Tc 96 16A Form PDF Details

Are you a small business in the United States wondering about the TC 96 16A form? Do not worry because this article will help explain what it is, why it’s important, and how to complete the form correctly. The IRS Form 941-X, Adjustments to Tax Act of 1975 (TC96) is one of two adjustments forms that any small business must submit when an incorrect payroll tax was paid or underreported. A great deal of information goes into these documents including details on wages and taxes paid as well as other entities that handle taxes for businesses such as employees or brokers. The addition of the TC 96 16A means an extra layer of responsibility when filing your tax return; however, understanding the requirements ahead of time can save you from mistakes and headaches down the line!

QuestionAnswer
Form NameTc 96 16A Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrequester, tc 96 16a, form tc96 16a, KRS

Form Preview Example

Kentucky Transportation Cabinet

TC 96-16A

Division of Motor Vehicle Licensing

03/2010

 

REQUEST FOR MOTOR VEHICLE OR BOAT RECORD THAT

INCLUDES PERSONAL INFORMATION

Driver’s Privacy Protection Act of 1994 Section 2721

Mail to:

PO Box 2014, Frankfort KY 40601-2014

I ________________________________, on behalf of _______________________ hereby request the following:

Title History

Current Owner

Other (Specify) ______________________________________

VIN OR HIN Number: ________________________ Title ____________________ License Plate _____________

The requested records are to be used for:

Commercial Purpose [please attach a certified statement explaining the commercial purpose for which the

records shall be used in accordance with KRS 61.874 (4)(b)] Non-Commercial Purpose. A fee of $3.00 per record requested is required with this completed form. Please make your check or money order payable to the Kentucky State Treasurer.

Please place initials beside box you checked.

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For the use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only: (a) to verify the accuracy of personal information submitted by the individual to the business or its agents, employees, or contractors; and (b) if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purpose of preventing fraud by pursuing legal remedies against, or recovering on a debt or security interest against the individual.

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For use in connection with any civil, criminal, administrative, or arbitral proceeding in any federal, state, local court or agency before any self-regulatory body, or in pursuant to an order of a federal, state, or local court.

For use in research activities, and for use in producing statistical reports, so long as the personal information is not published, re-disclosed, or used to contact individuals.

For use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contractors, in connection with claims investigation activities, antifraud activities, rating, or underwriting.

For use by any licensed investigative agency or licensed security service for any purpose permitted under this federal law.

For use by any requester, if the requester demonstrates he/she has obtained the written consent of the individual to whom the information pertains.

Pursuant to section 2722 of the Driver’s Privacy Protection Act of 1994, it is unlawful for any person knowingly to obtain or disclose personal information from a motor vehicle record, for any use not permitted under section 2721 (b) of the Act. I certify that this release of information is permissible for the reason checked above and will be used only as indicated. The undersigned takes full responsibility for any violations of this Act.

____________________________________________________________

_________________________________________________________

Printed name of Person Making Request

 

Signature

Date

____________________________________________________________

STATE OF _____________________________________

Address

 

 

 

 

____________________________________________________________

County of ______________________________________

City

State

Zip Code

 

 

________________________________________________

Signed and sworn before me this ___ day of _______ 20 _______

Telephone number

 

 

 

 

__________________________________________________________

Notary Public

My Commission expires: ______________________________________