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What Is Form 12203

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FAQ - Form 12203

What is the purpose of Form 12203?
The purpose of Form 12203 is to: Establish the relationship between an individual and the organization that includes: the name and contact information of the organization the name, description, and address of the person the name of the organization In addition, the form must inform individuals that the organization is required to report to the IRS the details of their payment of a contribution made to the organization in accordance with Section 170(b) and the amount. The form should contain information appropriate to the circumstances, such as: the purpose of the form, or Information concerning how the organization's compliance with the contribution rules is being monitored. What is the information to be submitted? The individual's taxpayer identification number or social security number, if any, and the name, address, and TIN of any person providing the information. The individual's TIN or social security number may also be requested by the organization. The person providing the information must also sign the form indicating that he or she is a person who is “authorized” to provide the information and that he or she will provide such information on request; and An attestation or declaration that the information provided is correct, complete, up to date, and is not a duplicate of information previously provided to the organization or its agents. If the individual has requested that his or her identity not be disclosed, the following statement must be provided on the Form 12203: “I certify that my identity is not disclosed on the request of any person and will not be disclosed unless legally required.” (See Notice 2005-18, 2007-3 I.R.B. 865, available at For Form 1043, see Notice 2014-24, 2014-2 I.R.B. 594, available at, and Form 941, Application for Tax Exemption under Section 501(c)(3) of the Internal Revenue Code, available at For a complete description of the information that is and is not required, see the Instructions for Form 1043, available at and the Instructions for Form 941, available at IRS.
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