Eta 935 Form PDF Details

Are you considering filing for Eta 935 form? If so, it is important to understand what the form is and how to complete it. The Eta 935 form is used to request refunds of indirect taxes that have been overpaid. In order to complete the form correctly, you will need to provide specific information about the taxes you are requesting a refund for. There are also certain timeframes within which you must file a claim in order to be eligible for a refund. To learn more about the Eta 935 form and how to file for a tax refund, read on.

QuestionAnswer
Form NameEta 935 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameseta 935 print, labor eta 935, eta935 form, eta935 federal printable

Form Preview Example

ETA-935

( S TATE AGEN CY ID EN TIFICATION )

CLAIM AN T’S AFFID AVIT OF FED ERAL CIVILIAN S ER VICE, W AGES AN D R EAS ON

FOR S EP ARATION , ETA-9 3 5

1.State Agen cy Address:

2. Claim an t’s Nam e an d Mailin g Address:

3. Local Office/ Call Cen ter ID:

4. Date of Request:

5. Effective Date of Claim :

6. Separation Date

7. Federal Agen cy Nam e an d Address:

8 . Social Security Num ber

In s tru c tio n s : Co m p le te a n d Re tu rn Im m e d ia te ly

9. Affidavit of Federal Wage an d Separation In form ation / Docum en tary Eviden ce

a. En ter the location of your Official Duty Station : (City, State)

b. En ter your wages with the above n am ed em ployer below. Show wages by quarter startin g with the wages that you earn ed after (base period begin date) up to the date you separated from this em ployer . Un der Docum en tary Eviden ce, en ter th e source of the in form ation provided an d attach a copy. If addition al space is n eeded to explain reason for separation , attach your sign ed explan ation .

Quarter En din g

Year

Gross Wages

Docum en tary Eviden ce

c. Severan ce Pay. Did you receive or are you en titled to receive severan ce pay provided by Federal law or agen cy em ployee agreem en t?

_ _ _ Yes _ _ _ No If “Yes” com plete th e followin g in form ation : Total En titlem en t: $ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .

Severan ce Pay Period Begin date: _ _ / _ _ / _ _ En din g Date: _ _ / _ _ / _ _

d . Pen sion : Are you en titled to receive a pen sion from an y bran ch of th e Federal Govern m en t? _ _ _ Yes _ _ _ No

En ter Gross Mon thly Pen sion $ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .

e. Reason for Separation :

I, the claim an t, un derstan d that pen alties are provided by law for an in dividual m akin g false statem en ts to obtain ben efits an d that determ in ation s based on an affidavit are n ot fin al: that determ in ation s are subject to correction upon receipt of wage an d separation

in form ation from the Federal agen cy, that ben efit paym en ts m ade as a result of such determ in ation m ay have to be adjusted on th e basis of in form ation from the Federal agen cy, an d that an y am oun t overpaid will have to be repaid or offset again st future ben efits. I, the claim an t, swear or affirm , that the above statem en ts, to the best of m y kn owledge, are true an d correct.

10 . Sign ature of Claim an t: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date: _ _ _ _ / _ _ _ _ / _ _ _ _ _

ETA-935

Page 1 of 1

How to Edit Eta 935 Form Online for Free

Handling PDF forms online is definitely a piece of cake with this PDF tool. Anyone can fill out eta935 federal form here painlessly. In order to make our editor better and easier to use, we constantly design new features, with our users' feedback in mind. With some basic steps, you'll be able to start your PDF journey:

Step 1: First of all, open the pdf tool by clicking the "Get Form Button" in the top section of this webpage.

Step 2: This editor will let you modify most PDF forms in a range of ways. Modify it with personalized text, correct what is originally in the document, and include a signature - all when it's needed!

When it comes to fields of this precise form, this is what you need to do:

1. To get started, when completing the eta935 federal form, start out with the section with the subsequent blank fields:

Step no. 1 in submitting eta affidavit

2. The next step would be to fill out these blanks: c Severan ce Pay Did you receive, d Pen sion Are you entitled to, e Reason for Separation, I the claim ant understan d that, Signature of Claim ant, Date, and ETA.

eta affidavit conclusion process detailed (step 2)

It is possible to make errors while filling in the c Severan ce Pay Did you receive, hence be sure you go through it again before you send it in.

Step 3: Go through all the details you have typed into the form fields and then hit the "Done" button. Right after getting afree trial account at FormsPal, you will be able to download eta935 federal form or email it right off. The PDF file will also be at your disposal via your personal account page with your each and every modification. FormsPal is committed to the privacy of our users; we make certain that all personal data processed by our system stays secure.

Eta 935 Form isn’t the one you’re looking for?

Related Documents