| A.
Documentation: |
| Yes |
N/A |
No |
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1. Is there a formal
plan of organization under which responsibilities are assigned
for identifying payees and payments subject to Backup Withholding?
Name of person responsible:
Title:
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2. Does the agency
have written instructions available for responsible agency personnel
to use as a guide for consistent, accurate, preparation of all
IRS Forms required for Backup Withholding? |
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3. Does the formal
plan identify the specific individuals responsible for determining
if the notice received from the IRS is the first or second notification? |
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4. Does the formal
schedule have target dates for completing tasks associated with
Backup Withholding within the time periods required by the IRS? |
| Comments for section A. (please specify
question number) |
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| B.
Recording and Execution of Transaction and Events: |
| Yes |
N/A |
No |
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5. Has the entity
received CP2100 Notices for prior years information returns that
contained missing, incorrect and/or currently not issued taxpayer
identification numbers? |
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6. Has the entity
compared its records with the information furnished by the IRS? |
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7. If the account
information does not agree to agency records, has the agency
checked to see if: |
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a. The correct
information was given on the return? |
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b. The information
changed after the return was filed? |
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c. The IRS changed
the information when processing the return? |
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8. If the correct
information was not given on the return, has the agency corrected
its records and included that information on future information
returns that may be filed? |
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9. If the correct
information changed after the return was filed, has the agency
included that information on future information returns that
may be filed? |
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10. If the IRS changed
the information when processing the return, has the agency corrected
their records? |
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11. If the account
information does agree to agency records, has the agency determined
if it is the first or second notice within three calendar years? |
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12. If the CP2100
is the first notice received, has the agency in all cases: |
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a. Sent the first
B notice, a copy of Form W-9, and an optional reply envelope
to the vendor within 15 business days from the CP2100 Notice
or date received by agency? |
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b. Is the B Notice
dated no later than 30 business days from the date of the CP2100
notice or the date received by the agency? |
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c. Is the outer
envelope clearly marked IMPORTANT TAX INFORMATION ENCLOSED
or IMPORTANT TAX RETURN DOCUMENT ENCLOSED? |
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d. Allowed the
payee 30 calendar days to provide a newly signed Form W-9? |
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e. Kept the newly
signed W-9 for the agencys records and updated records with
the corrected information received from the vendor? |
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f. Begun backup
withholding on payments made to vendors who did not respond
within 30 business days from the date of the CP2100? |
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13. If the CP2100
is the second notice received, has the agency: |
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a. Sent the second
B notice and an optional reply envelope to the vendor within
15 business days from the CP2100 Notice or date received by
agency.? |
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b. Is the B Notice
dated no later than 30 business days from the date of the CP2100
notice or the date received by the agency? |
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c. Is the outer
envelope clearly marked IMPORTANT TAX INFORMATION ENCLOSED
or IMPORTANT TAX RETURN DOCUMENT ENCLOSED? |
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d. Allowed the
payee 30 business days from the date of the agency request
to receive either SSA Form 7028, Notice to Third Party of Social
Security Assignment from the SSA or a copy of IRS Letter 147C
from the vendor? |
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e. Begun backup
withholding on payments made to payees if SSA Form 7028 or
IRS Letter147C was not received within 30 business days? |
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14. Has the entity
deposited funds withheld using the same rules as those used for
employment taxes (IRS Circular E or IRS Forms 941 ) and filed
IRS Form 945 Annual Return of Withheld Federal IncomeTax , by
January 31 of the following year? |
By clicking the Submit button, I do hereby certify, to the best of my knowledge,
that the answers provided in this self-assessment of internal control is
a true representation of the operations of this department.