Document Transmittal - Aarp
Document Transmittal - Aarp
Document Transmittal - Aarp
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<strong>Document</strong><strong>Transmittal</strong>To (Show complete and correct address)Release DatePage of<strong>Transmittal</strong> Code (From-Serial no.-To)NumberedUnnumberedQuantityCodeorType<strong>Document</strong> IdentificationInstructions: When transmitting reports, pleaseshow the type of report and the period covered. Forother items, show identifying information such asblocks, DLN, EIN, the last four digits of the SSN, etc.RemarksShipmentInformationContainerNo.Rec’d( )From (Originator must supply complete return address below)Releasing official (Signature and title)Received and verified (Signature and title)Originator Telephone NumberForm 3210 (Rev. 4-2010)Catalog Number 22150TPart 1 – Recipient’s copyDate acknowledgedDepartment of the TreasuryInternal Revenue Service
<strong>Document</strong><strong>Transmittal</strong>To (Show complete and correct address)Release DatePage of<strong>Transmittal</strong> Code (From-Serial no.-To)NumberedUnnumberedQuantityCodeorType<strong>Document</strong> IdentificationInstructions: When transmitting reports, pleaseshow the type of report and the period covered. Forother items, show identifying information such asblocks, DLN, EIN, the last four digits of the SSN, etc.RemarksShipmentInformationContainerNo.Rec’d( )From (Originator must supply complete return address below)Releasing official (Signature and title)Received and verified (Signature and title)Originator Telephone NumberDate acknowledgedForm 3 2 10 (Rev. 4-2010)Catalog Number 22150TPart 3 – Acknowledgement copyDepartment of the TreasuryInternal Revenue Service
<strong>Document</strong><strong>Transmittal</strong>To (Show complete and correct address)Release DatePage of<strong>Transmittal</strong> Code (From-Serial no.-To)NumberedUnnumberedQuantityCodeorType<strong>Document</strong> IdentificationInstructions: When transmitting reports, pleaseshow the type of report and the period covered. Forother items, show identifying information such asblocks, DLN, EIN, the last four digits of the SSN, etc.RemarksShipmentInformationContainerNo.Rec’d( )From (Originator must supply complete return address below)Releasing official (Signature and title)Received and verified (Signature and title)Originator Telephone NumberDate acknowledgedForm 3210 (Rev. 4-2010)Catalog Number 22150TPart 4 – To be retained by originatorDepartment of the TreasuryInternal Revenue Service
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