Form 14581 - Fslg Compliance Self-Assessment Page 12

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Page 12
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Flag Item Other Tax Issues – See
Publication 15
1.
Employment Tax Filing
Yes
No
N/A
A. Are all Forms 941 / 944 / 945 filed as required?
B. Are all Forms 941 / 944 / 945 filed by the date required?
Yes
No
N/A
C. Are all Forms 941 / 944 / 945 filed complete and accurate?
Yes
No
N/A
Yes
No
N/A
D. Do wage and withholding amounts for income, social security and Medicare
reconcile between Forms W-3, W-2, and 941?
Do the amounts reported on these forms also reconcile to the accounting records?
Yes
No
N/A
2.
Independent Contractor Reporting
Yes
No
A. Does the entity make payments to independent contractors?
B. Are Forms W-9, Request for Taxpayer Identification Number and Certification, secured from
Yes
No
vendors / contractors prior to initial payment?
Note: Form W-9, or its equivalent, should be secured from all vendors / contractors before any payments are made.
Use
Form W-9,
Request for Taxpayer Identification Number and Certification, to secure the owner's name (if sole
proprietor), legal business name, mailing address and taxpayer identification number.
C. Are Forms W-9 on file for every vendor or independent contractor?
Yes
No
D. Are all Forms W-9 properly completed?
Yes
No
Yes
No
E. Are Forms 1099-MISC filed for all vendors / contractors (except for some legally exempt
ones) for payments aggregating $600 or more per year?
F. Does the entity file Form 1099-MISC for payments to individuals, partnerships, and certain
Yes
No
corporations?
Yes
No
G. Does the entity file Form 1099-MISC to attorney recipients (whether or not incorporated)?
H. Does the entity file Form 1099-MISC for medical and health care payments (including to
Yes
No
incorporated recipients)?
3.
Backup Withholding
If applicable, did the entity withhold Federal income tax on miscellaneous income under
Yes
No
backup withholding provisions?
Note: Notice CP2100 is issued in situations where prior year information returns contained missing or incorrect
taxpayer identification numbers and name/identification number mismatches.
Backup withholding is required on reportable payments made to a U.S. person if:
1) the U.S. person has not provided its taxpayer identification number (TIN) in the manner required; or
2) The IRS notifies you that the TIN is incorrect. Generally, a TIN must be provided on Form W-9. A payer reports
backup withholding on Form 945.
For additional information on backup withholding, see
Publication
1281, Backup Withholding for Missing and
Incorrect Name/TINs and
Publication
15, beginning on page 9.
Notes
14581
Catalog Number 66247V
Form
(Rev. 3-2015)

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