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Form 4419 (Rev. 2-97)
Page
delete any names from your file, submit an updated list to
General Instructions
the IRS Martinsburg Computing Center (MCC). You are not
Paperwork Reduction Act Notice.—We ask for the
required to file another Form 4419.
information on this form to carry out the Internal Revenue
Block 6.—Indicate if you are requesting this transmitter
laws of the United States. You are required to give us the
control code solely for the purpose of filing
information.
magnetic/electronic requests for an extension of time to file
You are not required to provide the information requested
information returns.
on a form that is subject to the Paperwork Reduction Act
Block 7.—Check the box next to all of the returns you will
unless the form displays a valid OMB control number. Books
file with IRS magnetically and/or electronically.
or records relating to a form or its instructions must be
A separate TCC will be assigned for each form identified in
retained as long as their contents may become material in
Block 7. Please make sure you submit your magnetic media
the administration of any Internal Revenue law. Generally, tax
files using the correct TCC.
returns and return information are confidential, as required by
Thereafter, if you need to add any of the forms identified in
Code section 6103.
Block 7, it will be necessary to submit another Form 4419 to
The time needed to complete and file this form will vary
IRS so another TCC can be assigned.
depending on individual circumstances. The estimated
Note: For ms 8027, 8596, and W-4 CANNOT be filed
average time is:
electronically.
Preparing the form
26 min.
Blocks 8, 9, and 10.—Enter the information requested for
If you have comments concerning the accuracy of this
the type(s) of magnetic media and/or electronic files you
time estimate or suggestions for making this form simpler,
intend to submit. Enter the name of the manufacturer and
we would be happy to hear from you. You can write to the
the model number under “Hardware” (for example, IBM
Tax Forms Committee, Western Area Distribution Center,
PC/AT). Under “Software Operating System,” indicate
Rancho Cordova, CA 95743-0001.
whether the software was purchased or is self-programmed.
DO NOT SEND THE FORM TO THIS OFFICE. Instead, see
If purchased, provide the name of the software company. For
the instructions below on where to file.
5
1
⁄
-inch and 3
1
⁄
-inch diskettes, also indicate the operating
4
2
Purpose of Form.—File Form 4419 to request authorization
system under which the diskette was prepared (for example,
to file any of the forms shown in Block 7 magnetically or
self-programmed-MS/DOS).
electronically. Please be sure to complete all appropriate
Block 11.—The form must be signed and dated by an official
blocks. If your application is approved, a five-character
of the company or organization requesting authorization to
alpha-numeric transmitter control code (TCC) will be
report magnetically and/or electronically.
assigned to your organization.
Filing Your Application
Note: Do NOT use Form 4419 to request authorization to file
For ms W-2 on magnetic media, since Form W-2 infor mation
Mail the completed application and any attached lists to the
is sent to the Social Security Administration (SSA) ONLY.
appropriate address below.
Contact SSA if you have any questions concer ning the filing
If by Postal Service:
If by truck or air freight:
of Forms W-2 on magnetic media.
IRS, Martinsburg Computing
IRS, Martinsburg Computing
Specific Instructions
Center
Center
P.O. Box 1359
Magnetic Media Reporting
Please provide complete information. Otherwise, processing
Martinsburg, WV 25402-1359
Program
of your application will be delayed.
Route 9 and Needy Road
Block 1.—Enter the name and complete address of the
Martinsburg, WV 25401
person or organization that will submit the magnetic media or
electronic files (transmitter).
Filers using 3780 protocol.—In order to ensure timely filing,
submit Form 4419 at least 45 days prior to the due date of
Block 2.—Enter the name, title, and telephone number (with
the return.
area code) of the person to contact about this application if
IRS needs additional information.
Filers using tape, diskettes, or IRP-BBS.—In order to
ensure timely filing, submit Form 4419 at least 30 days prior
Block 3.—Enter the employer identification number (EIN) of
to the due date of the return.
the organization transmitting the magnetic media and/or
electronic files.
If your application is approved, IRS will assign a TCC to
you. We will not issue your TCC without a signed Form 4419
Block 4.—Enter the tax year that you wish to start filing
from you, and we will not issue a TCC over the telephone. If
magnetically and/or electronically.
you do not receive a reply from IRS within 30 days, contact
Block 5.—Indicate if you are a service bureau developing
us at the telephone number shown below. Do not submit any
and/or transmitting files for other payers. If you submit
files until you receive your TCC.
information returns for a group of payers, attach a list with
For further information concerning the filing of information
the names and employer identification numbers of those
returns with IRS either magnetically or electronically, contact
payers to your application. A separate transmitter control
the IRS Martinsburg Computing Center at (304) 263-8700
code (TCC) is not required for each payer. If you add or
between 8:30 a.m. and 4:30 p.m. Eastern Standard Time.