W19 Form PDF Details

Are you looking for an easy and efficient way to streamline your tax filing process? The W19 form is a great option that allows you to complete one form regardless of the number of states in which you owe taxes. This post will discuss what exactly a W19 form is, how it works, who needs to use it, and much more – so read on if you’d like to learn more about this incredibly helpful tool!

QuestionAnswer
Form NameW19 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesw19 irs form, w 19, what is a w19 form, w19

Form Preview Example

FORM W-19

IOWA WAREHOUSE OPERATOR

Iowa Warehouse

 

 

 

 

 

TO BE SENT TO:

 

FIRE AND/OR WINDSTORM

LICENSE NO. W-___________________

Grain Warehouse Bureau

CERTIFICATE OF INSURANCE

 

 

 

 

 

 

 

Iowa Department of Agriculture

 

 

 

 

 

 

 

 

 

 

 

 

 

Des Moines, IA 50319

 

 

 

 

 

 

 

 

 

 

 

 

 

THIS IS TO CERTIFY THAT

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

 

(Name of Insurance Company)

 

 

 

 

 

 

 

(Hereinafter called Company) of

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

(Home office address of Company)

 

 

 

 

 

has issued to

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

(Name of Insured)

 

 

 

 

 

 

 

 

 

Policy No.

 

 

effective from

 

 

 

to

 

.

 

 

Does this policy replace any policy or binder now on file?

 

.

 

 

 

 

 

 

 

 

If so, show number of replaced policy or binder and name of Insurance Company.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

 

 

 

(Number)

 

 

 

 

 

(Name of Insurance Company)

 

 

 

 

 

The policy of insurance herein described which provided coverage on products in the warehouse designated herein has attached thereto an endorsement, Form W-20, which amends the policy to fully comply with all provisions contained in Iowa Code Section 203C.15.

Location of Whse.

Kind of Insurance (Fire, Windstorm, ie)

Total limits of Liability of all Contributing Co.'s

Limits of Liability Provided by above numbered policy

Whenever requested by the Department of Agriculture and Land Stewardship, the Company agrees to furnish to the Department a duplicate original of said policy and all endorsements thereon.

Dated this

 

day of

,

 

at

 

 

 

 

 

 

_____________________________________________________

009-0627 (10/13)

 

 

 

 

Authorized Company Representative