Form 14134 PDF Details

The IRS has released a new form, Form 14134, that is designed to help employers determine the full-time employee status of their workers. The form was created in response to the Affordable Care Act's employer shared responsibility provisions, which require larger employers to offer health insurance coverage to their full-time employees. Form 14134 can be used by employers to determine if they are subject to the employer shared responsibility provisions and, if so, what their liability will be. Employers who fail to comply with the employer shared responsibility provisions may be subject to penalties. Form 14134 is available for download on the IRS website.

QuestionAnswer
Form NameForm 14134
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesform 14134, irs form 14134 instructions, form 14134 instructions, 14134

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Form 14134

(June 2010)

Department of the Treasury — Internal Revenue Service

Application for Certificate of Subordination of

Federal Tax Lien

OMB No. 1545-2174

Complete the entire application. Enter NA (not applicable), when appropriate. Attachments and exhibits should be included as necessary. Additional information may be requested to clarify the details of the transaction(s).

1.Taxpayer Information (Individual or Business named on the notice of lien)

Name (Individual First, Middle Initial, Last) or (Business) as it appears on lien

Primary Social Security Number

 

(last 4 digits only)

 

 

Name Continuation (Individual First, Middle Initial, Last) or (Business d/b/a)

Secondary Social Security Number

 

(last 4 digits only)

 

 

Address (Number, Street, P.O. Box)

Employer Identification Number

City

State

ZIP Code

Telephone Number (with area code)

Fax Number (with area code)

2. Applicant Information

Check if also the Taxpayer (If not the taxpayer, attach copy of lien. See Sec.10)

 

 

 

Name (First, Middle Initial, Last)

 

Relationship to taxpayer

 

 

 

Address (Number, Street, P.O. Box)

 

 

City

State

 

 

Telephone Number (with area code)

Fax Number (with area code)

 

 

ZIP Code

3. Property Owner

Check if also the Applicant

 

 

 

 

Relationship to Taxpayer

 

 

 

4. Attorney/Representative Information

Attached: Form 8821 or

 

Power of Attorney Form 2848

Yes

No

Name (First, Middle Initial, Last)

Interest Represented (e.g. taxpayer, lender, etc.)

Address (Number, Street, P.O. Box)

City

State

ZIP Code

Telephone Number (with area code)

Fax Number (with area code)

5. Lending/Finance Company

Company Name

Contact Name

Contact Phone Number

 

 

 

Type of transaction (For example, loan consolidation,

refinance, etc)

 

Catalog Number 54726H

www.irs.gov

Form 14134 (Rev. 06-2010)

Page 2 of 3

6.Monetary Information

Amount of existing loan (if refinancing) Amount of new loan

Amount to be paid to the United States (6325(d)(1) applications only)

7.Basis for Subordination: Check the box below that best addresses what you would like the United States to consider in your application for subordination. (Publication 784 has additional descriptions of the Internal Revenue Code sections listed below.)

6325(d)(1) the United States will receive an amount equal to the lien or interest to which the certificate of subordination is issued (provide amount in Section 6 above)

6325(d)(2) the issuance of the certificate of subordination will increase the government's interest and make collection of the tax liability easier. (Complete and attach a signed and dated statement describing how

the amount the United States may ultimately realize will increase and how collection will be facilitated by the subordination.)

Statement

Attached

NA

8.Description of property (For example, 3 bedroom rental house; 2002 Cessna twin engine airplane, serial number AT919000000000X00; etc.):

Address of real property (If this is personal property list the address where the property is located):

Address (Number, Street, P.O. Box)

 

City

State

ZIP Code

 

 

 

 

 

 

 

 

 

 

Real Estate:

 

 

 

Attached

NA

 

Legible copy of deed or title showing legal description

 

 

 

 

 

 

 

 

9. Appraisal and Valuations

 

 

 

 

 

 

 

 

 

 

 

 

Appraisal: (Professional appraisal completed by a disinterested

 

