Get IRS W-10 2009
Ead, keep it for your records. Dependent Care Provider s Identification (See instructions.) Name of dependent care provider Provider s taxpayer identification number Address (number, street, and apt. no.) If the above number is a social security number, check here City, state, and ZIP code Certification and Signature of Dependent Care Provider. Under penalties of perjury, I, as the dependent care provider, certify that my name, address, and taxpayer identification number shown abov.
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