Write the name and address of the taxpayer’s employer on the top line, with the taxpayer’s name and address on the right. Fill out the relevant boxes with contact information, employee identification numbers, and Social Security numbers.
The employer must fill out the “Employer” section by checking off the payment frequency and providing a signature. They should also include the types of taxes and relevant tax periods.
If the taxpayer is unable to make debit-based payments, they should check the box indicating so. The taxpayer should also note the amount owed as of the starting date.
The taxpayer must check off the box noting the frequency with which they’re paid. They should note the amount they agree to have deducted, and the date that these payments will start.
If the taxpayer intends for the payments to increase or decrease at any point in the future, they should note so.
The taxpayer should sign the bottom of the document.
The IRS is responsible for filling out other required fields.[pdf-embedder url=”https://cdn-prod-pdfsimpli-wpcontent.azureedge.net/pdfseoforms/pdf-20180219t134432z-001/pdf/irs-form-1120s-2015.pdf”]