Form 4419 - Application For Filing Information Returns Magnetically/electronically (Page 2 of 2) in pdf

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.

⁄

-inch and 3

⁄

-inch diskettes, also indicate the operating

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

Specific Instructions

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.

Form 4419 - Application For Filing Information Returns Magnetically/electronically Page 2

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