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August 1996) dependent care provider’s identification and certification department of the treasury internal revenue service dependent care provider’s identification (see instructions.) name of dependent care provider provider’s taxpayer identification number address (number, street, and apt. Once you fill it out, you can save it on your device, print it, and email it to the officials. Name of the dependent care provider address No.) if the above number is a.
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If the provider is your employer’s dependent care plan, a copy of the statement provided by your employer under the plan. Name is required on this line; Position the hand tool over the area where you will need to fill out information. This form can be also.
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Name (as shown on your income tax return). Web complete w 10 form online with us legal forms. You can find it here free of charge or you can go to the irs official website. This form is used for certification of the dependent care provider's name, address, and taxpayer identification number to report on form 2441, child and dependent care expenses.