Form 106 A PDF Details

Are you familiar with the Form 106A? Chances are, if you're a taxpayer in Massachusetts, you have filled one out. This form is used to calculate your estimated tax payments, and it's due every April 15th. In this blog post, we'll take a closer look at the Form 106A and explain how to complete it. We'll also provide some tips to help you avoid any penalties associated with late or incorrect payments. So whether you're brand new to filing taxes or just need a refresher course, read on for all the info you need!

QuestionAnswer
Form NameForm 106 A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescdcr 106 form rev 05 15, cdcr printable formform 106, cdcr 106 a confidential form, cdcr 106 rev 05 17 form

Form Preview Example

STATE OF CALIFORNIA

DEPARTMENT OF CORRECTIONS AND REHABILITATION

CONFIDENTIAL PHONE CALL REQUEST

CDCR 106-A (02/08)

READ CAREFULLY. Please PRINT or TYPE. The information requested will be used by officials of the California Department of Corrections and Rehabilitation (CDCR) to determine whether your questionnaire will be approved or disapproved. The information provided will be maintained in a file pertaining to the inmate.

In accordance with the Privacy Act of 1974 (PL93-579), providing your Social Security number is optional. However, any omission or falsification on this questionnaire may be cause for denial of the confidential phone call. Please mail this form directly to the Litigation Coordinator's office of the institution where the inmate is confined.

1. NAME OF INMATE YOU WANT TO CALL (LAST, FIRST, MIDDLE)

 

 

 

 

INMATE'S CDC NUMBER

 

 

 

 

 

 

 

 

 

2. YOUR NAME (Print your name exactly as indicated on the photo identification you will be using)

 

 

SUFFIX (Jr., Sr., etc.)

OFFICE TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

3. MAIDEN NAME (If applicable)

 

 

HAVE YOU EVER USED ANOTHER NAME? IF SO, PLEASE LIST

FAX NUMBER

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

4. DATE OF BIRTH (Mo/Day/Yr)

AGE

GENDER (Check one)

BIRTHPLACE

(City

 

County

 

State

Country)

MALE

FEMALE

5. ID NUMBER

ID TYPE

 

 

BAR / P. I . NUMBER

BAR STANDING (Check one)

 

 

 

DRIVER'S LICENSE

 

Verified

Unverified

 

 

 

 

 

 

OFFICIAL USE ONLY

ISSUED BY:

(County

State

Country)

6. SOCIAL SECURITY NUMBER (Optional)

EXPIRATION DATE:

 

 

 

 

 

 

 

 

 

 

 

 

 

7. CURRENT MAILING ADDRESS: STREET ADDRESS Apt. # (If Applicable)

CITY

STATE

ZIP CODE

8. HAVE YOU EVER BEEN CONVICTED OF A FELONY?

Yes

No

If YES, complete Item 9A. List all detentions, arrest and convictions. Failure to list all requested information may result in denial of your confidential phone call. Attach additional sheet(s) if necessary.

9. OFFENSE (Check one)

APPROX. DATE

DISPOSITION: (Dismissed, Probation, Jail, Prison)

COUNTY

STATE

*Attorney or Attorney's representative must provide a written request, on official letterhead, indicating the purpose for the confidential phone call.

________________________________________________________

_____________________________________________________________

Signature of Requestor

Date

Signature of CLETS Operator

Date

APPROVED

DISAPPROVED

_______________________________________________

Signature of Litigation Coordinator

Date

OFFICAL USE ONLY – TO BE COMPLETED BY INSTITUTION STAFF

APPROVED

DISAPPROVED

(If DISAPPROVED, the applicant is to be informed in writing of the disapproval.)

REASON FOR DISAPPROVAL:

PRINT NAME

SIGNATURE

TITLE

INSTITUTION

DATE

How to Edit Form 106 A Online for Free

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This document will need specific details; in order to ensure consistency, please be sure to take heed of the following steps:

1. First of all, once filling out the cdc form106, beging with the page containing next fields:

Completing section 1 of cdcr 106 a confidential form

2. After this array of fields is finished, it is time to insert the essential details in Signature of Requestor Date, Signature of CLETS Operator Date, APPROVED Signature of Litigation, DISAPPROVED, APPROVED, DISAPPROVED, If DISAPPROVED the applicant is to, OFFICAL USE ONLY TO BE COMPLETED, REASON FOR DISAPPROVAL PRINT NAME, SIGNATURE, TITLE, INSTITUTION, and DATE in order to move on to the 3rd step.

How you can fill in cdcr 106 a confidential form part 2

A lot of people frequently get some things wrong when filling out If DISAPPROVED the applicant is to in this section. Be sure to revise whatever you type in here.

Step 3: Check that the information is accurate and press "Done" to progress further. Grab your cdc form106 as soon as you register online for a free trial. Readily access the pdf form in your personal cabinet, with any edits and changes being all preserved! We don't share the information you provide while working with forms at FormsPal.

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