Policy Clarification Self-Employment Verification Form

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Para poderlo probar, va a tener que proveer la siguiente verificaci n cada seis meses de su redeterminaci n: Copia de tu declaraci n de impuestos mas reciente (4506-T Petici n para la transcripci n de la declaraci n de impuestos se le puede enviar por correo seg n usted lo pida para que pueda recibir una copia oficial de su declaraci n de impuestos m s reciente de la IRS Si recien esta como trabajador independiente dentro del a o de impuestos actual y no tiene una declaraci n de impuestos entonces: Declaraci n de ingresos de los padres/guardi n que sea trabajador independiente Y declaraci n notariada de trabajo independiente junto con la documentaci n que respalde la carta notarial, tales como : DOS de los siguientes: Libro de contabilidad Estados de cuentas Recibos de dep sitos de banco Cheques cancelados Registros de Cintas de efectivo Facturas de tarjetas de cr dito Facturas Talonario de ventas de tarjetas de cr dito Self Employment Verification Form PARENT/CARETAKER INFORMATION LAST NAME: FIRST NAME: MIDDLE NAME: STREET: CITY: STATE: ZIP CODE: SOCIAL SECURITY NUMBER: HOME PHONE NUMBER: ALTERNATE PHONE NUMBER: INFORMATION ABOUT SELF-EMPLOYED FAMILY MEMBER (If different than above) LAST NAME: FIRST NAME: MIDDLE NAME: STREET: CITY: STATE: ZIP CODE: SOCIAL SECURITY NUMBER: HOME PHONE NUMBER: ALTERNATE PHONE NUMBER: INFORMATION ABOUT BUSINESS NAME OF BUSINESS: BUSINESS START DATE: STREET: CITY: STATE: ZIP CODE: NATURE OF BUSINESS: BUSINESS PHONE NUMBER: CORPORATE STATUS OF BUSINESS (Please check one of the following): Sole Proprietorship Partnership S Corporation Limited Liability Corp EMPLOYER IDENTIFICATION NUMBER (EIN): REQUIRED BUSINESS DOCUMENTATION ATTACHED PLEASE ATTACH THE FOLLOWING: Copy of most recent Federal Income Tax Return IF YOU ARE UNABLE TO PROVIDE A FEDERAL INCOME TAX RETURN, PLEASE ATTACH: Parent/Caretaker Self-Employment Income Worksheet AND CHECK AND ATTACH TWO OF THE FOLLOWING: Accounting ledgers Account statements Bank deposit slips C


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