Every day, businesses and nonprofit organizations file a Form Dd 1811 with the IRS to claim their tax exempt status. This form is a declaration of exemption from federal income tax under section 501(c)(3) of the Internal Revenue Code. There are specific requirements that must be met in order to qualify for this exemption, and it's important to understand what they are. In this blog post, we'll discuss the basics of Form Dd 1811 and how to qualify for tax exempt status. We'll also provide examples of businesses and nonprofits that have successfully claimed exemption from federal income tax. So if you're looking to establish your organization as a tax-exempt entity, read on!
Question | Answer |
---|---|
Form Name | Form Dd 1811 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | dd form 1811, 1979 form facility equipment, dd 1811 fillable, 1979 dd 1811 contractor |
DATE (Yr/Mo/Day)
INSTRUCTIONS: THIS SELF EXPLANATORY FORM IS TO BE COMPLETED IN DUPLICATE FOR EACH WAREHOUSE OR SPECIFIC AREA THEREOF IN WHICH HOUSEHOLD GOODS ARE TO BE STORED. THE ORIGINAL TO BE RETAINED BY THE RESPONSIBLE ACTIVITY, DUPLICATE TO THE CONTRACTOR/CARRIER.
NAME AND ADDRESS OF FIRM (Include |
SCAC |
|
CONSTRUCTION OF BUILDING |
||
ZIP code) |
|
|
WALLS |
|
|
|
|
|
|
|
|
|
|
|
ROOF |
|
|
|
|
|
|
|
|
NAME OF OPERATING EXECUTIVE |
|
FLOOR(S) |
|
NUMBER OF FLOORS |
|
|
|
|
|
|
|
PHONE (Include AREA CODE.) |
|
|
BASEMENT |
|
|
BUSINESS: |
HOME: |
|
|
|
|
|
|
||||
ADDRESS OF STORAGE LOCATION (Include ZIP CODE.) |
GIVE NARRATIVE DESCRIPTION OF BUILDING (Use reverse for diagram |
||||
|
|
|
of storage area, if desired.) |
||
|
|
|
|
|
|
WAREHOUSE NUMBER |
AREA (Floor, Fire Division, etc.) |
|
|
|
|
|
|
|
|
|
|
WAREHOUSE LICENSE NO. |
OPERATING AUTHORITY |
|
|
|
|
|
|
|
|
|
|
OPEN FOR BUSINESS (Hours and days of w eek.)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
NUMBER OF TRUCKS |
|
TYPE OF TRUCKS |
TOTAL STORAGE SPACE (Square feet .) |
|
|
|
|
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OWNERSHIP OF BUILDING |
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OWNED |
|
|
LEASED (If leased complete the follow ing |
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
and attach a copy of lease.) |
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LEASE EXPIRES |
|
|
|
PHONE |
|
|
|
|
|
|||
|
|
|
|
|
|
|
FIRE PROTECTION |
|
|
NAME AND ADDRESS OF OWNER (Include ZIP CODE.) |
||||||||||||||||
|
FIRE CONTENTS RATE (Based upon 80 percent |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
per year.) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
DOD FIRE CLASSIFICATION CODE |
WEIGHT LIMITATIONS (LBS.) |
|
|
(CHECK "YES" OR "NO" AS APPROPRIATE) |
YES |
NO |
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CATEGORY OF BUSINESS |
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||
|
NUMBER OF MILES TO NEAREST FIRE DEPARTMENT: |
MINORITY BUSINESS ENTERPRISE |
|
|
|
|
||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NEAREST |
|
NUMBER OF FEET FROM BUILDING: |
SMALL BUSINESS CONCERN |
|
|
|
|
||||||||||||||||||
|
|
FIRE |
|
POUNDS OF PRESSURE: |
|
|
|
|
|
|
FIRE EXTINGUISHERS |
|
|
|
|
|||||||||||
|
HYDRANT |
|
|
|
|
ADEQUATE |
|
|
|
INADEQUATE |
IS THERE A SUFFICIENT NUMBER? |
|
|
|
|
|||||||||||
|
DESCRIBE FIRE |
PROTECTION SYSTEM |
|
|
ARE THEY THE PROPER TYPE? |
|
|
|
|
|||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ARE THEY REGULARLY INSPECTED AND MAINTAINED? |
|
|
|
|||||||||
|
FREQUENCY OF TEST/INSPECTION: |
|
|
|
|
|
|
|
|
|
FIRE FIGHTING PLAN |
|
|
|
|
|||||||||||
|
MAINTENANCE CONTRACT WITH |
|
|
|
|
|
IS A FIRE FIGHTING PLAN POSTED? |
|
