6466 Transmittal of Forms W-4 Reported Electronically/Magneti

(See instructions on back)
Department of the Treasury -- Internal Revenue Service

IRS Use Only

Transmittal of Forms W-4 Reported
Magnetically/Electronically

Form 6466
(Rev. Oct. 1999)

OMB No.
1545-0314

Please type or print clearly in BLACK ink
1. Type of files represented by this transmittal 2. Tax year of
media

Original

Replacement

2a. Tax quarter of
media

3. Transmitter control code
(Required)

4. Name of transmitter

5. Name of person to contact regarding magnetic media files

7. Type of media filed
3 1/2" diskette

9 track tape
Telephone number:

7a. Tape cartridge

6. Name/address of company and name/title of person to whom
problem files are to be returned (street, city, state, and ZIP Code)
Name

36 track

18 track

4mm

8mm

QIC

7b. Electronic filers only
File Name:

Contact

8. Total number of records on all magnetic media in this shipment

Address
City

State

Zip

9. Total pieces of magnetic media in shipment

10. Please use this section to report information for up to four additional employers. If additional space is needed, please
use Form 6467, Transmittal of Magnetic Media of Form W-4, Employee's Withholding Allowance Certificate (Continuation),
and attach it to this form.
Name of Employer

Employer Identification Number

Affidavit

IRS Use Only

Total Empoyee Records

Under penalties of perjury, I declare that I have examined this
transmittal, including accompanying documents, and, to the
best of my knowledge and belief, it is correct and complete.
(Normally, the payer must sign the affidavit above. The authorized
agent of the payer may sign if all conditions are met as stated
on the back.)

SIGNATURE ( REQUIRED )

Title

Date

Cat. No. 43381W

Form 6466(Rev. 10-1999)

Instructions for Form 6466
General Instructions
Paperwork Reduction Act Notice. We ask for the information on
these forms to carry out the Internal Revenue Laws of the United
States. You are not required to provide the information requested
on a form that is subject to the Paperwork Reduction Act unless
the form displays a valid OMB control number. Books or records
relating to a form must be retained as long as their contents may
become material in the administration of any Internal Revenue law.
Generally, tax returns and return information are confidential, as
required by Code section 6103.
The time needed to provide this information will vary
depending on individual circumstances. The estimated average
times are:
Preparing Form 6466 . . . . . . . . . . . . . . . . . . . . . . . 18 min.
Preparing Form 6467 . . . . . . . . . . . . . . . . . . . . . . . 20 min.
If you have comments concerning the accuracy of these
time estimates or suggestions for making this form simpler, we
would be happy to hear from you. You can write to the Tax Forms
Committee, Western Area Distribution Center, Rancho Cordova, CA
95743-0001.
DO NOT SEND THE FORMS TO THIS OFFICE. Instead, see the
instructions below on where to file.
When completing this form, please type or print clearly in BLACK
ink.
Purpose of Form. Use Form 6466 to transmit Form W-4
magnetically/electronically. You must include Form 6466 with each
file you submit to the Internal Revenue Service.

Block 6
Enter the name and address of the company, along with the name/
title of the person to whom unprocessed media is to be returned.
NOTE: IRS will not return media that has been successfully
processed.
Block 7
Indicate whether you are filing on 9 track tape, 3 1/2 inch diskettes.
Block 7a
Indicate whether your tape cartridge is 18 or 36 track, 4mm or 8mm
or QIC.
Block 7b
Indicate the file name assigned by our system.
Block 8
Enter the combined number of all records listed in Section 10
and any attached Forms 6467.
Block 9
Enter the total number of media included in your shipment.
Block 10
Enter the employer name, employer identification number and total
number of employee records for each employer on your media.
The first employer name entered may be same as the transmitter
listed in Block 4.
Note: Forms 6466 must be signed before IRS can process your
files.

Mailing Address:

Specific Instructions
Block 1
Indicate whether the data in this shipment is an original or
replacement file by checking the appropriate box.

Send your media with transmittal Forms 6466/6467 to the appropriate
address below:
Internal Revenue Service
Martinsburg Computing Center
Special Projects
230 Murall Drive
Kearneysville, WV 25430

Block 2, 2a
Indicate the tax year and tax quarter for which media is being
submitted.
Block 3
Enter the five-character alpha/numeric transmitter control code
assigned by IRS.
Block 4
Enter the name of the transmitter. (Reference Affidavit
Requirements below.)

Form 6467 Transmittal of Forms W-4 Reported Magnetically/
Electronically (Continuation)
In addition to the Form 6466, use Form 6467 if you are reporting
more than four employers.

Block 5
Enter the name and telephone number of the person to contact
about the magnetic/electronic files.

Affidavit Requirements
A transmitter, service bureau, paying agent, or disbursing agent (all hereafter referred to as “agent”) may sign Form 6466 on behalf
of the payer (or other person required to file), if the conditions in items 1 and 2 are met:
1. The agent has the authority to sign the form under an agency agreement (oral, written, or implied) that is valid under state law.
2. The agent signs the form and adds the caption “For: (Name of payer or other person required to file)”.
The authorized agent’s signing of the affidavit on the payer’s behalf does not relieve the payer of the responsibility for filing a correct,
complete, and timely Form 6466, with attachments, and will not relieve the payer of any penalties for not complying with those requirements.

Form 6466(Rev. 10-1999)