Department of the Treasury

Internal Revenue Service

Publication 1045
Information for
Tax Practitioners
To speed the reactivation of your account on the Tax Practitioner
Program and Mailing List and to expedite shipment of your order as
items become available, order by October 1, 1992. All applicants
must ensure that Form 3975 is received by the IRS no later than
February 28, 1993. Form 3975 received after February 28, 1993 will
be added to the Tax Practitioner Program and Mailing List, orders will
be filled based on availability of items and stock.
Some items may not be available in the beginning of the tax year due
to circumstances beyond the control of the Internal Revenue Service.

Table of Contents
Page
No. Description
2 Instructions to Practitioners
2-3 Titles for Items on Form 3975
3-7 Titles for Anticipated Items for Either
Package X or Kits
8 Instructions for Filling out Form 3975
9-10 Tax Practitioner Annual Mailing List
Application/Order Blank
11 Instructions For Ordering Tax Practitioner Items
13-16 GPO Information and Order Blanks

Internal Revenue Service

WADC-9999 BULK RATE
Postage and Fees Paid
Rancho Cordova, CA. 95743-9999
IRS
OFFICIAL BUSINESS Permit No. G-48
Penalty for Private Use, $300

Publication 1045
Cat. No. 11090W
Instructions
Tax Practitioner Program
The purpose of this program is to
distribute: two informational copies of
major tax forms and schedules; one
copy of instructions and publications;
and tax practitioner mail labels for
mailing the District Newsletters to tax
practitioners. We request each firm
designate one practitioner to order one
Package X, one Publication 17 and one
Publication 334 for each practitioner in
the firm. Orders from other practitioners
within the firm will be removed from the
file at the discretion of IRS. The District
Newsletter is available to all tax
practitioners registered, as a current
member, on the Tax Practitioner
Program. Each practitioner must
complete Form 3975, mail to IRS, to
receive the newletter from their district.
Federal Agencies Mailing Lists are
required by law (Joint Committee on
Printing (JCP) Regulations, Title III) to be
updated periodically. You must submit
Form 3975 to remain on the mailing list,
even if you only want to receive the
newsletter. Failure to annually submit
Form 3975 will result in the removal of
your name from the Tax Practitioner
Program and Mailing List. If mail is
returned, due to incorrect or old
address, your name will be removed
from the Tax Practitioner Program and
Mailing List.
Responsibilities of Return Preparers—
The importance of the roles of income
tax preparers is recognized in the
Internal Revenue Code which contains
provisions that regulate their conduct.
For more information, see Notice 90-20,
1990-1 C.B. 328, IRC Sections 6060,
6109, 6694, 6695, 7216 and Publication
947.
Paperwork Reduction Notice—We ask
for the information on this form to
furnish you information and to send you
the items you ordered. Your compliance
is voluntary.
The time needed to complete and file
this form will vary depending on
individual circumstances. The estimated
average time is 3 minutes.
If you have comments concerning the
accuracy of this time estimate or
suggestions for making this form more
simple, we would be happy to hear from
you. You can write to both the Internal
Revenue Service, Washington, DC
* Item also available in Pub. 1194.
† Item also available in Pub. 776.
‡ If you are ordering more than 40 copies, each, of
Package X, Publication 17 and Publication 334,
please order in increments of 5. For less than 40
copies, order the exact number; one for each
practitioner in your firm.
Page 2
20224, Attn: IRS Reports Clearance
Officer T:FP; and Office of
Titles For Items Listed On
Management and Budget, Paperwork
Form 3975 (Refer to “Other
Reduction Project (1545-0351), Items” when requesting
Washington, DC 20503. DO NOT send items not listed)
the form to either of these offices.
Instead, see the instructions for Tax Practitioner Kits
information on where to mail your Form Reproducible Copies of Various Tax Forms
3975. (refer to pages 3-7 for items listed).
Package X ‡
Other Items Informational Copies of Federal Tax Forms
After December 15, 1992, written (refer to pages 3-7 for items listed).
requests on company letterhead may be
submitted for items not listed on pages Publication 1 * †
Your Rights as a Taxpayer
2-7. We cannot honor requests before
this date. Send requests to the Publication 15
distribution center for your state (see
Circular E—Employer’s Tax Guide
page 11), or call 1-800-829-3676 and
ask for the practitioner gate. You will Publication 17 ‡
receive the maximum quantity of two Your Federal Income Tax
copies of tax forms and one copy of
publications. You can also use this toll Publication 51
free number if you have a problem with Circular A—Agricultural Employer’s Tax Guide
your order.
Publication 54 †
The forms listed on pages 2–7 will be
available only in Package X and the Tax Guide for U.S. Citizens and Resident
