Form 12711 PDF Details

Form 12711, also known as the "Employee's Statement of Exemption from Withholding for Foreign Earned Income and Housing Cost Amounts," is used to claim exemption from withholding on foreign earned income and housing cost amounts. The form must be completed by all taxpayers who wish to claim this exemption, regardless of whether they are itemizing deductions or taking the standard deduction. It is important to understand how this exemption works and what requirements must be met in order to qualify. This article will provide an overview of Form 12711 and outline the steps that must be taken to file it correctly.

QuestionAnswer
Form NameForm 12711
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names1974, Urbanization, irs salary, Rico

Form Preview Example

Employee Address Information for Personnel/Payroll System

The purpose of this form is to obtain an employee's home address and/or salary check mailing address, when the Employee Express System is not available for use. Employees on rolls should use Employee Express to change their address information.

Employee Express

on-line From Work or Home

www.employeeexpress.gov

Employee Express by Phone

From Work 478-757-3085

From Home 800-827-6290

(TTY/TDD 478-757-3117)

(TTY/TDD 888-880-0412)

 

 

For all Requests Complete Items 1-6 and 18-19.

 

1. Work Phone (Include area code)

2. Home Phone (Include area code)

 

3.

Tour of Duty

 

 

 

(

)

-

(

)

-

 

 

am

to

am

 

 

 

pm

pm

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. Name (Last, First, Middle Initial)

 

 

 

 

5.

Social Security Number

 

 

 

 

 

,

 

 

,

 

-

-

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Employee Status (check one)

On Rolls

Furloughed

Separated

Date Separated (mm/dd/yyyy)

/

/

 

 

 

 

 

New Address

Establish or Change Your Residence Address by Completing Items 7-12 & 18-19.

7.Urbanization (Puerto Rico only)

8. Street Address or P.O. Box

9. City

10. County

11. State

12.Zip Code + 4

-

New employees must complete an SF-1199A, Direct Deposit Sign-Up Form, to have your salary check direct deposited to your bank. If you do not elect to have your salary Direct Deposited, please provide a salary check mailing address in the section below.

Direct Deposit

I am electing Direct Deposit

 

I am NOT signing up for Direct Deposit.

(Skip to Item 18)

 

(Complete Items 13-19 below.)

 

Salary Check

If you did not elect for Direct Deposit of your salary check, you must provide a mailing

Mailing Address

address below to receive your check through the U.S. mail.

 

 

 

 

 

 

 

13.

Urbanization (Puerto Rico only)

 

14.

Street Address or P. O. Box

 

 

 

 

 

 

 

 

15.

City

 

 

16.

State

17. Zip Code + 4

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

Agency Use Only

 

 

City Code

County

State Code

Questions regarding this form should be directed to:

the Employee Resource Center (ERC) at 1-866-743-5748, Option 1 (TTY/TDD 1-866-924-3578).

Return this completed form to: IRS Payroll Center; Drop Point B-5721, P.O. Box 245, Bensalem, PA 19020

18. Employee Signature

19. Date (mm/dd/yyyy)

X

 

/

/

 

 

 

 

 

Form 12711 (Rev. 3-2005)

Catalog Number 29736N

Department of the Treasury - Internal Revenue Service

 

 

http://publish.no.irs.gov

 

Privacy Act Notice

General

This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 31, 1974, for individuals completing Form 12711.

Authority

5 USC 301

Purpose and Uses

This form is used to obtain an employee's home address.

Information Regarding Disclosure of Your Social Security Number Under Public Law 93-579 Section 7(b) (Privacy Act of 1974)

Disclosure by you of your Social Security Number (SSN) is mandatory to obtain the services, benefits, or process that you are seeking. Solicitation of the SSN by the United States Department of Agriculture is authorized under provisions of Executive Order 9397, Date November 22, 1943. The SSN is used as an identifier throughout your Federal career from the time of application through retirement. It will be used primarily to identify your records that you file with the U. S. Department of Agriculture. The SSN also will be used by the U. S. Department of Agriculture and other Federal agencies in connection with lawful requests for information about you from your former employers, educational institutions, and financial or other organizations. The information gathered through the use of the number will be used only as necessary in personnel administration process carried out in accordance with established regulations and published notices of systems of records. The SSN also will be used for the selection of persons to be included in statistical studies of personnel management matters. The use of the SSN is made necessary because of the large number of present and former Federal employees and applicants who have identical names and birth dates, and those identities can only be distinguished by the SSN.

Form 12711 (Rev. 3-2005)

How to Edit Form 12711 Online for Free

Dealing with PDF files online is definitely very easy with our PDF tool. Anyone can fill out ERC here in a matter of minutes. In order to make our tool better and less complicated to use, we consistently implement new features, with our users' feedback in mind. Here's what you'll need to do to get started:

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

Step 2: With our state-of-the-art PDF tool, you may accomplish more than just fill out blanks. Express yourself and make your docs appear sublime with customized text incorporated, or tweak the file's original input to excellence - all that comes with the capability to insert stunning images and sign the document off.

This form will need specific information; to ensure accuracy, please make sure to consider the suggestions further down:

1. When filling out the ERC, be certain to incorporate all of the necessary fields within the associated section. This will help to expedite the work, enabling your details to be handled swiftly and appropriately.

Stage # 1 in submitting SSN

2. Once your current task is complete, take the next step – fill out all of these fields - Urbanization Puerto Rico only, Street Address or P O Box, City, State, Zip Code, City Code, County, State Code, Agency Use Only, Questions regarding this form, the Employee Resource Center ERC, Return this completed form to, IRS Payroll Center Drop Point B PO, Employee Signature, and X Form Rev with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

SSN completion process explained (portion 2)

Concerning City and the Employee Resource Center ERC, be sure that you take a second look here. Both of these are thought to be the most significant fields in the document.

Step 3: Before finishing this form, double-check that blank fields have been filled in the correct way. When you are satisfied with it, click “Done." Sign up with us today and instantly obtain ERC, set for downloading. Each modification made is conveniently kept , helping you to change the pdf further if required. FormsPal ensures your information privacy by having a protected system that never records or distributes any private information provided. Feel safe knowing your documents are kept protected each time you use our service!

Form 12711 isn’t the one you’re looking for?

Related Documents