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Contra Costa California Form Instruction 1099-A & 1099-C: What You Should Know

INITIAL FORM APPLICATION ELECTRONIC FAST TRACK FRAUD INSTRUCTION CARD E-mail: This card is mailed by the Fraud Prevention Unit (FPU) of the Department of Consumer Affairs. APPLICANT INFORMATION: (a) Are you the applicant for the purpose of filing Form 844 and/or Form 945? If so, how and when did you become entitled to file these forms? (b) What was the type of business conducted by the applicant? (i.e., sole proprietorship, limited liability partnership, etc.) If the business was incorporated, or if the applicant filed another form than a sole proprietorship, what type of business entity was created? Describe the nature and extent of business activity for which the applicant is seeking information and payment tax information. If information or information payments are being sought with respect to business activities conducted for more than one business entity (“collecting transactions”), state that information or information payments are being sought on and with respect to which the entity is seeking the information or information payments. Provide for the extent (and type) of activity for which the applicant is seeking the information and/or information payments, including how the information and/or information payment will be used. Form 844 is required to be filed on a calendar year basis only. If information or information payments are being sought with respect to more than a calendar year, refer the applicant to the applicable form. If the information needs to be paid to the government for business purposes only (e.g., an insurance claim), provide the amount of the payment using the same format and procedures as the other Form 844 information. This information should be separated from and in addition to the Form 844 instructions. (d) Provide a description of the organization or business entity to be filed, including its complete name, address, telephone and fax number, and Internet domain name, if any. If filing a federal tax return (or tax statement), provide either a current business statement (S-Corporation, LLP or S-Corporation, LLC) or a description of all corporate officers or officers, including their full names, addresses, and telephone and fax numbers.

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