Aliens Abroad
Reproducible Kits.
Publication 225
Bulk Quantities Of Forms Farmer’s Tax Guide
Multiple copies of tax forms which
Publication 334 ‡
exceed our quantity limits may be
Tax Guide for Small Business
obtained by: (1) ordering from
Superintendent of Documents using Publication 463 *
GPO Form 3565 on page 13, (2) Travel, Entertainment, and Gift Expenses
ordering from a commercial forms broker
or private printer, or (3) photocopy using Publication 501 *
the reproducible masters provided in the Exemptions, Standard Deductions, Filing
kits (page 10). Information
Superintendent of Publication 502 *
Medical and Dental Expenses
Documents (Sup Docs)
The Superintendent of Documents is Publication 503 *
part of the Government Printing Office Child and Dependent Care Expenses
and is not affiliated with the Internal
Publication 504 *
Revenue Service. Sup. Docs. is the only
Tax Information for Divorced or Separated
government agency authorized to sell
Individuals
printed materials. Use GPO Form 3565
(page 13) for bulk forms requests and Publication 505 *
send directly to Sup. Docs., not to the Tax Withholding and Estimated Tax
IRS. All orders received at IRS will be
returned to the requestor, thus delaying Publication 508 *
the processing time of your order. Educational Expenses
Checks must be included with your
Publication 509 *
order and made payable to the
Superintendent of Documents. If there is Tax Calendar for 1993
a problem with your GPO Form 3565
order, you should contact Sup. Docs. at Publication 520 *
(301) 953-2298. Partial shipments will Scholarships and Fellowships
begin as soon as forms become
Publication 521 *
available.
Moving Expenses
Publication 523 * Publication 559 * Publication 937 *
Tax Information on Selling Your Home Tax Information for Survivors, Executors, and Business Reporting (Employment Taxes,
Administrators Information Returns)
Publication 524 *
Credit for the Elderly or the Disabled Publication 560 * Publication 1167
Retirement Plans For The Self-Employed Substitute Printed Computer-Prepared and
Publication 525 * Computer-Generated Tax Forms and
Taxable and Nontaxable Income Publication 561 Schedules
Determining the Value of Donated Property
Publication 526 * Publication 1220
Charitable Contributions Publication 564 * Requirements for Filing Forms 1098,1099,
Mutual Fund Distributions 5498 & W-2G on Magnetic Tape 51⁄4 & 31⁄2
Publication 527 * Inch Diskettes
Residential Rental Property Publication 570
Tax Guide for Individuals in U.S. Possessions Publication 1345
Publication 529 * Revenue Procedure for Electronic Filing of
Miscellaneous Deductions Publication 575 * Individual Income Tax Returns (Tax Year
Pension and Annuity Income 1992)
Publication 530 *
Tax Information for Homeowners Publication 583 List of Various Tax Forms,
Taxpayers Starting a Business
Publication 531 * Schedules and Instructions
Reporting Income From Tips Publication 584 The following list of tax forms, schedules
Nonbusiness Disaster, Casualty and Theft and related instructions are anticipated
Publication 533 * Loss Workbook to be included in Package X and the
Self-Employment Tax Tax Practitioner Kits. Do not order
Publication 587 * items individually. This list of items may
Publication 534 * Business Use of Your Home vary due to the availability and approval
Depreciation to print.
Publication 589 *
Publication 535 * Tax Information on S Corporations SS-4
Business Expenses Application for Employer Identification
Publication 590 *
Number
Publication 537 Individual Retirement Arrangements (IRAs)
Installment Sales SS-4 Instructions
Publication 596 *
Publication 538 Earned Income Credit W-2 (1992)
Accounting Periods and Methods Wage and Tax Statement
Publication 776 See W-2 Instructions (1992)
Publication 541 * Overseas Filers of Form 1040
Tax Information on Partnerships W-2 Instructions (1992)
Publication 907 *
Publication 542 * Tax Information for Handicapped and W-2c
Tax Information on Corporations Disabled Individuals Statement of Corrected Income and Tax
Amounts
Publication 544 * Publication 908
Sales and Other Dispositions of Assets Bankruptcy and Other Debt Cancellation W-3 (1992)
Transmittal of Income and Tax Statements
Publication 547 * Publication 909 *
Nonbusiness Disasters, Casualties, and Alternative Minimum Tax for Individuals W-3c
Thefts Transmittal of Corrected Income and Tax
Publication 910 * Statements
Publication 550 * Guide to Free Tax Services
Investment Income and Expenses W-4
Publication 915 * Employee’s Withholding Allowance Certificate
Publication 551 * Social Security Benefits and Equivalent
Basis of Assets Railroad Retirement Benefits W-4P
Withholding Certificate for Pension or Annuity
Publication 552 * Publication 917 * Payments
Recordkeeping for Individuals Business Use of a Car
W-4S
Publication 553 * Publication 925 * Request for Federal Income Tax Withholding
Highlights of 1992 Tax Changes Passive Activity and At-Risk Rules from Sick Pay