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ARE ALL EMPLOYEES FAMILIAR WITH THE PLAN? |
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CLIMATE PROTECTION |
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS BUILDING PROTECTED FROM EXTREME COLD? |
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS BUILDING PROTECTED FROM EXTREME HEAT? |
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS BUILDING PROTECTED FROM EXTREME HUMIDITY? |
|
|
||||||||||
|
|
|
|
|
|
|
|
SCALES |
|
|
IS VENTILATION ADEQUATE? |
|
|
|
|
|||||||||||
|
TYPE AVAILABLE |
DISTANCE FROM BUILDING |
ARE UTILITIES AND OTHER SYSTEMS SERVICED |
|
|
|
|
|||||||||||||||||||
|
|
|
|
|
|
|
|
|
(MILES) |
|
|
AT LEAST ANNUALLY? |
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
CERTIFIED |
|
|
|
|
YES |
NO |
CAPACITY |
|
|
|
MATERIAL HANDLING EQUIPMENT |
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS THE EQUIPMENT PROPERLY MAINTAINED? |
|
|
|
|
||||||||
|
|
|
STORAGE METHODS (Give brief description) |
|
|
|
|
|
SMOKING |
|
|
|
|
|||||||||||||
|
RUGS |
|
|
|
|
|
|
|
|
|
|
|
ARE " NO SMOKING" SIGNS POSTED? |
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS " NO SMOKING" POLICY ENFORCED? |
|
|
|
|
||||||||
|
UPHOLSTERED FURNITURE |
|
|
|
|
|
|
|
|
|
HOUSEKEEPING |
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS BUILDING AND OUTSIDE AREA NEATLY KEPT AND |
|
|
|
|||||||||
|
PIANOS |
|
|
|
|
|
|
|
|
|
|
|
FREE FROM HAZARDOUS MATERIALS? |
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ARE COMBUSTIBLE WASTE MATERIALS STORED AT |
|
|
|
|||||||||
|
FIREARMS SECURITY |
|
|
|
|
|
LEAST 50 FEET AWAY FROM FACILITY? |
|
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SECURITY |
|
|
|
|
|||
|
OTHER PROPERTY |
|
|
|
|
|
IS BUILDING EQUIPPED WITH BURGLAR ALARM? |
|
|
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS A WATCHMAN ON DUTY? |
|
|
|
|
||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
HAZARDOUS OPERATIONS (Describe operations in or near building |
DO POLICE PATROL THE AREA? |
|
|
|
|
||||||||||||||||||||
|
w hich may be hazardous to stored property.) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
ARE DOORS AND WINDOWS ADEQUATELY PROTECTED? |
|
|
|
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IS SEPARATION FROM JOINT OPERATION OCCUPANT, |
|
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
IF ANY, ADEQUATE? (See " Hazardous Operation" below .) |
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||
|
TYPE OF PROGRAM FIRM HAS FOR RODENT AND/OR INSECT |
|
|
|
|
|
FLOODING |
|
|
|
|
|||||||||||||||
|
CONTROL |
|
|
|
|
|
|
|
|
|
|
|
IS BUILDING SUBJECT TO FLOODING? |
|
|
|
|
|||||||||
|
I certify that I have inspected the above described facility and find that, |
SIGNATURE (Inspecting Officer) |
|
DATE (Yr/Mo/Day) |
|
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
|
to the best of my know ledge, the information herein is true and correct . |
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
I certify that the conditions and policies of this w arehouse are, to the |
SIGNATURE (Warehouseman) |
|
DATE (Yr/Mo/Day) |
||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||
|
best of my know ledge, as indicated above. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||
|
I certify that I have review ed this survey and |
|
|
APPROVE, |
SIGNATURE (Contracting Officer/Trans. Officer) |
|
DATE (Yr/Mo/Day) |
|||||||||||||||||||
|
|
|
||||||||||||||||||||||||
|
|
REJECT the facility for storage of household goods. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DD FORM 1811, JUN 79 |
|
|
|
|
EDITION 1 AUG 73 IS OBSOLETE. |
|
|
|
|
|
|
ADOBE PROFESSIONAL 7.0 |