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DS-1843 10-2002 Page 1 of 4 II. HAVE YOU HAD IN THE PAST 10 YEARS NAME OF EXAMINEE YES NO 1. Frequent or severe headaches 22. U.S. DOS Form usdos-employment-ds-1843 U.S. Department of State OMB APPROVAL NO. 1405-0068 EXPIRATION DATE 09-30-2005 ESTIMATED BURDEN 1 HOUR Office of Medical Clearances Room L209 SA-1 Washington DC 20522-0102 MEDICAL HISTORY AND EXAMINATION FOR FOREIGN SERVICE For persons 12 years and over PRIVACY ACT NOTICE This informa...
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How to fill out irs 1843 form
How to fill out irs 1843 form:
01
Start by obtaining the irs 1843 form from the official IRS website or your local IRS office.
02
Carefully read and understand the instructions provided with the form to ensure accurate completion.
03
Begin by entering your personal information, including your name, address, and social security number.
04
Provide information about your employer or payer, including their name, address, and identification number.
05
Fill in the details of the income subject to backup withholding, including the amount and the type of income.
06
Calculate and report any federal income tax withheld from the income. Ensure you accurately report this information.
07
If applicable, indicate any foreign country or possession of the United States where the income was earned or received.
08
Sign and date the form, certifying that the information provided is accurate and correct to the best of your knowledge.
Who needs irs 1843 form:
01
Individuals who have received income subject to backup withholding, typically due to previous non-compliance with tax obligations.
02
Payees who have been notified by the IRS or their financial institution that they are subject to backup withholding.
03
Those who need to report income earned or received in a foreign country or a U.S. possession as required by the IRS.
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