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NOTICE OF ACTION STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COUNTY OF Notice Date : Case Name : Number Worker Name : Number : : Telephone : Address
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Note: The specific individuals or organizations that may require the 841 form will depend on the context and purpose of the form itself.
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What is 841 form?
The 841 form, also known as the 'Voluntary Withholding Request,' is a document used by payers to request voluntary federal income tax withholding on certain payments made to recipients.
Who is required to file 841 form?
Individuals and entities that want to request voluntary withholding on certain payments such as pensions, annuities, or gambling winnings are required to file the 841 form.
How to fill out 841 form?
To fill out the 841 form, provide your name, taxpayer identification number, address, the type of income for which you are requesting withholding, and the amount you wish to withhold, then sign and date the form.
What is the purpose of 841 form?
The purpose of the 841 form is to enable payers to withhold federal income tax on specified payments voluntarily, ensuring that recipients have a certain amount of tax withheld at the time of payment.
What information must be reported on 841 form?
The information that must be reported on the 841 form includes the recipient's name, address, taxpayer identification number, the type of income, and the amount of federal income tax to be withheld.
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