Federal Privacy Act Notice Sample Clauses

Federal Privacy Act Notice. Because we require you to provide us with a Social Security number, the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Security number is mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this information. We need your Social Security number in order to administer this tax. ORIGINAL PAYMENT ✁ Cut on the dotted lines. Use only black ink. OHIO IT 40P Rev. 10/19 Taxable Year
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Federal Privacy Act Notice. Because we require you to provide us with a Social Security number, the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Security number is mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this information. We need your Social Security number in order to administer this tax. School District Income Tax Payment Voucher • Do NOT staple or paper clip. • Do NOT send cash. OHIO SD 40P Rev. 7/17 2017SP School district number Do NOT fold check or voucher. Use UPPERCASE letters to print the first three letters of Taxpayer’s last name Spouse’s last name (only if joint filing) Taxpayer’s SSN Spouse’s SSN (only if joint filing) • Include this voucher with your payment for your original 2017 school district income tax return. • Make payment payable to: School District Income Tax • Mail to: School District Income Tax, X.X. Xxx 000000, Xxxxxxxx, XX 00000-0000 Amount of Payment $   First name M.I. Last name Spouse’s first name (only if joint filing) M.I. Last name Address City, state, ZIP code  Cut on the dotted lines. Use only black ink. , , 0 0 508 Do not staple or paper clip. Rev. 8/18 2018 Ohio IT 1040 Individual Income Tax Return Use only black ink and UPPERCASE letters. 18000102 Sequence No. 1 Check here if this is an amended return. Include the Ohio IT RE (do NOT include a copy of the previously filed return). Check here if this is a Net Operating Loss (NOL) carryback. Include Ohio Schedule IT NOL. Taxpayer's SSN (required)  If deceased check box Spouse’s SSN (if filing jointly)  If deceased check box Enter school district # for this return (see instructions). SD# First name Spouse's first name (only if married filing jointly) Address line 1 (number and street) or P.O. Box X.X. X.X. Last name Last name Address line 2 (apartment number, suite number, etc.) City State ZIP code Ohio county (first four letters) Foreign country (if the mailing address is outside the U.S.) Foreign postal code 
Federal Privacy Act Notice. Because we require you to provide us with a Social Se- curity number, the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Secu- rity number is mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this information. We need your Social Security number in order to administer this tax.

Related to Federal Privacy Act Notice

  • Notice of Privacy Practices Business Associate shall abide by the limitations of Covered Entity’s Notice of which it has knowledge. Any use or disclosure permitted by this Agreement may be amended by changes to Covered Entity’s Notice; provided, however, that the amended Notice shall not affect permitted uses and disclosures on which Business Associate relied prior to receiving notice of such amended Notice.

  • CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS The undersigned (authorized official signing for the contracting organization) certifies that the contractor will, or will continue to, provide a drug-free workplace in accordance with 45 CFR Part 76 by:

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