Publication 554 * Publication 929 * W-5

Tax Information for Older Americans
Publication 556 *
Examination of Returns, Appeal Rights, and
Claims for Refund
Tax Rules for Children and Dependents Earned Income Credit Advance Payment
Certificate
Publication 936 *
Limits on Home Mortgage Interest Deduction

* Item also available in Pub. 1194.

Page 3
W-9 Sch. A (Form 990) Instructions 1040EZ
Request for Taxpayer Identification Number Income Tax Return for Single Filers With No
and Certification 990W Dependents
Estimated Tax on Unrelated Business Taxable See 1040EZ Instructions
W-10 Income for Tax-Exempt Organizations
Dependent Care Provider’s Identification and 1040EZ Instructions
Certification 1040
U.S. Individual Income Tax Return 1040NR
706 U.S. Nonresident Alien Income Tax Return
United States Estate (and 1040 Instructions
Generation-Skipping Transfer) Tax Return 1040NR Instructions
Schs. A&B (Form 1040)
706 Instructions Itemized Deductions, Interest and Dividend 1040X
Income Amended U.S. Individual Income Tax Return
709 See 1040 Instructions
United States Gift (and Generation-Skipping 1040X Instructions
Transfer) Tax Return Sch. C (Form 1040)
Profit or Loss From Business 1041
709 Instructions See 1040 Instructions U.S. Fiduciary Income Tax Return

