least 4 years after the end of the last calendar year in which the
time is 3 hours and 10 minutes.
income the form applies to is paid.
If you have comments concerning the accuracy of this time
If a nonresident foreign corporation with a fiscal or paying
estimate or suggestions for making this form simpler, we would
agent in the United States issues the obligation, modify Form
be happy to hear from you. You can write to the Internal
1000 to show the name and address of the nonresident debtor
Revenue Service, Tax Products Coordinating Committee,
corporation in addition to the name and address of the U.S.
SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6406,
fiscal or paying agent.
Washington, DC 20224. Do not send this form to this address.
Paperwork Reduction Act Notice. We ask for the information
Instead, see How To File on this page.
on this form to carry out the Internal Revenue laws of the United

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