Form W-11 Minnesota Hennepin 2017-2025

Form W-11 Minnesota Hennepin: What You Should Know

Form W-11 — IRS Employment Verification for Employees and Nonresident Aliens (Rev. June 2010) I certify that I have obtained the information on this form from the income tax form I received. I understand that I should use this form to  verify the income of an individual described in section 706(14) of the IRS Code (the Internal Revenue Code). Wage Information I certify that I am a United States citizen, or a resident alien of the United States, and that I am filing a statement on behalf of a person that I have  been authorized by them to do so. I understand and consent to the jurisdiction of the United States District Court for the purpose of  determining my entitlement to the benefits of the Act, including tax credits and the Earned Income Tax Credit, and to the jurisdiction of the United States  Tax Court for any other purpose that I may assign to this statement. Wages Statement — D20_k — Hennepin County I certify under penalty of perjury that the following statements are true and correct to the best of my knowledge and belief.  (1) I am an employee who is paid on a monthly basis. A. I understand I am being paid a salary or remuneration for personal work that I perform through an employer (or other employment). B. I am not a minimum wage earner under section 1401(b)(2) of the HIRE Act. However, I have a qualifying family members  at least one of whom is eligible for the Earned Income Tax Credit or the additional child tax credit under section 1402 of the HIRE Act. C. I am not a bona fide dependent child under section 1402 of the HIRE Act. D. I am not receiving an allowance for special expenses that are not included in the taxable income under the Act. E. Furthermore, I am an owner or partner in a small business. F. Furthermore, I have a qualifying employee. G. Furthermore, I am not a tax practitioner, including an IRS tax preparer. H. Furthermore, I have a valid IRS employer identification number. I. Furthermore, I have been employed by an employer who provided me with training on my required responsibilities. J. Furthermore, I have a valid tax year. K.

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