720 (4th Qtr. 1992) Sch. C-EZ (Form 1040) 1041 Instructions
Quarterly Federal Excise Tax Return Profit or Loss From Business—Short Version
See 1040 Instructions 1041-T
843 Allocation of Estimated Tax for Beneficaries
Claim Sch. D (Form 1040)
Capital Gains and Losses
Sch. D (Form 1041)
843 Instructions See 1040 Instructions Capital Gains and Losses
See 1041 Instructions
851 Sch. D-1 (Form 1040)
Affiliations Schedule Continuation Sheet for Sch. D (Form 1040)
Sch. H Form 1041
See 1040 Instructions Alternative Mininum Tax
911
Application for Taxpayer Assistance Order To Sch. E (Form 1040) Sch. J (Form 1041)
Relieve Hardship Supplemental Income and Loss Information Return—Trust Allocation of an
See 1040 Instructions Accumulation Distribution (IRC Section 665)
940 See 1041 Instructions
Employer’s Annual Federal Unemployment Sch. EIC (Form 1040A or 1040)
(FUTA) Tax Return Earned Income Credit
Sch. K-1 (Form 1041)
Beneficiary’s Share of Income, Deductions,
940 Instructions Sch. F (Form 1040) Credits, etc.
Farm Income and Expenses See 1041 Instructions
940EZ See 1040 Instructions
Employer’s Annual Federal Unemployment 1041-ES (1992)
(FUTA) Tax Return Sch. R (Form 1040) Estimated Tax for Fiduciaries
Credit for the Elderly or the Disabled
Sch. A (Form 941) 1045
Record of Federal Backup Withholding Tax Sch. R (Form 1040) Instructions Application for Tentative Refund
Liability
Sch. SE (Form 1040) 1065
942 (4th Qtr. 1992) Social Security Self-Employment Tax U.S. Partnership Return of Income
Employer’s Quarterly Tax Return for See 1040 Instructions
Household Employees 1065 Instructions
1040A
943 U.S. Individual Income Tax Return
Sch. D (Form 1065)
Employer’s Annual Tax Return for Agricultural Capital Gains and Losses
Employees 1040A Instructions
Sch. K-1 (Form 1065)
943A Sch. 1 (Form 1040A) Partner’s Share of Income, Credits,
Agricultural Employer’s Record of Federal Tax Interest and Dividend Income for Form 1040A Deductions, etc.
Liability Filers
See 1040A Instructions Sch. K-1 (Form 1065) Instructions
990
Return of Organization Exempt From Income Sch. 2 (Form 1040A) 1096 (1992)
Tax (Except Black Lung Benefit Trust or Child and Dependent Care Expenses for Form Annual Summary and Transmittal of U.S.
Private Foundation) 1040A Filers Information Returns
See 1040A Instructions See 1099 Instructions (1992)
990 Instructions
Sch. 3 (Form 1040A) 1098 (1992)
990EZ Credit for the Elderly or the Disabled for Form Mortgage Interest Statement
Short Form Return of Organization Exempt 1040A Filers See 1099 Instructions (1992)
From Income Tax See Sch. 3 (Form 1040A) Instructions
1099 Instructions (1992)
990EZ Instructions Sch. 3 (Form 1040A) Instructions For Forms 1099, 1098, 5498, 5754, 1096, and
W-2G
Sch. A (Form 990) 1040-ES (1992)
Organization Exempt Under Section 501(c)(3) Estimated Tax for Individuals
(Supplementary Information)

Page 4
1099-A (1992) Sch. PH (Form 1120) 2441
Information Return for Acquisition or U.S. Personal Holding Company Tax Credit for Child and Dependent Care
Abandonment of Secured Property Expenses
See 1099 Instructions (1992) Sch. PH (Form 1120) Instructions
2441 Instructions
1099-B (1992) 1120-A
Statement for Recipients of Proceeds From U.S. Corporation Short-Form Income Tax 2553
Broker and Barter Exchange Transactions Return Election by a Small Business Corporation
See 1099 Instructions (1992)
1120S 2553 Instructions
1099-DIV (1992) U.S. Income Tax Return for an S Corporation
Statement for Recipients of Dividends and 2555 †
Distributions 1120S Instructions Foreign Earned Income
See 1099 Instructions (1992)
Sch. D (Form 1120S) 2555 Instructions †
1099-G (1992) Capital Gains and Losses and Built-in Gains
Statement for Recipients of Certain
2688
Government Payments Sch. D (Form 1120S) Instructions Application for Additional Extension of Time
See 1099 Instructions (1992) To File U.S. Individual Income Tax Return
Sch. K-1 (Form 1120S)
1099-INT (1992) Shareholder’s Share of Income, Credits, 2758
Statement for Recipients of Interest Income Deductions, etc. Application for Extension of Time To File
See 1099 Instructions (1992) Certain Excise, Income, Information and
Sch. K-1 (Form 1120S) Other Returns
1099-MISC (1992) Instructions
2848
Statement for Recipients of Miscellaneous
Income
1120-W Power of Attorney and Declaration of
See 1099 Instructions (1992) Corporation Estimated Tax Representative

