Form Tc-40ts - Tax Shelter Disclosure For Material Advisors
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Utah State Tax Commission
TC-40TS
Tax Shelter Disclosure for Material Advisors
Rev. 12/08
Get forms online - tax.utah.gov
Material advisor's name
EIN or Social Security Number
Telephone #
Mailing address
City
State
Zip code
Attach a copy of the statement or return filed with the Internal Revenue Service (IRS) pursuant to section 6111 of the Internal Revenue
Code (IRC), currently IRS Form 8918, Material Advisor Disclosure Statement. Also, include all documentation submitted to the IRS in
connection with the statement or return and mail to the address shown below.
Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct and complete.
Signature
Official title
Date signed
Firm's name (or yours if self-employed)
Signature of person preparing this return
Paid
preparer
Address
City
State
ZIP code
ID number
Date signed
use only
Mail form to: Utah State Tax Commission
Attention: Auditing Division
210 N 1950 W
SLC UT 84134-2000
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Parent category: Financial