Paid Preparer Use Only. Signature of issuer’s authorized representative Date Print/Type preparer’s name Firm’s name ▶ Type or print name and title Date Firm's address ▶ Check if self-employed Preparer's signature Firm's EIN ▶ Phone no. PTIN Form 8038-G (Rev. 9-2011) IBM Credit LLC Lease/Purchase Master Agreement For State and Local Government Licensed Software & Services Only Lease/Purchase Master Agreement No: This Lease/Purchase Master Agreement For State and Local Government (“Agreement”) covers the terms and conditions under which IBM Credit LLC will finance various charges. In addition, attached is the form of Lease/Purchase Supplement and Exhibits thereto.
Paid Preparer Use Only. Signature of issuer’s authorized representative Date Print/Type preparer’s name Firm’s name ▶ Type or print name and title Date Firm's address ▶ Check if self-employed Preparer's signature Firm's EIN ▶ Phone no. PTIN
Paid Preparer Use Only. Signature of Preparer Phone Number ( ) - Today’s Date (mm/dd/yyyy) By checking this box you are authorizing DOR to contact you at the telephone number listed above and leave detailed messages concerning this offer on your voice mail or answering machine. Name of Paid Preparer Preparer’s CAF No. or PTIN Firm’s Name (or yours if self-employed), Address, and ZIP Code If you would like to have someone represent you during the offer investigation, attach a valid, signed Indiana Power of Attorney, Form IN-POA, with this application or a copy of a previously filed form. Indiana Power of Attorney, Form IN-POA, allows for representation and receipt of confidential information. You should also include the current tax year on the form, in the list of applicable years or periods. Privacy Act Statement We ask for the information on this form to carry out the State of Indiana revenue laws. Our purpose for requesting the information is to determine if it is in the best interests of DOR to accept an offer. Failure to provide all of the information may prevent us from processing your request.
Paid Preparer Use Only. Signature of issuer’s authorized representative Date Print/Type preparer’s name Firm’s name ▶ Type or print name and title Date Firm's address ▶ Check if self-employed ▲ Firm's EIN ▶ Phone no. PTIN Form 8038-G (Rev. 9-2011) # 34116 LEASE INSURANCE CERTIFICATE REQUIREMENT In accordance with the terms and conditions of the agreement between BMO Xxxxxx Investment Company LLC (“Lessor”) And City of Bristol, Virginia(“Lessee”) Evidence of the following insurance coverage and endorsements are required prior to any funding and/or commencement between Lessor and Lessee:
Paid Preparer Use Only. Signature of Preparer The IRS may contact you by telephone about this offer. By checking this box, you authorize the IRS to leave detailed messages concerning your offer on your voice mail or answering machine. Name of Preparer Today's date (mm/dd/yyyy) Preparer's CAF no. or PTIN Firm's Name, Address, and ZIP Code Daytime Telephone Number ( ) - If you would like to have someone represent you during the offer investigation, include a valid, signed Form 2848 or 8821 with this application, or a copy of a previously filed form. Form 8821 allows a third party to receive confidential information only, however, they cannot represent you before the IRS in a collection matter. IRS Use Only I accept the waiver of the statutory period of limitations on assessment for the Internal Revenue Service, as described in Section 4(g). Signature of Authorized IRS Official Title Today's date (mm/dd/yyyy) Privacy Act Statement We ask for the information on this form to carry out the internal revenue laws of the United States. Our authority to request this information is contained in Section 7801 of the Internal Revenue Code. Our purpose for requesting the information is to determine if it is in the best interests of the IRS to accept an offer. You are not required to make an offer; however, if you choose to do so, you must provide all of the information requested. Failure to provide all of the information may prevent us from processing your request. If you are a paid preparer and you prepared the Form 656-L for the taxpayer submitting the offer, we request that you complete and sign Section 8 on the Form 656-L and provide identifying information. Providing this information is voluntary. This information will be used to administer and enforce the internal revenue laws of the United States and may be used to regulate practice before the Internal Revenue Service for those persons subject to Treasury Department Circular 230, xxxxx://xxx.xxx.xxx/pub/irs-pdf/pcir230.pdf. Regulations Governing the Practice of Attorneys, Certified Public Accountants, Enrolled Agents, Enrolled Actuaries, and Appraisers before the Internal Revenue Service. Information on this form may be disclosed to the Department of Justice for civil and criminal litigation. We may also disclose this information to cities, states, and the District of Columbia for use in administering their tax laws and to combat terrorism. Providing false or fraudulent information on this form may subject you to criminal prosecution and...