1099-OID (1992) 1120X 3115

Statement for Recipients of Original Issue Amended U.S. Corporation Income Tax Application for Change in Accounting Method
Discount Return
See 1099 Instructions (1992)
3115 Instructions
1127
1099-PATR (1992) Application for Extension of Time for Payment 3468
of Tax Investment Credit
Statement for Recipients (Patrons) of Taxable
Distributions Received From Cooperatives 3468 Instructions
See 1099 Instructions (1992) 1310
Statement of Person Claiming Refund Due a 3800
1099-R (1992) Deceased Taxpayer
General Business Credit
Statement for Recipients of Total Distributions
From Profit-Sharing, Retirement Plans, 2106
Employee Business Expenses
3800 Instructions
Individual Retirement Arrangements,
Insurance Contracts, etc. 3903
See 1099 Instructions (1992) 2106 Instructions
Moving Expenses
1099-S (1992) 2119
3903 Instructions
Statement for Recipients of Proceeds From Sale of Your Home
Real Estate Transactions 3911
See 1099 Instructions (1992) 2119 Instructions
Taxpayer Statement Regarding Refund
1116 † 2120
Multiple Support Declaration
4136
Computation of Foreign Tax Credit (Individual, Computation of Credit for Federal Tax on
Fiduciary, or Nonresident Alien Individual) Fuels
2210
1116 Instructions † Underpayment of Estimated Tax by 4137
Individuals
1118 Computation of Social Security Tax on
2210 Instructions Unreported Tip Income
Computation of Foreign Tax Credit—
Corporation 4255
2220
1118 Instructions Underpayment of Estimated Tax by Recapture of Investment Credit
Corporations
1120 4506
U.S. Corporation Income Tax Return 2220 Instructions Request for Copy of Tax Form

1120 and 1120-A Instructions 2290 4562

Heavy Vehicle Use Tax Return Depreciation and Amortization
Sch. D (Form 1120)
Capital Gains and Losses 2350 4562 Instructions
Application for Extension of Time To File U.S.
Income Tax Return 4626
Alternative Minimum Tax—Corporations

† Item also available in Pub. 776.

