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Form 872 online Fort Wayne Indiana: What You Should Know

Application for Voluntary Disclosures is Completed and the submission of Form 872 is initiated (with or without the submission of other requested documents) in the space provided below. The taxpayer must: Submit the completed Form 872 If the taxpayer's address has changed, this form should be mailed to the address for which the Form 872 was originally submitted, or in the form of a paper notice. Please contact your account supervisor. The following statements must be included, and no other statements may be included with this Form 872. The taxpayer is required to pay 10.00 each year; if a person qualifies for an exemption or exemption on a dependent basis, the taxpayer must include the amount of tax withheld from that person's check and pay the rest of that person's tax annually, at the time the Form 872 is sent. A Form 872 request must be completed and mailed to: Office of Internal and Outreach Strategy Attn: PCI Program Manager The address is as follows: Indiana Secretary of State 3301 N. Meridian St. Fort Wayne, IN 46805 If the taxpayer is a minor and his/her tax return was filed using the Individual Taxpayer Identification Number (ITIN), and if any of the following statements is true, then the Taxpayer is requesting a Voluntary Disclosure of Information (V.D.I.I.), or has signed a form (Form 8772) and wishes to provide more information: (1) The taxpayer is a qualified state or local government public entity The taxpayer is a professional The taxpayer is the parent or guardian (whether the minor is the minor's legal ward) of a minor child in Indiana who lives with the taxpayer and who was younger than 14 years of age at the time of the taxpayer's employment with the taxpayer (2) The taxpayer is the parent of a minor child who resides in Indiana (3) The taxpayer (a, b) is or was employed by a government entity as a private security guard, a security officer, a firefighter, a law enforcement officer or a correctional officer of this State. (4) The taxpayer resides in Indiana and is or was temporarily employed by a government entity as an emergency medical response provider or an animal control officer.

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