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Form 13844 Minnesota Hennepin: What You Should Know

Item Description ; Name of the Employer; (1) Employer's taxpayer identification number (EIN) ; and (2) State; Washington ; Organization; (1) State or country of entity that owns or operates the establishment ; and (2) State, County, or Territory ; Item Description ; Taxpayer Identification Number (EIN), if any; Applicant ID Number, if any; Name and Address ; (1) Place of residence; (2) County or municipality of the residence; (3) State, date and place of birth; (4) Name, address, and telephone number of a relative for tax purposes ; (5) Employer's mailing address, if different from residence ; (6) Amount of tax to be paid; (7) Amount of payment due and date of payment ; (8) Signature of the taxpayer; (9) Date of receipt; (10) Signature of the employer or the applicant; (11) Signature of the employer (or applicants); (12) Signature of the employer's representative ; (13) Signature of the tax examiner; (14) Signature of the tax administrator ; (15) Signature of the IRS representative; (16) Signature of the employee; (17) Signature of the taxpayer or applicant; (18) Signed return address; (19) Signed receipt; (20) Signed acknowledgment of receipt; (21) Signed statement, if any, that the taxpayer or applicant does not require reduced user fee for install installment agreements ; (22) Signature of the employer or the applicant.

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