Under penalties of perjury, I declare that I have examined this return, including accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete. In the case of documents without recipients' identifying numbers, I have complied with the requirements of the law by requesting such numbers from the recipients, but did not receive them. Please return this entire page to the Social Security Administration address for your State as listed below. Alaska, Arizona, California, Hawaii, Arkansas, Colorado, Illinois, Iowa, Alabama, District of Columbia, Florida, Connecticut, Delaware, Maine, If you have no legal residence or Social Security Administration Social Security Administration Albuquerque, NM 87180 Social Security Administration Baltimore, MD 21290 Social Security Administration Wilkes-Barre, PA 18769 Social Security Administration Baltimore, MD 21290 .25" 2. The form identification number must consist of 555 in an OCR 3. The blank space to the right of box 15 and below boxes 13 and 4. The Employer's Identification Number (EIN) may be pre- 5. The printer's EIN must be printed in the bottom margin of the 6. The titles for all numbered boxes for federally-required entries 7. The ballot boxes must be 8-point boxes. 8. The ballot boxes contained in box 7 must be aligned exactly Department of the Treasury .25" |