Page 5
4626 Instructions Sch. P (Form 5500) 8271
Annual Return of Fiduciary of Employee Investor Reporting of Tax Shelter Registration
4684 Benefit Trust Number
Casualties and Thefts
Sch. SSA (Form 5500) 8275
4684 Instructions Annual Registration Statement Identifying Disclosure Statement Under Section 6661
Separated Participants with Deferred Vested
4782 Benefits 8275 Instructions
Employee Moving Expense Information
5500-C/R 8275-R
4797 Return/Report of Employee Benefit Plan (with Regulations Disclosure Statements
Sale of Business Property fewer than 100 participants)
8283
4797 Instructions 5500-C/R Instructions Non-cash Charitable Contributions
4804 5500EZ 8283 Instructions
Transmittal of Information Returns Reported Annual Return of One-Participant (owners and
on Magnetic Media their spouses) Pension Benefit Plan 8300
Report of Cash Payments Over $10,000
4835 5500EZ Instructions Received in a Trade or Business
Farm Rental Income and Expenses
5558 8308
4852 Application for Extension of Time to File Report of a Sale or Exchange of Certain
Substitute for Form W-2, Wage and Tax Certain Employee Plan Returns Partnership Interests
Statement for Recipients of Annuities,
Pensions, Retired Pay, or IRS Payments 5754 8332
Statement By Person(s) Receiving Gambling Release of Claim to Exemption for Child of
4868 Winnings Divorced or Separated Parents
Application for Automatic Extension of Time See 1099 Instructions (1992)
To File U.S. Individual Income Tax Return 8379
5884 Injured Spouse Allocation
4952 Jobs Credit
Investment Interest Expense Deduction 8453
6198 U.S. Individual Income Tax Declaration for
4952 Instructions At-Risk Limitations Electronic Filing
4970 6198 Instructions 8582
Tax on Accumulation of Distribution of Trusts Passive Activity Loss Limitations
6251 †
4972 Alternative Minimum Tax—Individuals 8582 Instructions
Tax on Lump-Sum Distribution
6251 Instructions † 8582-CR
4972 Instructions Passive Activity Credit Limitations
6252
5329 Installment Sale Income 8582-CR Instructions
Return for Additional Taxes Attributable to
Qualified Retirement Plan (Including IRA’s), 6252 Instructions 8586
Annuities and Modified Endowment Contracts Low-Income Housing Credit
6781
5329 Instructions Gains and Losses from Section 1256 8594
Contracts and Straddles Asset Acquisition Statement
5498 (1992)
Individual Retirement Arrangement 7004 8606
Information Application for Automatic Extension of Time Nondeductible IRA Contributions, IRA Basis,
See 1099 Instructions (1992) To File Corporation Income Tax Return and Nontaxable IRA Distributions
5500 8027 8609
Annual Return/Report of Employee Benefit Employer’s Annual Information Return of Tip Low-Income Housing Credit Allocation
Plan (with 100 or more participants) Income and Allocated Tips Certification
5500 Instructions 8027 Instructions Sch. A (Form 8609)
Sch. A (Form 5500) 8082 Annual Statement
Insurance Information Notice of Inconsistent Treatment or Amended 8615
Return (Administrative Adjustment Request
Sch. B (Form 5500) Computation of Tax for Children Under Age
(AAR))
Actuarial Information 14 Who Have Investment Income of More
8082 Instructions Than $1,000
Sch. B (Form 5500) Instructions 8633
8264
Sch. C (Form 5500) Application for Registration of Tax Shelter Electronic Filer Application to File 1992
Service Provider Information Individual Income Tax Return Electronically
8264 Instructions

† Item also available in Pub. 776.

Page 6
8716 8809 8821
Election To Have a Tax Year Other Than a Requests for Extension of Time To File Tax Information Authorization
Required Tax Year Information Returns
8822
8717 8810 Change of Address
User Fee for Employee Plan Determination Corporate Passive Activity Loss and Credit
Letter Request Limitations 8824
Like-Kind Exchanges
8736 8810 Instructions
Application for Automatic Extension of Time 8824 Instructions
To File Return/U.S. Partnerships or for Certain 8814
Trusts Parent’s Election To Report Child’s Interest 8825
and Dividends Rental Real Estate Income and Expenses of a
8800 Partnership or an S Corporation
Application for Additional Extension of Time 8815
To File Return for U.S. Partnerships or Certain Exclusion of Interest From Series EE U.S. 9041
Trusts Savings Bonds Issued After 1989 Application for Electronic/Magnetic Tape
Filing of Tax Year 1992 Forms 1041, 1065,
8801 8817 and 5500 C/R
Credit for Prior Year Minimum Tax Allocation of Patronage and Nonpatronage
Income and Deductions TD F 90-22.1 †
8803 Report of Foreign Bank and Financial
Limit on Alternative Minimum Tax for Children 8818 Accounts
Under Age 14 Redemption of College Savings Bonds,
Optional Form To Record

† Item also available in Pub. 776.