Attached

 

 

 

third party but it is not required for a subordination)

 

 

 

 

 

 

 

 

 

 

 

OR ONE OF THE FOLLOWING VALUATIONS:

 

 

 

 

County valuation of property (real property)

 

 

 

Attached

 

 

Informal valuation of property by disinterested third party

 

Attached

 

 

Proposed selling price (for property being sold at auction)

 

Attached

 

 

Other:

 

 

 

Attached

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Catalog Number 54726H

www.irs.gov

Form 14134 (Rev. 06-2010)

Page 3 of 3

10. Copy of Federal Tax Lien(s) (Complete if applicant and taxpayer differ)

Attached

 

OR list the lien number(s) found near the top right corner on the lien document(s) (if known)

No

11.Copy of the proposed loan agreement (if available)

AND

Describe how subordination is in the best interests of the United States:

Attached

No

12.Copy of a current title report (required for subordination)

OR

Attached

No

List encumbrances with seniority over the Federal Tax Lien. Include name and address of the holder; description of the encumbrance, e.g., mortgage, state lien, etc.; date of agreement; original loan amount and interest rate; amount due at time of application; and family relationship, if applicable. Include any home equity line of credit (HELOCs) advances beginning the 46th day after the NFTL was filed, through the date you submit your application, and include expected advances through the date the certificate will be issued. (Attach additional sheets as needed):

13.Copy of proposed closing statement (aka HUD­1)

OR

Attached

No

Itemize all proposed costs, commissions, and expenses of any transfer or sale associated with property (Attach

additional sheets as needed):

14.Additional information that may have a bearing on this request, such as pending litigation, explanations of unusual situations, etc., is attached for consideration

Yes

No

15.Declaration

Under penalties of perjury, I declare that I have examined this application, including any accompanying schedules, exhibits, affidavits, and statements and to the best of my knowledge and belief it is true, correct and complete.

 

Signature/Title

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

Signature/Title

 

 

 

Date

 

 

 

 

 

 

 

 

Catalog Number 54726H

www.irs.gov

 

 

Form 14134 (Rev. 06-2010)

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It really is an easy task to complete the form with this detailed tutorial! Here's what you have to do:

1. The irs form 14134 instructions necessitates specific details to be inserted. Be sure the subsequent blank fields are finalized:

Best ways to fill in 14134 step 1

2. Right after this array of fields is completed, go to enter the suitable information in all these: Telephone Number with area code, Fax Number with area code, Property Owner, Check if also the Applicant, Relationship to Taxpayer, AttorneyRepresentative, Address Number Street PO Box, Attached Form or Power of, Yes, Interest Represented eg taxpayer, City, State, ZIP Code, Telephone Number with area code, and Fax Number with area code.

Part number 2 in filling in 14134

3. This next section is focused on Type of transaction For example, Catalog Number H, wwwirsgov, and Form Rev - fill out all these fields.

Simple tips to fill out 14134 stage 3

As for Type of transaction For example and Catalog Number H, be certain that you take another look in this section. The two of these are thought to be the most important ones in the PDF.

4. Your next part needs your input in the subsequent places: Monetary Information, Amount of existing loan if, Amount of new loan, Amount to be paid to the United, Basis for Subordination Check the, in your application for, the United States will receive an, the issuance of the certificate of, Statement, Attached, Description of property For, and ATX etc. Make certain to give all of the needed information to move further.

Stage # 4 of completing 14134

5. To conclude your document, this final segment has several extra fields. Filling in Address of real property If this, City, State, ZIP Code, Real Estate Legible copy of deed, Attached, Appraisal and Valuations, Appraisal Professional appraisal, third party but it is not required, OR ONE OF THE FOLLOWING VALUATIONS, Attached, Attached Attached Attached Attached, Catalog Number H, wwwirsgov, and Form Rev will wrap up everything and you'll be done very fast!

Tips to complete 14134 stage 5

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