Federal Privacy Act Notice Sample Clauses

Federal Privacy Act Notice. Because we require you to provide us with a Social Security number, the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Security number is mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this information. We need your Social Security number in order to administer this tax. ORIGINAL PAYMENT ✁ Cut on the dotted lines. Use only black ink. OHIO IT 40P Rev. 10/19 Taxable Year
Sample 1Sample 2Sample 3See All (13)
AutoNDA by SimpleDocs
Federal Privacy Act Notice. Because we require you to provide us with a Social Security number, the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Security number is mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this information. We need your Social Security number in order to administer this tax. School District Income Tax Payment Voucher • Do NOT staple or paper clip. • Do NOT send cash. OHIO SD 40P Rev. 7/17 2017SP School district number Do NOT fold check or voucher. Use UPPERCASE letters to print the first three letters of Taxpayer’s last name Spouse’s last name (only if joint filing) Taxpayer’s SSN Spouse’s SSN (only if joint filing) • Include this voucher with your payment for your original 2017 school district income tax return. • Make payment payable to: School District Income Tax • Mail to: School District Income Tax, X.X. Xxx 000000, Xxxxxxxx, XX 00000-0000 Amount of Payment $   First name M.I. Last name Spouse’s first name (only if joint filing) M.I. Last name Address City, state, ZIP code  Cut on the dotted lines. Use only black ink. , , 0 0 508 Do not staple or paper clip. Rev. 8/18 2018 Ohio IT 1040 Individual Income Tax Return Use only black ink and UPPERCASE letters. 18000102 Sequence No. 1 Check here if this is an amended return. Include the Ohio IT RE (do NOT include a copy of the previously filed return). Check here if this is a Net Operating Loss (NOL) carryback. Include Ohio Schedule IT NOL. Taxpayer's SSN (required)  If deceased check box Spouse’s SSN (if filing jointly)  If deceased check box Enter school district # for this return (see instructions). SD# First name Spouse's first name (only if married filing jointly) Address line 1 (number and street) or P.O. Box X.X. X.X. Last name Last name Address line 2 (apartment number, suite number, etc.) City State ZIP code Ohio county (first four letters) Foreign country (if the mailing address is outside the U.S.) Foreign postal code 
Sample 1Sample 2See All (5)
Federal Privacy Act Notice. Because we require you to provide us with a Social Se- curity number, the Federal Privacy Act of 1974 requires us to inform you that providing us with your Social Secu- rity number is mandatory. Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this information. We need your Social Security number in order to administer this tax.
Sample 1Sample 2

Related to Federal Privacy Act Notice

  • Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an XXX, Xxxxxx MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

  • Privacy Act If performance involves design, development or operation of a system of records on individuals, this Agreement incorporates by reference FAR 52.224-1 Privacy Act Notification (Apr 1984) and FAR 52.224-2 Privacy Act (Apr 1984).

  • Family Educational Rights and Privacy Act The Charter School is subject to all provisions of the Federal Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g. In the event the Charter School closes, it shall transmit all official student records in the manner prescribed by the State Board.

  • Notice of Privacy Practices Business Associate shall abide by the limitations of Covered Entity’s Notice of which it has knowledge. Any use or disclosure permitted by this Agreement may be amended by changes to Covered Entity’s Notice; provided, however, that the amended Notice shall not affect permitted uses and disclosures on which Business Associate relied prior to receiving notice of such amended Notice.

  • Function of Joint Health and Safety Committee All incidents involving aggression or violence shall be brought to the attention of the Joint Health and Safety Committee. The Employer agrees that the Joint Health and Safety Committee shall concern itself with all matters relating to violence to staff.

  • Freedom of Information and Protection of Privacy Act ‌ The Supplier acknowledges that the City is subject to the Freedom of Information and Protection of Privacy Act (British Columbia), which imposes significant obligations on the City’s contractors to protect all personal information acquired from the City in the course of providing any service to the City.

  • Provisions for Covered Entity to Inform Business Associate of Privacy Practices and Restrictions (a) Covered Entity shall notify Business Associate of any limitation(s) in the notice of privacy practices of Covered Entity under 45 CFR 164.520, to the extent that such limitation may affect Business Associate’s use or disclosure of protected health information.

  • CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS The undersigned (authorized official signing for the contracting organization) certifies that the contractor will, or will continue to, provide a drug-free workplace in accordance with 45 CFR Part 76 by:

  • Compliance with Data Privacy and Security Laws and Standards Contractor shall comply with all applicable State and federal data privacy and data security laws, rules, and regulations.

  • Data Protection and Privacy: Protected Health Information Party shall maintain the privacy and security of all individually identifiable health information acquired by or provided to it as a part of the performance of this Agreement. Party shall follow federal and state law relating to privacy and security of individually identifiable health information as applicable, including the Health Insurance Portability and Accountability Act (HIPAA) and its federal regulations.

Time is Money Join Law Insider Premium to draft better contracts faster.