Page 7
 Instructions For Filling Out Form 3975
Address Information/New Applicant Address Information/Reapplication
Section A Section A
Do not write in this space; complete Section B. Attach your peel-off address label from front cover. Verify
your name, address, telephone number, number of tax
Section B practitioners in firm, job code, and purpose for mailing list
Check new applicant box. code. Do not make corrections to label; corrections should
be made in the corresponding sections of Form 3975. If label
Section C is lost, check Section B as Reapplication, then complete
Please provide your daytime office phone number to IRS. Section E in its entirety.
This will help us to get in touch with you if we have problems
with your order. Phone No. of Practitioners Job code

Section D
Ä Ä Ä
Fill in the number of Tax Practitioners in your firm/company. 2127572142, 1, 5: Accountant, 3: Both
If you are a sole practitioner, enter “1”. Ä

Section E © 123456A
OTTO PORJESZ
Complete all appropriate fields. 250 W 57TH ST RM 718
NEW YORK NY 10100
Section F
Check appropriate category that describes your principal
occupation or business.
Account no. Reason for being on file
Section G
Check the appropriate box for the purpose of being on the Section B
practitioner mailing list for the 1992 filing season. If you
Check the Reapplication box if all pre-printed data on
check item 1 or 3, please complete order blank on page 10.
address label is correct. Incorrect pre-printed data should be
Section H corrected in the corresponding section of Form 3975.
By checking this box, your name will not be released as part Section C thru Section G
of a mailing list.
Corrections to these sections are to be made only if incorrect
Section I information appears on mailing label. (Refer to instructions in
Section A above.)
Check this box if you share office space at the same address
with another practitioner firm. Section H
Check this box if you do not wish your firm’s/company’s
name released as part of a practitioner mailing list.
Section I
Check this box only if you share office space at the same
address with another practitioner firm.

Delete (Removal From the Tax Practitioner

Program)
Section A
Attach your peel-off address label from front cover.
Section B
Check delete record box.
Note: This removes your name from the Tax Practitioner
Mailing List for receiving forms and newsletters.

Page 8
 3975
OMB No. 1545–0351
Tax Practitioner Annual Mailing List Expires: 6-30-94
Form
Application and Order Blank
© For Paperwork Reduction Notice,
Department of the Treasury
Internal Revenue Service see instructions in Publication 1045.
Section A

Attach peel-off label from front cover here.

Section B—Nature of Request (must be completed).

1 New application 2 Reapplication 3 Delete record
Section C—List daytime office phone number. Section D—Number of Tax
Practitioners in your firm.
–
Office Telephone Number
Section E—Mailing adddress information for the months of October through April.

First name

Last name

Firm/Company

Firm/Company
street address

City or
Town
State or ZIP code (left justified)
Province

(Foreign Countries)

Section F—Job Code

What is your principal 1 Association 4 CPA 7 Enrolled agent
occupation or business?
(Check ONLY ONE.) 2 Attorney 5 Accountant 8 Other

3 Banker 6 Preparer of tax returns

Section G—Purpose for being on the Tax Practitioner Mailing List? (Check ONLY ONE.)
Complete order blank (page 10) if you checked Box 1 or 3.
1 To order information copies of tax forms only 2 To receive the practitioner newsletter only 3 Both
Section H—Check if you do not want your firm/company name and address released to
the public as part of a practitioner mailing list No

Section I—Check if you share office space at the same address with another practitioner firm? Yes
Cat. No. 41235N
Form 3975 (1992) Page 2
(Items are listed in
Section J—Tax Practitioner Order Blank (See pages 2-7 for Titles.) numerical order, reading
Limit: 1 per firm/company. from left to right.)
ID No. Pub. X ID No. Pub. X ID No. Pub. X ID No. Pub. X

001 KITS 005 1 006 15 007 51

008 225 009 463 010 501 011 502

012 503 013 504 014 505 015 508

016 509 017 520 018 521 019 523

020 524 021 525 022 526 023 527

024 529 025 530 026 531 027 533

028 534 029 535 030 537 031 538

032 541 033 542 034 544 035 547

036 550 037 551 038 552 039 553

040 554 041 556 042 559 043 560

044 561 045 564 046 570 047 575

048 583 049 584 050 587 051 589

052 590 053 596 054 776 055 907

056 908 057 909 058 910 059 915

060 917 061 925 062 929 063 936

064 937 065 1167 066 1220 067 1345

Section K—Request For Miscellaneous Products

Limit: 1 per practitioner in firm/company.

