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Form  8596-A                   Quarterly Transmittal of Information Returns                                        Attach    
(Rev. August 2013)                                                                                                 Form(s) 8596
Internal Revenue Service                          for Federal Contracts
Department of the Treasury 
1   Name of Federal executive agency                                             2    Employer identification number

3a  Name and address of person IRS can contact to request a tax offset           3b  Title of person listed in 3a

4   Quarter ending                                                               5    Number of Forms 8596 transmitted

Under penalties of perjury, I declare that I have examined this return and accompanying documents, that they are prepared pursuant 
to the requirements of section 6050M, and that, to the best of my knowledge and belief, they are compiled from agency records 
maintained in the normal course of business for the purpose of making a true, correct, and complete return as required by section 
6050M.

Signature ▶                                                     Title ▶                                      Date ▶

Instructions                                                          Who must file. The head of every Federal executive agency or 
                                                                      his or her delegate must file Forms 8596 and 8596-A to report 
Future developments. For the latest information about                 federal contracts. For more information, see Form 8596.
developments related to Form 8596-A and its instructions, such 
as legislation enacted after they were published, go to               Boxes 1 and 2. Enter the name and employer identification 
www.irs.gov/form8596.                                                 number (EIN) of the Federal executive agency that entered into 
                                                                      the contract. If one central office is responsible for filing for the 
Purpose of form. Use Form 8596-A to transmit paper Forms              entire agency, use only one name and EIN when filing Forms 
8596, Information Return for Federal Contracts, to the Internal       8596 and 8596-A.
Revenue Service. Prepare only one Form 8596-A to transmit all 
Forms 8596 for each quarter.                                          Boxes 3a and 3b. Enter the name, mailing address, and title of 
                                                                      the person to whom requests for an offset against any unpaid 
When to file.The due dates for each quarter are as shown              tax liability of the contractor can be sent.
below. Do not file before the end of the quarter.                     Box 4. Enter the date the quarter ended. For example, for the 
Quarter                            Due Date                           quarter ending March 31, 2013, enter 03312013; June 30, 2013, 
January, February, March           April 30                           enter 06302013; September 30, 2013, enter 09302013; 
                                                                      December 31, 2013, enter 12312013.
April, May, June                   July 31 
July, August, September            October 31                         Box 5. Enter the number of Forms 8596 being transmitted with 
                                                                      this Form 8596-A.
October, November, December        January 31 
                                                                      Signature. The head of the Federal executive agency or his or 
If the regular due date falls on a Saturday, Sunday, or legal         her delegate must sign and date the form.
holiday, file by the next business day.
                                                                        See Form 8596 for additional information.
Where to file. File Forms 8596 and 8596-A with Internal 
Revenue Service, Attn: 8596, Enterprise Computing Center at 
Martinsburg, (IRS/ECC-MTB), 230 Murall Drive, P.O. Box 1359, 
Kearneysville, West Virginia 25430.

                           Cat. No. 12307S                                   www.irs.gov/form8596                 Form 8596-A (Rev. 8-2013) 






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