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Printable Form 8109-B Roseville California: What You Should Know

Or p.m., etc.. Fill forms using pen as it works best. Taxes Due by: The Day After This Form was Last Issued on this date (YYY DD) This form is available for your use only. It cannot be assigned to a specific person, company, or other organization. No one other than you can use this form for any purpose. The IRS shall not be liable, and cannot be held liable, for any misuse, mistakes, or damages resulting from you using this form. Please read the instructions carefully. You should be aware that if you print your own copy of this form or use it in any way that could be construed as a waiver of any rights or remedies that you may have under law, you may be in violation of IRS regulations. You should also be careful when using forms with instructions because the instructions could be subject to further changes or cancellations that the IRS may require before final publication. If you don't agree with the instructions you may want to print two copies. We strongly recommend that you do not use this form for any purpose where the value of the payment or payment amount is greater than 10,000. Please keep our paper form in a secure environment, with no other papers or materials in proximity to it. Please note: We do not accept electronic payments unless you enter the amount electronically. IRS Forms 8109-B are printed on two sides, one at the top row of each page, and one on the bottom row. The two sides with your information are for the two primary reasons for the use of these paper forms: to make the information clear and easy to read and to save time as you complete the form. If you choose to print a copy of this form, make sure you do not print both the front and back, but a single photocopy. If you choose to photocopy a single side, we assume no responsibility for it. If for any reason you would prefer not to print two copies of the form, a single slip of paper is available for a 1.00 fee, which will give you two copies of the same form. Keep the slip of paper in a safe place to which this slip of paper is protected, or it cannot be used again. If you print only the front page of this form and are returning it by mail to the IRS, use the slip of paper if you need it for any reason.

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