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Form 872 for Pittsburgh Pennsylvania: What You Should Know

Form 872-I-1, Notice of Assessment with Affidavit of Indigence, the last page of the form contains the following: Form 872-I-1, Notice of Assessment with Affidavit of Indigence. Signed by: Officer of Assessment.  The name of the student and his/her SSN were also on the original form 872.  Note: This is not the form that you are required to send to the Internal Revenue Service (IRS) if you are a student enrolled at a noncampus school. This form does not need to be sent to the IRS to obtain the assessment or to file a return. If you have any questions please contact your IRS tax representative. It is NOT required to send this to any IRS Representative in order to get an assessment and/or to file a return.   Tax Forms (Pittsburgh County) Form 872-I-1, Notice of Assessment with Affidavit of Indigence, signed by an officer of the Assessment Service. A statement showing the nature and amount of the assessments and the assessment period. A statement showing the type of service, whether the student is paying the entire amount or not paying any, whether the person requesting an assessment is a federal, state, territorial, or local government or governmental organization, or an independent contractor of such entities/organizations. For Students Registered at Pitt-SUNY Form 872-I-1, Notice of Assessment with Affidavit of Indigence, signed by the instructor of a course at the University of Pittsburgh College of Pharmacy (PCP). A statement showing the nature and amount of the assessments and the assessment period. A statement showing the type of service, whether the student is paying the entire amount or not paying any, whether the person requesting an assessment is a university, state, territorial, foreign government or governmental organization, or an independent contractor of such entities/organizations. A statement showing the academic year for which the assessment was issued. To be used by the University to request the assessment for a course for students registered at Pitt-SUNY. Form 872-I-1, Notice of Assessment with Affidavit of Indigence, signed by an officer of the Assessment Service. The statement shows the nature and amount of the assessments and the assessment period. A statement showing the type of service.

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