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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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