Form BP A0642 is a form used to report the results of a compliance audit. The form is used to report on any noncompliance found during an audit, and to outline the remedial actions taken. The form can be used by organizations both in the public and private sectors. Compliance audits are conducted to ensure regulatory compliance, and can be conducted by internal or external auditors. Organizations that have a formal compliance program in place are more likely to have fewer noncompliance issues. When issues are identified, they must be promptly addressed in order to avoid any legal penalties or other adverse consequences. Use of Form BP A0642 can help organizations track their progress with regard to compliance and ultimately improve their compliance posture.
Question | Answer |
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Form Name | Form Bp A0642 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | PDF, P2200, rita status certification form, BP-A0642 |
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JUN 10 |
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U.S. DEPARTMENT OF JUSTICE |
RELOCATION INCOME TAX ALLOWANCE (RITA) CERTIFICATION |
FEDERAL BUREAU OF PRISONS |
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Name: |
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Phone #: |
Work |
Address: |
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Home |
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Soc. Sec. #: |
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Transfer Date: |
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I certify that the following information, which is to be used in calculating the RITA for which I am entitled, has been (or will be shown on the income tax
returns filed (or to be filed) by me (or by my spouse and me) with the applicable Federal, State and local tax authorities for tax year.
FILING STATUS |
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Single |
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Head of Household |
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Married Filing |
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Married Filing |
Joint Return |
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Separate Return |
GROSS COMPENSATION |
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*from Form(s)
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Line 1 + Line 2 |
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Forms |
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Schedule SE |
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Employee |
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$ |
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$ |
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$ |
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$ |
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Spouse (if filing joint return) |
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$ |
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TOTAL |
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LOCALITY TAX |
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Do you pay a locality tax (city or county income tax)? |
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If so, what is the tax rate? |
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% |
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Is the tax a percentage of |
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income? |
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state tax? or |
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federal tax? |
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* If you received relocation reimbursements for two moves |
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* From your old residence, is the distance to your new duty |
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during this tax year, please list the cities and states to which |
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station at least 35 miles greater than the distance to your old |
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you relocated. |
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duty station? |
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1st Move 2nd Move
The above information is true and accurate to the best of my knowledge. I/we agree to notify Relocation Services of any changes to the above (i.e., from the amended tax returns, tax audit, etc.) so that appropriate adjustment to the RITA may be made. Additional documentation will be furnished upon request.
Employee's Signature |
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Date |
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Date |
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Spouse's Signature (if filling joint return) |
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*Please be sure that all
Prescribed by P2200 |