Form Bcc 995 PDF Details

Form Bcc 995 is a form used to report employee wages and withholding. This form is used by employers to report wages paid and federal income tax withheld from their employees for the calendar year. The form must be filed with the Social Security Administration by January 31st of the following year. Use Form Bcc 995 to report wages and withholding if you are an employer or payer of wages. The instructions for completing Form Bcc 995 can be found on the back side of the form. Be sure to read these instructions carefully before completing the form. If you have any questions, contact the Social Security Administration at 1-800-772-6270.

QuestionAnswer
Form NameForm Bcc 995
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdleg_bcc_mhaffi davit_detachmen t_275168_7 state of michigan affidavit of detachment form

Form Preview Example

Afidavit of Detachment of Manufactured Home

Michigan Department of Licensing and Regulatory Affairs

Bureau of Construction Codes / Building Division

P.O. Box 30255, Lansing, MI 48909

517-241-9317

Authority: 1987 PA 96

Instructions:

For Department Use Only

•SubmittheORIGINALapplicationsignedbeforeanotary.

FILEDANDACCEPTEDBYTHEDEPARTMENTON

•Noapplication fee is requried for the Affidavit of Detachment.

 

•Uponreceipt,processingtimeis7to10businessdays.

 

•Applicationwillbereturnedifnotcomplete.

 

•Once approved, the original will be returned to the person listed on page 2,

 

otherwise it will be returned to the owner. It must then be recorded with the

 

RegisterofDeedsforthecountyinwhichtherealpropertyislocated.

 

•Submit the approvedAffidavit of Detachment with $90.00 to the Secretary of

 

Statetohaveanewtitleissued.

 

Owner and Home Information

 

NameofOwner(s)

 

Property Address

City

 

 

MICHIGAN

Zip Code

 

 

 

 

 

 

 

 

 

Year

Manufacturer

Model

Manufacturer’sSerialNo.orNo.AssignedbytheDepartment

Providelegaldescriptionoftherealpropertytowhichthemobilehomeisbeingdetached

Attachment enclosed

I certify the mobile home is being detached from the real property desribed above.

 

 

 

SignatureofOwner(s)asListedAbove

Date

 

 

NameofOwner(s)asListedAbove(TypeorPrint)

 

Subscribedandsworntoby________________________________________________beforeme,this______dayof

_______________________________,20______.

ANotaryPublicinandfor_______________________________County,Michigan.

SignatureofNotaryPublic_______________________________PrintedName_______________________________

MyCommissionexpireson______________________________________________

BCC-995(Rev.4/11)Page1

OVER

Secured Parties

1stSecuredParty

Address

 

 

City

State

Zip Code

I hereby give consent to the detachment of the mobile home from the real property described above.

SignatureofAuthorizedRepresentative

 

Date

 

 

 

2ndSecuredParty

 

 

 

 

 

Address

 

 

 

 

 

City

State

Zip Code

 

 

 

I hereby give consent to the detachment of the mobile home from the real property described above.

SignatureofAuthorizedRepresentative

Date

 

 

Drafted By

Name

Address

City

State

Zip Code

Return Afidavit of Detachment to:

Name

Contact Person

TelephoneNumber(IncludeAreaCode)

 

 

Address

City

State

Zip Code

LARAisanequalopportunityemployer/program.Auxiliaryaids,servicesandotherreasonableaccommodationsareavailableuponrequesttoindividualswithdisabilities.

VALIDATIONAREA

BCC-995(Rev.4/11)Page2

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This form will need particular details to be filled out, thus be certain to take some time to enter exactly what is expected:

1. The Form Bcc 995 involves particular details to be typed in. Be sure that the subsequent fields are completed:

Form Bcc 995 conclusion process described (part 1)

2. Once your current task is complete, take the next step – fill out all of these fields - stSecuredParty, Address, City, Secured Parties, State, Zip Code, I hereby give consent to the, Date, ndSecuredParty, Address, City, State, Zip Code, I hereby give consent to the, and Date with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

stSecuredParty, City, and Address of Form Bcc 995

Concerning stSecuredParty and City, make sure that you take another look here. These two are the most significant fields in the page.

3. The following section is focused on Drafted By Name, Address, City, Return Afidavit of Detachment to, Contact Person, Address, City, State, Zip Code, TelephoneNumberIncludeAreaCode, State, Zip Code, and VALIDATIONAREA - complete each one of these fields.

Part # 3 in filling out Form Bcc 995

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