Application For Filing Information Returns Electronically (Fire)
Download a blank fillable Application For Filing Information Returns Electronically (Fire) in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Filing Information Returns Electronically (Fire) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Revised Form 4419 Current Transmitter Control Code (TCC)
(Refer to Instructions Page 2)
OMB Number
Department of the Treasury - Internal Revenue Service
1545-0387
Application for Filing Information
4419
Form
IRS Use Only
Returns Electronically (FIRE)
(April 2016)
►
IRS encourages transmitters who file for multiple payers to submit one
application and use the assigned TCC for all payers.
1. Transmitter and/or Payer information
Legal name
(associated with EIN in Block 2)
Mailing address
City
State
ZIP code
2. Employer Identification Number (EIN)
(Social Security Number not permitted)
3. Person to contact about this request
Name
Title
Email address
Telephone number
4. Will TCC be used to transmit electronic
5. Is the request for a foreign transmitter
6. What Tax Year will
Extension of Time Files only?
without a TIN?
electronic filing begin?
Yes
No
Yes
No
7. Check the box(es) next to the returns you will file electronically.
Note: The FIRE System does not provide an on-line fill-in option. You must transmit your data in the specific format
required by IRS.
Forms 1097, 1098,
Form 1042-S,
Form 8027,
Form 8955-SSA, Annual
1099, 3921, 3922,
Foreign Person’s
Employer’s Annual
Registration Statement
5498 and W-2G
U.S. Source Income
Information Return of
Identifying Separated
(See Publication 1220)
Subject to Withholding
Tip Income and
Participants with
(See Publication 1187)
Allocated Tips
Deferred Vested Benefits
(See Publication 1239)
(See Publication 4810)
Note: In order to file electronically through the FIRE System, you must have software or a service provider that will
create the file in the standard ASCII format.
8.
I have read the Affidavit in the Instructions on page 2 and I am authorized to sign the document on behalf of the
transmitter and/or payer.
Under penalties of perjury, I declare that I have examined this document including any accompanying statements, and to
the best of my knowledge and belief, it is true, correct, and complete.
9. Official of the
Name
Title
company or
organization
Date
Signature
(A computer generated signature is not acceptable.)
4419
Catalog Number 41639J
Form
(Rev. 4-2016)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial