IRS UPDATES PROCEDURES FOR FILING ANNUAL INFORMATION RETURNS FOR WINDFALL PROFIT TAX ON MAGNETIC TAPE
Rev. Proc. 84-81; 1984-2 C.B. 759
- Institutional AuthorsInternal Revenue Service
- Code Sections
- LanguageEnglish
- Tax Analysts Electronic Citationnot available
Superseded by Rev. Proc. 86-7
Rev. Proc. 84-81
PART A--GENERAL
SECTION 1. PURPOSE AND NATURE OF CHANGES
The purpose of this revenue procedure is to update Rev. Proc. 84-31, 1984-1 C.B. 487, concerning the requirements and conditions for filing annual information returns for windfall profit tax on magnetic tape instead of on paper returns. Specifications for filing Form 6248, Annual Information Return of Windfall Profit Tax, are contained in this procedure. For tax year 1984 the following changes have been included in this revenue procedure:
.01 In Part B, Section 4, Table 3, the Zip Code range for Maryland and Virginia has been changed to no longer accept "200nn" as valid, and the Zip Code range for Puerto Rico has been changed from "007nn-009nn" to "006nn-009nn".
.02 In Part B, Section 4, the "Corrected Indicator" in position 127 of the Filer/Transmitter "G" record has been changed to "Type of Filing Indicator". The meaning has been expanded as follows:
Code
Entry Meaning
Zero All associated "H" Records are original returns
1 All associated "H" Records are corrected
documents (adjustments to previously supplied
original documents)
2 All associated "H" Records are "Corrected
Suspense Accounts" (proceeds are released from
suspense)
3 All associated "H" Records are "Suspense
Accounts" (proceeds being held in suspense)
.03 In Part B, Section 6, paragraph 01, the final sentence has been added to read "Zero fill any barrel or liability field for which data is present." Zero fill any barrel or liability field for which data is present."
.04 In Part B, Section 6, a new paragraph .02 has been inserted which reads: "Each field must contain data (dollars, barrels, etc.) covering only the interest of the producer/recipient for whom the Form 6248 is prepared." The old paragraphs .02, .03, and .04 have been renumbered.
.05 In part B, Section 6, the "NOTE" preceding the Producer's 8 Name Lines in the Producer/Recipient "H" Record has been expanded to include the range of valid characters.
.06 In Part B, Section 6, for the description of Exempt Tier Two Oil in positions 365 to 374 of the Producer/Recipient "H" record, the clause has been added "... (not to include Exempt Stripper Well Oil)".
.07 In Part B, Section 6, for Type of Exempt Oil in positions 415 to 419 of the Producer/Recipient "H" record, reference to "RESERVED" and the coded entry of "5" has been deleted. This was intended as a reserve code for future use, but was being misinterpreted as "Reserved Oil" and used inappropriately.
.08 In Part B, Section 6, all Barrel and Liability fields in the Producer/Recipient "H" Record have their data contents definition expanded to include the word "taxable" and "..., right justified and zero filled," to further clarify that these fields should be totally numeric and not blank filled when data is present.
.09 In Part B, Section 6, for the Number of Barrels Newly Discovered field in positions 965-976 of the Producer/Recipient "H" record and for the Tax Liability Newly Discovered Oil field in positions 1013-1024 of the Producer/Recipient "H" record, the rate in the title has been changed from 25% to 22 1/2%.
Note that this new rate will remain in effect through and including tax year 1987. In tax year 1988 the tax rate is scheduled to be changed to 20%. In Tax year 1989 and beyond, the tax rate is to be 15%.
SEC. 2 APPLICATION FOR MAGNETIC MEDIA REPORTING
.01 For the purpose of this revenue procedure only, the first purchasers, filers, and payers are equivalent to each other, and are considered to be the person making the payments. The producer, recipient, or payee is the receiver of the payments. The transmitter is the organization preparing the tape file. Payers or transmitters who decide to file information returns on magnetic tape must complete Form 4419, Application for Magnetic Media Reporting of Information Returns. Instructions for completing the application appear on the reverse side of the form.
.02 The Internal Revenue Service will act on an application and notify the applicant of authorization to file within 30 days of receipt of the application. No magnetic tape returns may be filed with the IRS until authorization to file is received.
.03 The Service will assist new filers with their initial magnetic tape submission by reviewing test tapes in advance of the filing season. Approved payers or transmitters who wish to submit test tapes should contact the magnetic media coordinator at the service center where the application was filed. A list of the service center addresses is provided in Section 10.
.04 Once authorization to file on magnetic tape has been granted to a payer or transmitter, it will remain in effect in succeeding years, provided that all the requirements of this revenue procedure are met and there are no equipment changes by the filer. If a filer discontinues filing on magnetic tape, a new application must be filed before this method of filing may be resumed.
SEC. 3. FILING OF TAPE REPORT
.01 A magnetic tape reporting package, which includes all the necessary transmittals, labels, and instructions, will be mailed to all approved filers between October and December of each year.
.02 Payers may submit a portion of their information returns on magnetic tape and the remainder on paper forms provided there is no duplicate filing. The magnetic tape records and paper forms must be filed at the same location, but in separate shipments. A Form 6248-T, Summary and Transmittal of Windfall Profit Tax, must accompany paper submission and a Form 4804, Transmittal of Information Returns Reported on Magnetic Media, must accompany magnetic tape submissions.
.03 The affidavit which appears on Forms 6248-T and Form 4804 must be signed by the payer. However, one of the following, the transmitter, service bureau, or disbursing agent may sign the affidavit on behalf of the payer if three conditions are met. The conditions are that the agent must:
1. have the authority to sign the affidavit under an agency agreement (either oral, written, or implied) that is valid under state law;
2. have the responsibility (either oral, written or implied) conferred on it by the payer to request the taxpayer identifying numbers of payees reported on magnetic tape or paper returns; and
3. sign the affidavit and add the caption "From: (name of payer)".
.04 Although a duly authorized agent signs the affidavit, the payer is held responsible for the accuracy of the Form 4804 and will be liable for penalties for failure to comply with filing requirements.
.05 The preceding requirements also apply to paper filers submitting Form 6248-T. The failure of duly authorized "agents" of paper filers to comply with filing requirements for Form 6248-T and attachments does not relieve the payers of any penalties that may arise as a result of such failure to comply.
.06 If a portion of the returns is submitted on paper documents, include a statement on the Form 6248-T that the remaining returns are being filed on magnetic tapes. Please note that Form 6248-T instructions normally apply to filing of information returns on paper; however, filers of magnetic tape must review the Form 6248-T instructions and file Form 6248-T if appropriate.
SEC. 4 FILING DATES
.01 Magnetic tape reporting to the Service for Forms 6248 is on a calendar year basis.
.02 The dates prescribed for filing paper returns with the Internal Revenue Service will also apply to magnetic tape filing. Tapes must be submitted to the service center by April 30. Copies required to be furnished to the producer or other recipients must be furnished by March 31.
SEC. 5 EXTENSIONS OF TIME TO FILE
.01 If a payer or transmitter is unable to submit the tape file by the date prescribed in Section 4.02 above, a letter requesting an extension must be filed before April 30. The letter should be sent to the attention of the magnetic media coordinator at the service center which will receive the tape file (see Part A, Section 10, below). The request should include the estimated number of returns which will be filed late, the reason for the delay, and the date by which the returns will be filed.
.02 If an extension is granted by the Service, a copy of the letter granting the extension must be attached to the transmittal Form 4804 when the file is submitted.
SEC. 6. PROCESSING OF TAPE RETURNS
01 The Service will process tax information from the tapes. Tapes which are timely received by the Service will be returned to the filer within six months of receipt.
02 All tapes submitted must conform totally to this revenue procedure. If tapes are unprocessable, they will be returned to the filer for correction. Corrected tapes must be filed with the Service as soon as possible. Corrected files will be returned by the Service within six months of receipt.
SEC. 7. CORRECTED RETURNS, SUBSTITUTE FORMS AND COMPUTER-GENERATED FORMS
01 If returns must be corrected or amended, approved magnetic media filers should make every attempt to provide such corrections on tape. The filer must contact the magnetic media coordinator for format and shipping instructions. A corrected Form 4804 must accompany the shipment and be marked "Magnetic Media Correction" on the top margin of the form. Corrected or amended Form 6248 data must be filed in accordance with Revenue Procedure 83-86.
02 If corrections are not submitted on tape, payers must submit them on official Forms 6248 (Copy A). Approved substitutes or computer-generated forms that are exact facsimiles of the official form (except for minor page size or print style deviations) may be submitted without obtaining prior Service approval before using the form. In all other cases, Service approval must be obtained before the substitute or computer-generated form can be used. Revenue procedures containing specifications for paper returns are available from most Service offices.
03 Requests for approval of computer-generated or substitute form should be sent to the following address with a copy of the proposed form:
Internal Revenue Service
Attn: Substitute Forms Program
Room 7037 D:R:R:I
1111 Constitution Avenue N.W.
Washington, D.C. 20224
04 Form 6248 instructions are to be followed when paper returns are filed to correct returns submitted on magnetic media. The caption "Magnetic Media Correction " must appear on the top right corner of the form. Corrections must be sent to the attention of the magnetic media coordinator where the original tape file was filed.
SEC. 8. TAXPAYER IDENTIFICATION NUMBERS
01 Under Section 6109 of the Internal Revenue Code, recipients of income are required to furnish Taxpayer Identification Numbers (TINs) to the payer whether or not the payee is required to file a tax return.
02 Payers are expected to keep to a minimum those statements submitted without TINs. It is particularly important that correct Social Security and Employer Identification Numbers for payees be provided on magnetic media or paper forms submitted to the IRS.
03 For each omission of a required TIN, Section 6676 of the Internal Revenue Code imposes a $50 penalty, unless the payer or payee responsible for furnishing the number establishes reasonable cause for not having done so.
04 The TIN to be furnished depends primarily upon the manner in which the account is maintained or set up on the record of the payer. The number to be provided must be that of the owner of record. If the account is recorded in more than one name, furnish the TIN and name of one of the holders of the record. For those engaged in a trade or business (including employee trusts, retirement systems, etc.) the TIN is the Employer Identification Number (EIN), without hyphens. For individuals, it is a Social Security Number (SSN), without hyphens.
05 Sole proprietors who are payers should show their Employer Identification Number and/or their Social Security Number in the Filer/Transmitter "G" Record. The tables provided in .06 below should help to determine the number to be furnished to the Service.
06 Any person required to file an information return that is based, in whole or in part, upon information received from another person MUST include the Taxpayer Identifying Number of that person on the return. The tables below will help determine the number to be furnished to the Service.
TABLE 1. GUIDELINES FOR SOCIAL SECURITY NUMBERS
___________________________________________________________
In tape positions In tape positions
2-10 of the 20-339 of the
Producer/Recipient Producer/Recipient
If the producer/ "H" Record, enter "H" Record, enter
recipient is: the SSN of: the name of:
___________________________________________________________
1. An individual The individual The individual
2. A joint account The actual or The individual
of two or more principal owner of whose SSN is
individuals, a the account entered
husband and wife or
adult and minor
3. An account in the The ward, minor, The individual
name of the guardian or incompetent whose SSN is
or committee for person entered
a designated ward,
minor, or incompetent
person
4. A custodian of a The minor The minor
minor (Uniform Gifts
to Minors Act)
5.a. The usual The grantor/ The grantor/
revocable savings trustee trustee
trust account
(grantor is also
trustee)
b. So-called trust The actual The actual owner
account that is not owner
a legal or valid
trust under State
Law
6. A sole proprietor The owner The owner
7. A grantor trust The grantor The grantor
described in section
1.671-4(b) of the
Income Tax Regulations
___________________________________________________________
TABLE 2. GUIDELINES FOR EMPLOYEE IDENTIFICATION NUMBERS
___________________________________________________________
In tape positions In tape positions
11-19 of the 20-339 of the
Producer/Recipient Producer/Recipient
If the producer/ "H" Record, enter "H" Record, enter
recipient is: the EIN of: the name of:
1. A valid trust, Legal entity (Do The legal trust,
estate or pension not furnish the estate or pension
trust identifying number trust
of the personal
representative or
trustee unless the
legal entity itself
is designated in
the account title)
2. A corporation The corporation The corporation
3. A religious, The organization The organization
charitable or
educational
organization
4. A partnership The partnership The partnership
held in the name of
the business
5. An association, The organization The organization
club, or other
tax-exempt
organization
6. A broker or The broker or The broker or
registered nominee nominee nominee
7. An account with The public entity The public entity
the Department of
Agriculture in the name
of a public entity
(such as a state or
local government,
school district or
prison that receives
agriculture program
payments)
SEC. 9. EFFECT ON PAPER RETURNS
01 Magnetic tape reporting of the information return listed in Section 1 above applies only to the original (Copy A).
02 Payers are permitted considerable flexibility in designing the copy of the information return to be furnished to the payee. The payer may combine the information return data with other reports or financial or commercial notices, or expand them to include other information. This is permissable so long as all required information present on the official form is included nad the payees' copies are conducive to proper reporting of income on tax returns. Payers must include the message "This information is being furnished on Form 6248 to the Internal Revenue Service" on the recipients' copies.
03 If a portion of the returns are reported on magnetic tape and the remainder are reported on paper forms, those returns not submitted on magnetic tape must be filed on official Forms 6248.
SEC. 10. ADDITIONAL INFORMATION
Requests for additional copies of this revenue procedure or for additional information on tape reporting should be addressed to the attention of the magnetic media coordinator of one of the following:
(a) Internal Revenue Service
Andover Service Center
Post Office Box 311
Andover, MA 01810
(b) Internal Revenue Service
Brookhaven Service Center
P.O. Box 486
Holtsville, N.Y. 11742
(c) Internal Revenue Service
Philadelphia Service Center
Post Office Box 245
Bensalem, PA 19020
(d) Internal Revenue Service
Atlanta Service Center
Post Office Box 47421
Doraville, GA 30362
(e) Internal Revenue Service
Memphis Service Center
P.O. Box 1900
Memphis, TN 38101
(f) Internal Revenue Service
Cincinnatti Service Center
Post Office Box 267
Covington, KY 41019
(g) Internal Revenue Service
Kansas City Service Center
2306 E. Bannister Road Stop 43
Kansas City, MO 64131
(h) Internal Revenue Service
Austin Service Center
Post Office Box 934
Austin, TX 78767
(i) Internal Revenue Service
Ogden Service Center
Post Office Box 9941
Ogden, UT 84409
(j) Internal Revenue Service
Fresno Service Center
Post Office Box 12866
Fresno, CA 93779
PART B.--MAGNETIC TAPE SPECIFICATIONS
SECTION 1. GENERAL
01 The magnetic tape specifications contained in this part prescribe the required format and contents of the records to be included in the file. These specifications must be adhered to unless deviations have been specifically granted by the Service in writing.
02 In most instances, the Service will be able to process any compatible tape files. Compatible tape files must meet any one set of the following:
(a) 7 channel BCD (binary coded decimal) with
(1) Either Even or Odd Parity and
(2) A density of 556 or 800 BPI
(b) 9 channel EBCDIC (Extended Binary & Coded Decimal Interchange Code) with
(1) Odd Parity and
(2) A density of 800, 1600, or 6250 BPI
(c) 9 channel ASCII (American Standard Coded Information Interchange) with
(1) Odd Parity and
(2) A density of 800, 1600, or 6250 BPI
03 All compatible tape files must have the following characteristics:
(a) Type of tape--1/2 inch Mylar base, oxide coated: and
(b) Interrecord Gap--3/4 inch.
04 Internal Revenue Service programs are capable of accommodating some minor deviations. Filers who can substantially conform to these specifications, but do require some minor deviations, must contact the magnetic media coordinator at the service center where the file will be submitted. Under no circumstances may tapes deviating from the specifications in this revenue procedure be submitted without prior written approval from the Service.
SEC. 2. RECORD LENGTH
01 The tape records prescribed in these specifications may be blocked or unblocked, subject to the following:
(a) A block must not exceed 14,500 tape positions.
(b) If the use of blocked records would result in a short block, all remaining positions of the block must be filed with 9's. Do not pad a block with blanks.
(c) All records except the Header and Trailer Label, may be blocked.
02 All records, other than Header and Trailer records, must be 1450 characters long.
SEC. 3. OPTIONS FOR FILING
01 For filing convenience, this procedure contains two options for using header Labels and Filer/Transmitter "G" Records. For the purposes of this procedure the following conventions must be used:
Header Label:
1. Payers may use standard headers, however they must begin with 1HDR, HDR1, HDR2, VOL1 or VOL2.
2. Consist of either 80 or 120 positions each.
Trailer Label:
1. Standard trailer labels may be used, however they must begin with 1EOR, 1EOF, EOR1, or EOF1.
2. Consist of either 80 or 120 positions each.
Record Mark:
1. Special character used to separate blocked records on tape.
2. Can be written only at the end of a record or block.
3. For odd parity tapes, use BCD bit configuration 011010 ("A82").
Tape Mark:
1. Used to signify the physical end of the recording on tape.
2. Must be even parity, BCD configuration 001111 ("8421").
3. May follow the leader label(s) and precede and/or follow the trailer label(s).
Option 1: When using this option, a correct Filer/Transmitter "G" Record, described in Sec. 4 below, is required as the first record on each reel. Filers using this option may have Header Labels preceding the "G" Record, however, headers are not required. The reel sequence number must appear in positions 3-5 of each "G" Record and must be incremented by 1 on each tape reel of the file after the first reel.
Option 2: Requires a header Label as the first record on each reel. The Header Label must contain the reel sequence number and it must be incremented by 1 on each reel. The "G" Record will contain the location of the reel sequence number in the Header Label. If your system generates a four digit reel sequence number, ignore the first digit when determining the location of the reel sequence in the "G" Record.
Example 1: If your header label real sequence is four digits (e.g. 0001) and is in positions 28-31, enter 29 as the location in positions 3 and 4 of the "G" Record and also enter an "X" in position 5 of the "G" Record.
Example 2: If your Header Label reel sequence number is 3 digits (e.g., 001) and is in position 10-12, enter 10 as the location in positions 3 and 4 of the "G" Record. This option requires a Trailer Label at the end of each reel. Also, ignore the "J" Record instructions in this part if you use option 2.
SEC. 4. STANDARD STATE ABBREVIATIONS AND ZIP CODES
The following table gives the list of valid state abbreviations and zip codes to be used in the "G" and (in the case of zip codes) "H" records. The valid abbreviations for the U.S. territories American Samoa, Guam, Puerto Rico and the Virgin Islands are also included. If the producer lives in a foreign country, then a period followed by a blank (".b") should be entered in the two position state field and blanks should be entered for Zip Code. The table lists the only valid data entries for state information.
TABLE 3. STATE ABBREVIATIONS AND ZIP CODES
Alabama AL 350nn-369nn
Alaska AK 995nn-999nn
American-Samoa AS (Blank)
Arizona AZ 850nn-865nn
Arkansas AR 716nn-729nn,
75501
California CA 900nn-966nn
Colorado CO 800nn-816nn
Connecticut CT 060-069nn,
02891, 10573
Delaware DE 197nn-199nn
Dist. of Columbia DC 200nn-205nn
Florida FL 320nn-340nn
Georgia GA 300nn-319nn,
37317
Guam GU 969nn
Hawaii HI 967nn-968nn
Idaho ID 832nn-838nn
Illinois IL 600nn-606nn,
609nn-629nn
Indiana IN 460nn-479nn
Iowa IA 500nn-528nn
Kansas KS 660nn-679nn
Kentucky KY 400nn-427nn,
45275
Louisiana LA 700nn-714nn,
71749
Maine ME 039nn-049nn,
03801
Maryland MD 206nn-219nn,
203nn
Massachusetts MA 010nn-027nn
Michigan MI 480nn-499nn,
55617
Minnesota MN 550nn-567nn
Mississippi MS 386nn-397nn
Missouri MO 630nn-658nn
Montana MT 590nn-599nn
Nebraska NE 680nn-693nn
Nevada NV 890nn-898nn
New Hampshire NH 030nn-038nn,
04037
New Jersey NJ 070nn-089nn
New Mexico NM 870nn-884nn
New York NY 090nn-098nn,
100nn-149nn
North Carolina NC 270nn-289nn
North Dakota ND 580nn-588nn
Ohio OH 430nn-458nn
Oklahoma OK 730nn-749nn
Oregon OR 970nn-979nn
Pennsylvania PA 150nn-196nn
Puerto Rico PR 006nn-009nn
Rhode Island RI 028nn-029nn,
02701
South Carolina SC 290nn-299nn
South Dakota SD 570nn-577nn
Tennessee TN 370nn-385nn,
35740, 42041
Texas TX 750nn-799nn,
73949, 88021
Utah UT 840nn-847nn
Vermont VT 050nn-059nn
Virginia VA 220nn-246nn,
203nn
Virgin Islands VI 008nn
Washington WA 980nn-994nn
West Virginia WV 247nn-268nn
Wisconsin WI 530nn-549nn,
49936
Wyoming WY 820nn-831nn
Foreign Ctry .b Blank
FOOTNOTES: "n" denotes any numeric digit; "b" denotes a
blank
SEC. 5. FILER/TRANSMITTER "G" RECORD
This record identifies the filer and the transmitter of the tape file and provides parameters for the processing of the succeeding records. The IRS computer programs rely on the parameters supplied in this record in the processing of the tape file.
The number of "G" Records, appearing on a tape reel will depend on the number of Filers for whom data is present. A transmitter may include Producer "H" Records for more than one Filer on a tape reel, however, each series of separate Filer/Producer "H" Record(s) must be preceded by a "G" Record. All "G" Records must be 1,450 characters in length.
RECORD NAME: FILER/TRANSMITTER "G" RECORD
___________________________________________________________
Tape
Position Field Title Length Description and Remarks
___________________________________________________________
1 Record Type 1 Enter "G".
2 Filing Year 1 Must be the rightmost digit
of the year for which WPT
data is being reported
(e.g., if data is for 1984
enter a 4). This number must
be incremented each year.
3-5 Reel Sequence 3 Sequential number of the
Number reel within the tape file
upon which this record
appears (see explanation of
Option 1 and Option 2
filing). Position 5 must
contain an X if you are
using option 2.
6-9 "G" Record Length 4 Enter 1450.
10-13 "H" Record Length 4 Enter 1450.
14-17 "I" Record Length 4 Enter 1450.
18 Type of Account 1 This field is used to
Filer's TIN identify the date in tape
positions 19-27 as either an
EIN (Employer Identification
Number) or an SSN (Social
Security Number). Use one of
the following codes as
appropriate.
1. Use the digit 0 if the
number provided is an
SSN.
2. Use the digit 1 if the
number provided is an
EIN.
3. Use the digit 2 if it is
not known if the number
provided is an SSN or
EIN.
4. Use the digit 3 if no
number is provided
(positions 19-27 should
be blank filed in this
case).
19-27 Filer's Taxpayer 9 Enter the taxpayer
Identification identifying number of the
Number filer (SSN or EIN as
appropriate). If no TIN is
provided leave blank.
28-67 Filer`s Name 40 Enter the name of the Filer
as used in normal business.
Abbreviate any extraneous
data other than the name as
necessary. Left justify and
fill with blanks.
68-102 Filer's Street 35 Enter the street address of
Address the Filer. Left justify and
fill with blanks.
103-115 Filer's City 13 Enter the city of the Filer.
Left justify and blank fill.
116-117 Filer's State 2 Enter the two digit
abbreviation of the Filer's
state. (See Table of valid
State Abbreviations in Part
B, Section 4.)
118-122 Filer's Zip 5 Enter the Zip Code of the
Filer. If Zip Code of the
Filer is not known this
field must be blank. (See
also the Zip Code ranges by
State in the Table in Part
B, Section 4.)
123-126 Reserved Field 4 Reserved for Service use.
Enter blanks.
127 Type of Filing 1 Enter a Zero if the
Indicator documents being filed are
original returns. Enter "1"
if the documents are
corrected returns
(adjustments to previously
supplied original returns).
Enter "2" if the documents
are "Corrected Suspense
Accounts" (proceeds are
released from suspense).
Enter "3" if the documents
are "Suspense Accounts"
(proceeds being held in
suspense). Enter "4" if the
documents are "Corrected
Suspense Accounts" (proceeds
are released from suspense).
128-178 Reserved 51 Reserved for Service use.
Enter blanks.
179-183 Transmitter 5 Enter the 5 digit
Control Code transmitter control code
assigned by the Service
184 Transmitter Code 1 If the filer of these Forms
6248 and the transmitter are
the same, enter the digit 0
in this location and blank
fill the rest of the record.
If they are not the same,
enter the digit 1 and supply
the information indicated.
185-193 Reserved 9 Reserved for Service use.
Blank fill.
194-233 Transmitter's 40 Enter the name of the
Name 1 Transmitter. Left justify
and blank fill.
234-268 Transmitter's 35 Enter the street address of
Street the transmitter. Left
Address 1 justify and blank fill.
269-281 Transmitter's 13 Enter city of Transmitter.
City 1 Left justify and Blank fill.
282-283 Transmitter's 2 Enter abbreviation of state
State 1 of transmitter.
284-288 Transmitter's Zip 5 Enter Zip Code of
Code 1 Transmitter.
289-1450 Reserved 1162 Reserved for Service use.
Blank fill.
1 If file is being transmitted by Filer, then the
Transmitter Name, Street Address, City, State and ZIP Code
can be blank filled.
SEC. 6. PRODUCER/RECIPIENT "H" RECORD
01 This record is used to provide the information contained in Parts I, II, III, IV, and V of Form 6248. All "H" Records must be of the same fixed length. Records may be blocked or unblocked. A block may not exceed 14,500 positions. Do not pad unused blocks with blank records, fill with 9's. Blank fill any field for which a data entry is not present. Zero fill any band or liability field for which data is present.
02 Each field must contain data (dollars, barrels, etc.) covering only the interest of the producer/recipient for whom the Form 6248 is prepared.
03 All amount fields in this section should be expressed in whole dollars without decimals. All quantities of oil should be expressed in whole barrels without decimals or fractions.
04 Amount fields and barrel fields may be signed or unsigned. Unsigned fields will always be considered positive. If signed decimal data is used, the rightmost (units) position of the field must be used to carry the sign of the field (negative or positive) as an overpunch character. This is the ONLY format permissable for the entry of signed decimal data. If your computer system cannot conform to this standard, or if you have any questions about entering data in this format, please contact the magnetic media coordinator at the Internal Revenue service center in which you intend to file (See Part A, Section 10).
05 All "H" Records must be 1450 characters long.
RECORD NAME: PRODUCER/RECIPIENT "H" RECORD
__________________________________________________________
Tape
Position Field Title Length Description and Remarks
__________________________________________________________
1 Record Type 1 Enter "H".
2-10 Producer's SSN 9 Enter Social Security Number
of Producer, without
hyphens, if available.
Otherwise, blank fill.
11-19 Producer's EIN 9 Enter Employer
Identification Number of
Producer, without hyphens,
if available. Otherwise,
blank fill.
NOTE: The following 8 fields are for the Producer
Name/Address information. If your name/address fields
contain less than 40 characters, do not pack information
from more than one of your name/address fields into any one
of the following name/address fields. If your name/address
fields are longer than 40 characters each, contact the
magnetic media coordinator at your regional service center
(see Part A Section 10 of this document) for instructions
on entering the data. You are encouraged, but not required,
to use the 2 character state abbreviations. Valid
characters for these name lines are: Alphabetic, Numeric,
Blanks, "&", "-", "/", "%", commas, and periods.
20-59 Producer's 1st 40 Enter data from your first
Name/Address Line Name/Address field for this
Producer.
60-99 Producer's 2nd 40 Enter data from your second
Name/Address Line Name/Address field for this
Producer.
100-139 Producer's 3rd 40 Enter data from your third
Name/Address Line Name/Address field for this
Producer. If no data is
present enter blanks.
140-179 Producer's 4th 40 Enter data from your fourth
Name/Address Line Name/Address field for this
Producer. If no data is
present enter blanks.
180-219 Producer's 5th 40 Enter data from your fifth
Name/Address Line Name/Address field for this
Producer. If no data is
present, enter blanks.
220-259 Producer's 6th 40 Enter data from your sixth
Name/Address Line Name/Address field for this
Producer. If no data is
present, enter blanks.
260-299 Producer's 7th 40 Enter data from your seventh
Name/Address Line Name/Address field for this
Producer. If no data is
present, enter blanks.
300-339 Producer's 8th 40 Enter data from your eighth
Name/Address Line Name/Address field for this
Producer. If no data is
present, enter blanks.
340-344 Producer Zip Code 5 Enter the Zip Code of the
Producer (See Part B,
Section 4).
345-348 Reserved 4 Reserved for Service use.
349-351 Type of Producer 3 Use up to 3 of the codes
below to indicate the Type
of Producer. Use at least
one of the codes. Left
justify and blank fill.
Type of Producer Code
________________ ____
(Unable to determine) 0
Individual 1
Partnership 2
Corporation 3
Estate 4
Trust 5
U.S. Citizen or Entity,
Or Resident Alien 6
Resident of U.S.
Possession 7
Foreign Citizen or
Non-Resident Alien 8
352-354 Producer Status 3 Use up to 3 of the following
codes to indicate the status
of the producer. Use at
least one code. Left justify
and blank fill.
Producer Status Code
_______________ ____
(Unable to determine) 0
Independent Producer 1
Member of "related
group" 2
Producer with no
withholding 3
Royalty Owner 4
Integrated Oil Company 5
Operator 6
Working Interest 7
Trust Beneficiary 8
355-364 Exempt Tier One 10 Enter the number of barrels
of Exempt Tier One Oil.
Enter in Whole Barrels,
right justified and zero
filled.
365-374 Exempt Tier Two 10 Enter the number of barrels
of Exempt Tier Two Oil (NOT
to include Exempt Stripper
Well Oil). Enter in Whole
Barrels, right justified and
zero filled.
375-384 Exempt Newly 10 Enter the number of barrels
Discovered of Exempt Newly Discovered
Oil. Enter in Whole Barrels,
right justified and zero
filled.
385-394 Exempt 10 Enter the number of barrels
Incremental of Exempt Incremental
Tertiary Tertiary oil. Enter in Whole
Barrels, right justified and
zero filled.
395-404 Exempt Heavy 10 Enter the number of barrels
of Exempt Heavy Oil. Enter
in Whole Barrels, right
justified and zero filled.
405-414 Total Exempt 10 Enter the total number of
Barrels barrels of exempt oil. Enter
in Whole Barrels, right
justified and zero filled.
415-419 Type of Exempt 5 Use up to 4 of the following
Oil codes to indicate the type
of exempt oil. Left justify
and blank fill.
Type of Exempt Oil Code
__________________ ____
Qualified
Governmental Interests 1
Qualified Charitable
Interests 2
Exempt Indian Oil 3
Exempt Alaskan Oil 4
420-429 Qualified Royalty 10 Enter the number of
1st Quarter certified barrels of
Qualified Royalty Owner oil
removed in the first
calendar quarter. Enter in
Whole Barrels, right
justified and zero filled.
430-439 Qualified Royalty 10 Enter the number of
2nd Quarter certified barrels of
Qualified Royalty Owner oil
removed in the second
calendar quarter. Enter in
Whole Barrels, right
justified and zero filled.
440-449 Qualified Royalty 10 Enter the number of
3rd Quarter certified barrels of
Qualified Royalty Owner oil
removed in the third
calendar quarter. Enter in
whole Barrels, right
justified and zero filled.
450-459 Qualified Royalty 10 Enter the number of
4th Quarter certified barrels of
Qualified Royalty owner oil
removed in the fourth
calendar quarter. Enter in
Whole Barrels, right
justified and zero filled.
460-469 Total Qualified 10 Enter the total number of
Royalty certified barrels of
Qualified Royalty owner oil.
Enter in Whole Barrels,
right justified and zero
filled.
470-604 Reserved 135 Reserved for Service use.
Blank fill.
605-616 Number of 12 Enter the number of taxable
Barrels Other Oil barrels of Tier One Oil
Removed 70% Rate other than Sadlerochit Oil,
subject to the 70% Tax Rate,
removed during the tax year.
Enter in Whole Barrels,
right justified and zero
filled.
617-628 Exempt Stripper 12 Enter the total number of
Well Oil barrels of exempt stripper
well oil. Enter in Whole
Barrels, right justified and
zero filled.
629-652 Reserved 24 Reserved for Service use.
Blank fill.
653-664 Tax Liability 12 Enter the tax liability for
Other Oil Removed Tier One Oil other than
70% Rate Sadlerochit Oil, subject to
the 70% tax rate, removed
during the tax year. Enter
in Dollars only, right
justified and zero filled.
656-676 Number of 12 Enter the number of taxable
Barrels Other Oil barrels of Tier One Oil
Removed 50% Rate other than Sadlerochit Oil,
subject to the 50% Tax rate,
removed during the tax year.
Enter in Whole Barrels,
right justified and zero
filled.
677-712 Reserved 36 Reserved for Service use.
Blank fill.
713-724 Tax Liability 12 Enter the tax liability for
Other Oil Removed Tier One Oil other than
50% Rate Sadlerochit Oil, subject to
the 50% tax rate, removed
during the tax year. Enter
in Dollars only, right
justified and zero filled.
725-736 Number of Barrels 12 Enter the number of taxable
Sadlerochit Oil barrels of Tier One
Removed 70% Rate Sadlerochit Oil, subject to
the 70% tax rate, removed
during the tax year.
737-772 Reserved 36 Reserved for Service use.
Blank fill.
773-784 Tax Liability 12 Enter the tax liability for
Sadlerochit Oil Tier One Sadlerochit Oil,
Removed 70% Rate subject to the 70% tax rate,
removed during the tax year.
Enter in Dollars only, right
justified and zero filled.
785-796 Number of Barrels 12 Enter the number of taxable
Sadlerochit Oil barrels of Tier One
Removed 50% Rate Sadlerochit Oil, subject to
the 50% tax rate, removed
during the tax year. Enter
in Whole Barrels, right
justified and zero filled.
797-832 Reserved 36 Reserved for Service use.
Blank fill.
833-844 Tax Liability 12 Enter the tax liability for
Sadlerochit Oil Tier One Sadlerochit Oil,
Removed 50% Rate subject to the 50% tax rate,
removed during the tax year.
Enter in Dollars only, right
justified and zero filled.
845-856 Number Barrels 12 Enter the number of taxable
Tier Two 60% Rate barrels of Tier Two Oil
subject to a 60% tax rate,
removed this tax year. Enter
in Whole Barrels, right
justified and zero filled.
857-892 Reserved 36 Reserved for Service use.
Blank fill.
893-904 Tax Liability 12 Enter the tax liability for
Tier Tow 60% Rate the Tier Two Oil, subject to
a 60% tax rate, removed this
tax year. Enter in Dollars
only, right justified and
zero filled.
905-916 Number Barrels 12 Enter the number of taxable
Tier Two 30% Rate barrels of Tier Two Oil,
subject to a 30% tax rate,
removed this tax year. Enter
in Whole Barrels, right
justified and zero filled.
917-952 Reserved 34 Reserved for Service use.
Blank fill.
965-976 Number of 12 Enter the number of taxable
Barrels Newly barrels of Newly Discovered
Discovered Oil, taxed at the 22-1/2%
22 1/2% Rate rate, removed this tax year.
Enter in Whole Barrels,
right justified and zero
filled.
977-1012 Reserved Reserved for Service use.
Blank fill.
1013-1024 Tax Liability 12 Enter the tax liability for
Newly Discovered the Newly Discovered Oil,
22-1/2% Rate taxed at the 22 1/2% rate,
removed this tax year. Enter
in Dollars only, right
justified and zero filled.
1025-1036 Number of 12 Enter the number of taxable
Barrels barrels of Incremental
Incremental Tertiary oil, taxed at the
30% Rate 30% rate, removed this tax
year. Enter in Whole
Barrels, right justified and
zero filled.
1037-1072 Reserved 36 Reserved for Service use.
Blank fill.
1073-1084 Tax Liability 12 Enter the tax liability for
Incremental the Incremental Tertiary
30% Rate Oil, taxed at the 30% rate,
removed this tax year. Enter
in Dollars only, right
justified and zero filled.
1085-1096 Number of 12 Enter the number of taxable
Barrels Heavy barrels of Heavy Oil, taxed
30% Rate at the 30% rate, removed
this tax year. Enter in
Whole Barrels, right
justified and zero filled.
1096-1132 Reserved 36 Reserved for Service use.
Blank fill.
1133-1144 Tax Liability 12 Enter the tax liability for
Heavy 30% Rate the Heavy Oil, taxed at the
30% rate, removed this tax
year. Enter in Dollars
only, right justified and
zero filled.
Tape
Position Field Title Length Description and Remarks
1145-1156 Total Taxable 12 Enter the total number of
Barrels taxable barrels of oil
removed this year for all
classes of taxable crude
oil. Enter in Whole Barrels,
right justified and zero
filled.
1157-1168 Total Tax 12 Enter the total tax
Liability liability for all oil,
removed this tax year. Enter
in Dollars only, right
justified and zero filled.
1169-1180 Tax Withheld 12 Enter the amount of windfall
Oil Removed This profit tax withheld with
Tax Year respect to oil removed
during the tax year. Enter
in Dollars only, right
justified and zero filled.
1181-1192 Under withheld 12 Enter the amount of windfall
Tax profit tax underwithheld, if
any. Enter in Dollars only,
right justified and zero
filled. If no
underwithholding zero fill
this field.
1193-1204 Overwithheld 12 Enter the amount of windfall
Tax profit tax overwithheld, if
any. Enter in Dollars only,
right justified and zero
filled. If no
overwithholding, zero fill
this field.
1205-1216 WPT Withheld 12 Enter the amount of windfall
From Payments profit tax withheld from
payments made during this
tax year, regardless of when
the liability for the tax
arose. Enter in Dollars
only, right justified and
zero filled.
1217-1219 Originator(s) 3 Enter the total number of
of 1st Form 6248 originators for this Form
Indicator (Right Justified and zero
filled). If none, zero fill.
1220-1259 Originator's 40 If the information on this
Name (Person Form 6248 is based on
furnishing Form information from
6248 another Form 6248,
information to enter the name of the person
payer/filer/first who furnished you with Form
purchaser) 6248. Left justify and blank
fill. If not present, blank
fill.
1260-1268 Originator's 9 If available, enter the TIN
TIN of the originator. If no
data is available, blank
fill.
1269-1308 Second 40 If the information on this
Originator's Form 6248, is based on
Name information compiled from 2
or more Forms 6248, enter
the name of the second
person who furnished you
with a Form 6248. If not
present, blank fill.
1309-1317 Second 9 If available, enter the TIN
Originator's TIN of the second originator. If
no data is available, blank
fill.
1318-1357 Third 40 If the information on this
Originator's Name form is based on information
compiled from 3 or more
Forms 6248, enter the name
of the third person who
furnished you with a Form
6248. If not relevant, blank
fill.
1358-1366 Third 9 If available, enter the TIN
Originator's TIN of the third originator. If
no data is available, blank
fill.
1367-1372 Preparation Date 6 Enter the date of
preparation of this form. If
unknown, blank fill.
1373-1382 Owners I.D. 10 Enter up to 10 characters of
your account number for the
owner/producer. If no data,
blank fill.
1383-1450 Reserved 68 Reserved for Service use.
Blank fill.
SEC. 7. END OF FILER "I" RECORD
01 The end of Filer "I" Record is a summary record for a given Filer. This record must be 1450 characters long.
02 The "I" Record will contain the number of documents transmitted for each individual Filer. The "I" Record must be written after the last Producer "H" Record for each Filer. For each "G" Record on the file there must be a corresponding "I" Record.
03 The "I" Record cannot be followed by a Tape Mark.
RECORD NAME: END OF FILER "I" RECORD
__________________________________________________________
Tape
Position Field Title Length Description and Remarks
__________________________________________________________
1 Record Type 1 Enter "I".
2-7 Number of 6248s 6 Enter the number of "H"
for This Filer Records for this Filer. This
number should also be shown
on Form 4804, Box 13. Right
justify, Zero fill.
8-47 Filer's Name 40 Enter the name of the Filer.
Use the same name as shown
on the Filer/Transmitter "G"
Record. Left justify, blank
fill.
48 Type of Account 1 This position is used to
Filer's TIN identify the data in tape
positions 49 through 57 as
either an EIN or SSN. Use
one of the following codes
as appropriate.
1) use the digit 0 if the
number provided is an
SSN.
2) use the digit 1 if the
number provided is an
EIN.
3) use the digit 2 if it is
not known whether the
number provided is an SSN
or EIN.
4) use the digit 3 if no
number is provided
(positions 49-57 should
be blank filled in this
case).
49-57 Filer's Account 9 Enter the Taxpayer
Number Identifying Number of the
Filer (SSN or EIN as
appropriate). If no TIN is
provided, leave blank.
58-69 Filer's Total 12 Enter the sum of the Filer's
Tax Liability total tax liability. This
amount should be shown on
Form 4804, Box 16, Total
Payment Amount for each
Filer. This field may be
signed or unsigned decimal
data, in Dollars only.
70-1450 Reserved Reserved for Service use.
Blank fill to end of record.
SEC. 8. END OF REEL "J" RECORD
01 The End of Reel "J" Record will be present for option 1 only. It must be 1450 characters long.
02 Write this record when the end of the normal writing area of the reel has been reached, but all the records of the file have not been written. This record indicates that there are additional reels in the file.
03 Each "J" Record must contain a count of Forms 6248 reported on all "H" Records not summarized in the preceding "I" Record on the Reel.
04 If you do not wish to use a "J" Record, or your system is unable to generate it, you may delete it; however, the last "H" Record on the tape 'MUST' be followed by a Tape Mark.
RECORD NAME: END OF REEL "J" RECORD
___________________________________________________________
Tape
Position Field Title Length Description and Remarks
___________________________________________________________
1 Record Type 1 Enter "J".
2-7 Number of 6248's 6 Enter the number of H
Records not summarized in a
previous "I" Record. Right
justify, Zero fill.
8-30 Reserved 23 Zero fill.
31-1450 Reserved Reserved for Service use.
Blank fill.
SEC. 9 END OF TRANSMISSION "K" RECORD
O1. The "K" Record is a summary of the number of Filers and the number of tapes in the entire file.
02. This record should be written after the last "I" Record in the file.
03. Only a Tape Mark or a Tape Mark and Trailer Labels may follow the "K" Record.
04. The "K" Record must be 1450 characters long.
RECORD NAME: END OF TRANSMISSION "K" RECORD
___________________________________________________________
Tape
Position Field Title Length Description and Remarks
___________________________________________________________
1 Record Type 1 Enter "K".
2-5 Number of Filers 4 Enter the number of Filers
in the transmission. Right
justify and zero fill.
6-8 Number of Tapes 3 Enter the total number of
tapes in the transmission.
Right justify and zero fill.
9-30 Reserved 22 Enter zeros.
31-1450 Reserved Enter blanks.
SEC. 10. TAPE LAYOUTS--OPTION 1
(Reel Sequence Number is in the "G" Record)
The following chart shows, by type of file, the record types to be used in the first two and the last three records to be written on a tape.
___________________________________________________________
Next to
1st 2nd 2nd from last Last
Type of File record record last record record record
type type type type type
___________________________________________________________
Single Filer, single
reels G H H I K
Single Filer,
Multiple reels:
Reel 1 G H H H J(TM) 1
Last Reel G H H I 2 K
Multiple Filers,
single reel:
First Filer G H H H I
Subsequent Filers G H H H I
Final Filer G H H I K
Multiple Filers, Multiple Reels: First Filer's records
split between reel 1 and reel 2; Second Filer's records
split between reel 2 and reel 3:
Reel 1:
Filer 1 G H H H J(TM) 1
Reel 2:
Filer 1 G H H H I 2
Filer 2 G H H H J(TM) 1
Reel 3:
Filer 2 G H H H I 2
Filer 3 G H H H I
Reel 4: Last Filer G H H I K
Multiple Filers, single transmitter, separate files for
each filer:
File 1: Filer 1:
Last reel G H H I K
File 2: Filer 2:
Reel G H H H J(TM) 1
Last Reel G H H I 2 K
File 3: Filer 3:
Last reel G H H I K
___________________________________________________________
1 If your system cannot produce the End of Reel "J"
Record, the final "H" Record on an intermediate reel can be
followed by a Tape Mark.
2 Must contain the "Number of 6248's" summarizing
all "H" Records on this and previous reels for this Filer,
not summarized on a previous "I" record.
SEC. 11. TAPE LAYOUTS--OPTION 2
(Reel Sequence Number is in the Header Label)
Where the Header Label is the first record, the following chart shows, by type of file, the record types to be used in the 2nd and 3rd records, where the header label is the first record, and the last three records written on a tape reel prior to the Trailer label.
___________________________________________________________
Next to
2nd 3rd 2nd from last Last
Type of File record record last record record record
type type type type type
___________________________________________________________
Single Filer,
single reel G H H I K
Single Filer,
multiple reels:
First Reel G H H H H
Last Reel H H H I 1 K
Multiple filers,
single reel:
First Filer G H H H I
Subsequent
Filers G H H H I
Final Filer G H H I K
Multiple Filers, multiple reels; first Filer's records
split between reel 1 and reel 2; second Filer's records
split between reel 2 and reel 3:
Reel 1:
Filer 1 G H H H H
Reel 2:
Payer 1 H H H H I 1
Payer 2 G H H H H
Reel 3:
Payer 2 H H H H I 1
Payer 3 G H H H I
Reel 4:
Payer 4 G H H I K
Multiple Filers, single Transmitter, separate files for
each Filer:
File 1: Filer 1:
Last reel H H H I 1 K
(could be
multiple
reel)
File 2: Filer 2:
Reel 1 G H H H H
Last Reel H H H I 1 K
____________________________________________________________
1 Must contain the "Number of 6248's" summarizing all "H" Records on
this and previous reels for this Filer not summarized in a previous
"I" record.
SEC. 12. EFFECT ON OTHER DOCUMENTS
Rev. Proc. 84-31 is superseded.
OMB No. 1545-0224
Form 6248
Department of the Annual Information Return of Copy A--File
Treasury Internal Windfall Profit Tax--1984 with the IRS
Revenue Service
--------------------------------------------------------------------
Producer or Other Recipient Filer
Name, address, and ZIP code Name, address, and ZIP code
Employer identification no. (EIN) Employer identification no. (EIN)
Social security no., if no EIN Social security no., if no EIN
If you have received a Form 6248 from another person concerning oil
reported on this Form 6248, enter the name and employer
identification number of that person below.
Name Employer identification number
Part I Producer or Other Recipient
1 Type of Producer (check all applicable boxes):
1 __ Individual 3 __ Trust 5 __ Corporation 7 __ U.S. citizen or
entity, or
resident alien
2 __ Partnership 4 __ Estate 6 __ Resident 8 __ Foreign citizen
of U.S. or entity, or
Possessions non-resident alien
2 Producer Status (check all applicable boxes):
1 __ Independent 3 __ Member of 5 __ Royalty 7 __ Trust
producer "related owner beneficiary
group"
2 __ Integrated 4 __ Producer with 6 __ Working 8 __ Operator
oil company no withholding interest
Part II Exempt Oil a. Tier b. Tier c. Tier three
one two
(1) Newly (2) Incremental
discovered tertiary (3) Heavy
1 Number of
barrels of
exempt oil
(do not include
exempt stripper
well oil) 1
2 Total (add amounts on line 1, columns a through c(3)) 2
3 Type of exempt oil
(check applicable boxes): 1 __ Qualified 3 __ Qualified
governmental charitable
interests interests
2 __ Exempt Indian 4 __ Exempt
oil Alaskan oil
4 Total barrels of exempt stripper
well oil (see instructions) 4
Part III Exempt Royalty Owner Oil
Total number of a. 1st b. 2nd c. 3rd d. 4th
certified barrels quarter quarter quarter quarter
1 Barrels removed in
calendar quarter 1
2 Total (add amounts on line 1, columns a through d) 2
Part IV Taxable Crude Oil
Removed During 1984 a. Number of barrels b. Tax liability
1 Tier one, other
than Sadlerochit
oil, taxed at 70% 1
2 Tier one, other than
Sadlerochit oil,
taxed at 50% 2
3 Tier one Sadlerochit
oil taxed, at 70% 3
4 Tier one Sadlerochit
oil taxed at 50% 4
5 Tier two oil taxed at 60% 5
6 Tier two oil taxed at 30% 6
7 Newly discovered oil 7
8 Incremental tertiary oil 8
9 Heavy oil 9
10 Total barrels of oil
(add amounts in
column a) 10
11 Amount of windfall profit tax liability for
oil removed during 1984 (add amounts in column b) 11
12 Amount of windfall profit tax withheld with
respect to oil removed during 1984 12
13 If line 11 is greater than line 12, subtract
line 12 from line 11. This is the amount of
underwithheld windfall profit tax 13
14 If line 12 is greater than line 11, subtract line
11 from line 12. This is the amount of
overwithheld windfall profit tax 14
Part V Amount of Windfall Profit Tax Withheld from Payments Made in
1984
1 Windfall profit tax withheld from payments made
in 1984 (regardless of when windfall profit
tax liability arose) 1
Department of the Treasury IRS
Internal Revenue Service Use Only
OMB No.
Form 4419 Application for Magnetic Media 1545-0387
(Rev. October Reporting of Information Returns Expires
1984) 6-30-85
--------------------------------------------------------------------
1. Please fill in this 2. Name and address of
form and send to organization (street, city,
State and ZIP code)
Internal Revenue Service Center
3. Payment year for which you 4. Employer identification number
plan to begin reporting on
magnetic media
5. Kind of magnetic media you 6. Person to contact about this
plan to submit (check one) request
Name:
__ Tape __ Cassette/Mini-Disk Title:
__ Disk __ Diskette Telephone number: (include area
code)
7. Documents To Be Reported
Estimated Volume Estimated Volume
Form Form
Magnetic Media Paper Magnetic Media Paper
--------------------------------------------------------------------
__ 1099-DIV __ 6248
__ 1099-INT __ W-4
__ 1099-MISC __ W-2G
__ 1099-OID __
__ 1099-R __
__ 1099-G __
__ 1099-PATR __
__ 1099-B __
__ 5498 __
__ 8027 __
__ 1042S __
8. Kind of equipment on which media will be prepared
Main Frame (all media types) Drive Unit (all media)
--------------------------------------------------------------------
Manufacturer Model Manufacturer Model
--------------------------------------------------------------------
Tape Only All Media Types
--------------------------------------------------------------------
Width Tracks Density Recording code (e.g., EBCDIC, BCD,
or ASCII)
__ 7 __ 9
9. If your firm is acting as agent, please list the name and employer
identification number of each payer on a separate sheet and attach
it to this application.
Name (type or print) Title
Person
responsible
for
10. preparation
of tax
reports Signature Date
Instructions for Form 4419
Payers or agents who decide to file information returns on
magnetic media must complete Form 4419 to receive authorization for
filing. Please be sure to complete all appropriate blocks as
explained in the following instructions:
Block 2
Enter the name and complete address of the person or
organization that will prepare and submit the magnetic media.
Block 3
Show the tax (payment) year for which you intend to begin filing
information returns on magnetic media.
Block 5
Check the kind of magnetic media you plan to submit. If you plan
to submit more than one kind of magnetic media, you should complete a
separate application for each kind.
Block 7
Check the boxes next to all of the information returns you file
with the Internal Revenue Service.
a. Magnetic media column: Enter the total number of
individual information returns to be reported on magnetic media
(an estimate is acceptable).
b. Paper column: Enter the total number of individual
information returns to be reported on paper if not all returns
will be filed in magnetic media form (an estimate is
acceptable).
Block 9
If your firm is preparing information returns on magnetic media
for payers other than itself, attach to your application a list of
the names and employer identification numbers of the payers. If you
add or delete any payers from your file, you must submit an updated
list of payers.
Block 10
The form must be signed and dated by an official of the company
or organization requesting authorization to report on magnetic media.
Filing your application
1. Mail the completed application and any attached lists to the
Internal Revenue Service Center at the address shown in BLOCK 1.
2. When we receive your application, we will review it. If it is
acceptable, we will send you an authorization letter within 30 days.
Do not submit magnetic media until you receive an authorization
letter.
3. We encourage new filers to submit test data on magnetic media
for review before the filing season. If you want to submit test data,
contact the magnetic media coordinator where you file your
application.
4. Your authorization will be valid as long as the magnetic
media submitted conforms to the specifications of the applicable
revenue procedures. However, a new application is required if;
a. filing is discontinued and then resumed, or
b. there is any change in the equipment listed on the
application.
Paperwork Reduction Act Notice
We ask for this information to carry out the Internal Revenue
laws of the United States. We need it to ensure that the magnetic
media you are using will be compatible with our processing equipment.
The information is also used to more efficiently schedule and manage
its processing in the service centers. You are required to give us
this information if you want to file your returns on magnetic media.
- Institutional AuthorsInternal Revenue Service
- Code Sections
- LanguageEnglish
- Tax Analysts Electronic Citationnot available