Transcription of Form 8973 Reporting Agreement - Internal …
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Form 8973 Reporting Agreement - Internal …
Form 8973(Rev. December 2018)Certified Professional Employer Organization/Customer Reporting AgreementDepartment of the Treasury Internal revenue ServiceOMB No. 1545-2266730118 Read the separate instructions before you complete Form 1:Why are you filing this form? A service contract started on / /between the customer reported in Part 2 and the CPEO reported in Part service contract ended on/ /between the customer reported in Part 2 and the CPEO reported in Part a previously filed Form InformationPart 2:1 Customer s employer identification number (EIN) 2 Customer s name (not your trade name)3 Customer s trade name (if any)4 AddressNumber Street Suite or room numberCityStateZIP codeForeign country nameForeign province/countyForeign postal code5 Identify forms that the CPEO will file Reporting wages or compensation paid to employees performing services for the customer.
Form 8973 (May 2017) Certified Professional Employer Organization/Customer Reporting Agreement Department of the Treasury — Internal Revenue Service
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