ID No. ITEM Quantity ID No. ITEM Quantity ID No. ITEM Quantity

068 Pub. 17 069 Pub. 334 070 Pkg. X

Section L—1992 Information Return Forms

Unlimted: Please order number of forms, not number of sheets.

ID No. Form Quantity ID No. Form Quantity ID No. Form Quantity ID No. Form Quantity

073 W-2 074 W-3 075 1096 076 1098

077 1099-A 078 1099-B 079 1099-DIV 080 1099-G

081 1099-INT 082 1099-MISC 083 1099-OID 084 1099-PATR

085 1099-R 086 1099-S 087 5498

 Instructions For Ordering Tax Practitioner Items
Ordering Information Where To Mail Your Form 3975
Section J Connecticut, Delaware,
Reproducible Kits.—Kits contain reproducible masters of District of Columbia, Florida, Georgia,
Maine, Maryland, Massachusetts,
tax forms provided through the program (pages 3-7). These New Hampshire, New Jersey, New EADC
masters are published in several releases as the forms Attn: 3975 Order
York, North Carolina, Pennsylvania, P.O. Box 27322
become available. Kits do not contain copies of Rhode Island, South Carolina,
Vermont, Virginia, West Virginia, as Richmond, VA 23261
instructions for forms. If instructions are needed, you
well as all foreign countries and
must order Package X. The kits are limited: 1 per U.S. possessions.
firm/company. To order, place an X in the space provided.
Alabama, Arkansas, Illinois, Indiana, IRS
Publications and Certain Revenue Procedure Iowa, Kansas, Kentucky, Louisiana,
Publications.—Publications are LIMITED to 1 per Michigan, Minnesota, Mississippi, Form 3975
Missouri, Nebraska, North Dakota, P.O. Box 9909
firm/company (except as noted below). To order, place an X Bloomington, IL
in the box provided for each item you wish to order. Ohio, Oklahoma, South Dakota, 61702-9909
Tennessee, Texas, Wisconsin
Section K Alaska, Arizona, California, Colorado, WADC
Hawaii, Idaho, Montana, New Mexico, Attn: 3975 Order
Publications 17 and 334.—Bulk requests for these items Nevada, Oregon, Utah, Washington, Rancho Cordova, CA
should be made by one individual from your firm/company. Wyoming 95743-0001
The quantity of these products is limited to 1 per practitioner
in your firm/company. To order, simply enter the quantity in
the space provided for these products. Did You Remember To:
Package X.—Package X bulk distribution from the contractor
1. Attach your peel-off label to Section A?
has been expanded to process your order more efficiently. If
you are requesting more than 40 copies, please order in 2. Give us your current daytime phone number?
increments of 5, (i.e., 45, 60, 85, etc.). Package X will contain 3. Make a copy of your order to keep for reference?
one copy of forms and one copy of instructions as listed on 4. Complete order blank on Page 10?
pages 3-7. Bulk requests for this product should be made by 5. Send your completed Form 3975 to the correct address
one individual from your firm/company. The quantity for this shown above?
product is limited to 1 per practitioner in your firm/company.
To order, simply enter the quantity in the space provided for
this product.
Address Changes
Note: Package X and Kits for tax year 1991 forms are not If your address changes after you submit your Form 3975,
available. call the toll-free number (1-800-829-3676) and ask for the
practitioner gate. Give the telephone assister your account
Section L number or old Zip Code so we can locate your account. The
1992 Information Return Forms.—To order, simply enter telephone assister will review the address in the file and
the quantity next to the form you are ordering. Some of the correct if necessary.
forms listed are printed two or three on a sheet. Please order If mail is returned, due to incorrect or old address, your
the number of forms, not the number of sheets. name will be removed from the Tax Practitioner Program and
If you need 1993 information return forms, request them Mailing List.
on the order blank found in Publication 15 (Circular E).
Other Items.—Write-in orders will not be accepted on Form
3975. See instructions on page 2 when requesting items not
listed.

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