Form Fr 4A PDF Details

When you file your Form 1040, you may have to attach Form 4A if box C is checked on line 6 of your form. This form is used to calculate the amount of tax that should be withheld from certain nonwage payments. The purpose of this form is to ensure that the correct amount of taxes are withheld so that you don't have to pay them when you file your return. If you receive a payment that falls into one of the categories listed on Form 4A, then you will need to complete and submit the form in order to have the correct amount of taxes withheld. Some of the most common types of payments that require Form 4A include pensions, annuities, gambling winnings, and royalties. Make sure that you understand which payments require withholding so that you can avoid any penalties or surprises when it comes time to file your taxes.

QuestionAnswer
Form NameForm Fr 4A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesOOS, fr 4k scdmv, FR4, DMV

Form Preview Example

South Carolina Department of Motor Vehicles

RESPONSE TO INSURANCE CANCELLATION NOTICE

FR-4A

(REV. 8/11)

Note: If Notice of Cancellation (Form FR-4) is not included with this response, please include all information in this section as listed on the FR-4 form.

FR-4 Reference No:

Date of Suspension:

Date of Cancellation:

Customer No:

Driver License No:

Customer Name:

Customer’s Home Phone No.

(

)

 

Cell Phone No. (

)

Work Phone No. (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

YR/Make

 

 

VIN No.

 

 

Tag No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE (to be completed by insurance company or agent)

Your agent or insurance company must submit your insurance information to the DMV electronically using the SCALIR system (available at www.sc-alir.com). Commercial carriers and out-of-state agents that do not have access to the SCALIR system can complete the insurance information below and submit to the DMV.

Name of Company

NAIC Code

 

 

 

 

Policy Number

 

 

Vehicle Coverage Effective

 

 

TO

 

Signature of Authorized Rep.

 

 

 

 

 

 

 

 

Date Signed

 

 

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE SOLD/TRADED (to be completed by customer)

If the vehicle on this notice has been sold or traded, please complete the information below. Providing notification to DMV that the vehicle has been sold/traded will result in the immediate cancellation of the vehicle title for your protection.

Check One:

Vehicle Sold

Vehicle Traded

Date Sold/Traded

 

Signature

 

 

 

 

 

 

 

 

 

 

 

 

TAG TRANSFER (to be completed by customer)

If you recently transferred the tag listing on this notice to a newly purchased vehicle, please submit a copy of the bill of sale for the new vehicle along with this notice to the address below.

Date Transferred

MOVED OUT OF STATE (to be completed by customer)

If the vehicle no longer resides in South Carolina, please submit a copy of your Out of State Registration and current insurance to the address below. If you have not surrendered your South Carolina license plate(s) to your new state, mail your license plate(s) to the address below along with a copy of the Out of State Registration.

OOS JurisdictionOOS Plate No.Issue Date

FR-4K MILITARY SERVICE/ILLNESS STATEMENT (to be completed by customer)

If your insurance was cancelled because of military obligations or illness and your vehicle has not been operated upon roads, streets or highways of this state during the lapse or termination of liability insurance, you must submit a completed FR-4K Military Service/Illness Statement along with this form to the address below. This statement can be obtained at www.scdmvonline.com.

I certify that the information listed above is true to the best of my knowledge. I can be subject to criminal penalties if I deliberately provide false information.

Owner Signature

 

SC Driver License No

SC Department of Motor Vehicles Financial Responsibility Office/ ATTN FR4 PO Box 1498

Blythewood, SC 29016-0040 (803) 896-5000

How to Edit Form Fr 4A Online for Free

Once you open the online PDF editor by FormsPal, you can fill out or modify South_Carolina right here. The tool is constantly updated by us, receiving awesome functions and turning out to be greater. Here's what you would have to do to begin:

Step 1: Press the "Get Form" button at the top of this page to get into our PDF tool.

Step 2: Using this online PDF file editor, it's possible to do more than simply fill in blanks. Edit away and make your docs look perfect with customized text incorporated, or fine-tune the original content to perfection - all that supported by the capability to incorporate stunning pictures and sign the PDF off.

This PDF form will need particular details to be filled out, thus ensure that you take the time to provide what is expected:

1. Complete the South_Carolina with a group of necessary blanks. Collect all of the information you need and ensure there's nothing forgotten!

Writing segment 1 in FR-4

2. The third step would be to complete the following fields: If the vehicle on this notice has, Check One, Vehicle Sold, Vehicle Traded, Date SoldTraded, Signature, TAG TRANSFER to be completed by, If you recently transferred the, Date Transferred, MOVED OUT OF STATE to be completed, If the vehicle no longer resides, OOS Jurisdiction, OOS Plate No, Issue Date, and FRK MILITARY SERVICEILLNESS.

Part number 2 of completing FR-4

People who work with this PDF frequently get some things wrong when completing Check One in this section. You should review whatever you type in here.

Step 3: Spell-check the information you have inserted in the blank fields and then click the "Done" button. Right after starting a7-day free trial account at FormsPal, it will be possible to download South_Carolina or email it without delay. The PDF will also be at your disposal via your personal account page with your every single change. FormsPal is committed to the confidentiality of all our users; we ensure that all information processed by our system is kept secure.