Form Crf 005 is a form used to request a correction to Social Security records. This form can be used to correct information that was inaccurately reported on your social security record, or to update information that has changed since you originally filed for benefits. If you need to make a correction to your social security record, be sure to use Form Crf 005. Note that certain changes, such as name changes, may require additional documentation. For more information on how to complete and submit this form, visit the Social Security Administration website.
| Question | Answer |
|---|---|
| Form Name | Form Crf 005 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | crf 005, Annotated, licensedor, georgia form crf 005 |
Form |
|
|
Georgia Department of Revenue |
|
|
Registration & Licensing Unit |
|
|
PO Box 49512 |
|
|
Atlanta, GA |
|
|
Fax: |
|
|
Call: |
Georgia Department of Revenue |
|
Email: |
||
|
||
Step 1 Read this information first
Under section
corporation officer or employee,
limited liability company member, manager or employee, or
limited liability partnership, partner or employee
may be held personally liable for unpaid sales tax, withholding tax, and 911 charges on prepaid wireless services assessed against such corporation, limited liability company, or limited liability partnership.
Form
Form
Step 2 Identify the business registered or to be registered for any of the tax types or charges listed in Step 1
Business Name
Business Address
Federal Employer Identification Number
Name of person completing this form
Title
Daytime Telephone Number Date
Step 3 Identify the person(s) responsible for filing your business' returns and/or paying all tax or charges due
First Name
Middle Initial Last Name
Job Title
Social Security Number
Mailing Address (number, street, and room or suite no.)
City
State |
ZIP code |
|
|
Email Address
Phone Number
Enter dates when responsibility begins and ends (if applicable):
From:To:
Check all for which person is responsible:
Sales and Use Tax
Withholding Tax
911 Charges on Prepaid Wireless Services
Complete the following if you need to identify another person
First Name
Middle Initial Last Name
Job Title
Social Security Number
Mailing Address (number, street, and room or suite no.)
City
State |
ZIP code |
|
|
Email Address
Phone Number
Enter dates when responsibility begins and ends (if applicable):
From:To:
Check all for which person is responsible:
Sales and Use Tax
Withholding Tax
911 Charges on Prepaid Wireless Services
Complete the following if you need to identify another person
First Name
Middle Initial Last Name
Job Title
Social Security Number
Mailing Address (number, street, and room or suite no.)
City
State |
ZIP code |
|
|
Email Address
Phone Number
Enter dates when responsibility begins and ends (if applicable):
From:To:
Check all for which person is responsible:
Sales and Use Tax
Withholding Tax
911 Charges on Prepaid Wireless Services