Example: dental hygienist
Form 1122 Rev December 2003
Found 1 free book(s)Form 1122 (Rev. December 2003) - IRS tax forms
www.irs.govForm 1122 (Rev. December 2003) Department of the Treasury Internal Revenue Service For the calendar year 20 , or other tax year beginning , 20 and ending , 20 Name Employer identification number Number, street, and room or suite no. City or town, state, and ZIP code Name of parent corporation Employer identification number