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Get the free Consent Form – Medical Resident FICA Tax Refund Claim - smbs buffalo

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This consent form is for medical residents to claim a refund for FICA taxes withheld during their residency period. It includes options for consenting to the refund for specific years, as well as
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How to fill out Consent Form – Medical Resident FICA Tax Refund Claim

01
Obtain the Consent Form from the appropriate source.
02
Complete the personal information section including your name, address, and contact information.
03
Provide details of your residency program, including the name of the institution and the duration of your residency.
04
Fill out the tax year for which you are claiming the refund.
05
Sign and date the form in the designated area to authorize the claim.
06
Submit the completed form to the appropriate tax authority or the designated representative.

Who needs Consent Form – Medical Resident FICA Tax Refund Claim?

01
Medical residents who have been subject to FICA taxes and wish to claim a refund.
02
Residents who have completed their program and meet the eligibility criteria.
03
Individuals who have received confirmation of FICA tax overpayment from their employer.
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The Consent Form – Medical Resident FICA Tax Refund Claim is a document used by medical residents to authorize their institutions to file tax refund claims for FICA taxes that were incorrectly withheld.
Medical residents who believe that FICA taxes were improperly withheld from their pay are required to file the Consent Form to initiate the refund process.
To fill out the Consent Form, residents must provide their name, Social Security number, residency program details, and other relevant information as indicated on the form.
The purpose of the Consent Form is to allow medical residents to claim a refund for FICA taxes that should not have been withheld during their training periods, based on their eligibility as students.
The information that must be reported includes the resident's name, Social Security number, residency program information, the period during which the taxes were withheld, and a signature affirming the correctness of the information provided.
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