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Printable Form Instructions W-9 Maine: What You Should Know

See. Specific Instructions on page 2. (Rev. January 2012, effective January 2014.) For a new I-9, please check this article. You should fill in all questions on this form, and fill out all fields in order. (Rev. March 2012, effective October 2012.) — Name (as shown on your income tax return). 2 Social Security Number (SSN). 3 Birth Date (MM/DD/YYY). 4 5 SSN/Social Security Number of dependent. (Mar. 18, 2011.) (If you do not have a SSN for dependent, fill out “dependent” in next line.) 6 SSN and birth year: 7 SSN/Birth year and SSN/Age of dependent. (To see how to fill out the SSN & age information on a Form 940) This form also requires: 8  8 See “Additional Information” and the section on pages 10-18 for more information on the SSN field. 9 Full names of dependents: You must fill “Full Name of dependent” off at the bottom of this form, or you will not have enough data from the SSN/Age to fill in the correct information. 10 Date of birth (MM/DD/YYY). 11 Check boxes to report: This form must be completed only once. You may fill in up to 6 boxes of information, but you cannot fill in more than 2 boxes, or you will incur penalties. 1 Income (income is computed as total income before subtracting all amounts paid to the dependents for support). (This figure is called “adjusted gross income” or AGI. The SSN will be listed in the following column). 2 Other income (net after-tax income, after taxes are deducted). (Amount of this “other income” may be different from taxable income and must be reported if it is over 5,000 — see page 13 for more details.) 3 Taxes (in which case you must also fill out a form called Form 940 — Taxes) (You only fill in a single tax box for the year). 4 Federal government pensions, retirement. . . . 4 5 Social Security benefits. . . . 5 6 Total Federal taxes (including federal and state tax). 5 Social Security tax.

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