Form 8596-A - Quarterly Transmittal Of Information Returns For Federal Contracts
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18596-A
Quarterly Transmittal of Information Returns
Attach
Form
(Rev. November 2010)
for Federal Contracts
Form(s) 8596
Internal Revenue Service
Department of the Treasury
1 Name of Federal executive agency
2
Employer identification number
3a Name and address of person IRS can contact to request a tax offset
3b Title of person listed in 3a
4 Quarter ending
5
Number of Forms 8596 transmitted
Under penalties of perjury, I declare that I have examined this return and accompanying documents, that they are prepared pursuant
to the requirements of section 6050M, and that, to the best of my knowledge and belief, they are compiled from agency records
maintained in the normal course of business for the purpose of making a true, correct, and complete return as required by section
6050M.
Signature
Title
Date
▶
▶
▶
Instructions
Boxes 1 and 2. Enter the name and employer identification
number (EIN) of the Federal executive agency that entered into
Purpose of form. Use Form 8596-A to transmit paper Forms
the contract. If one central office is responsible for filing for the
8596, Information Return for Federal Contracts, to the Internal
entire agency, use only one name and EIN when filing Forms
Revenue Service. Prepare only one Form 8596-A to transmit all
8596 and 8596-A.
Forms 8596 for each quarter.
Boxes 3a and 3b. Enter the name, mailing address, and title of
When to file. The due dates for each quarter are as shown
the person to whom requests for an offset against any unpaid
below. Do not file before the end of the quarter.
tax liability of the contractor can be sent.
Box 4. Enter the date the quarter ended. For example, for the
Quarter
Due Date
quarter ending March 31, 2010, enter 03312010; June 30, 2010,
January, February, March
April 30
enter 06302010; September 30, 2010, enter 09302010;
April, May, June
July 31
December 31, 2010, enter 12312010.
July, August, September
October 31
Box 5. Enter the number of Forms 8596 being transmitted with
October, November, December
January 31
this Form 8596-A.
If the regular due date falls on a Saturday, Sunday, or legal
Signature. The head of the Federal executive agency or his or
holiday, file by the next business day.
her delegate must sign and date the form.
Where to file. File Forms 8596 and 8596-A with Department of
See Form 8596 for additional information.
the Treasury, Internal Revenue Service Center, Kansas City, MO
64999-2222.
Who must file. The head of every Federal executive agency or
his or her delegate must file Forms 8596 and 8596-A to report
federal contracts. For more information, see Form 8596.
8596-A
Form
(Rev. 11-2010)
Cat. No. 12307S
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