8813 Partnership Withholding Tax Payment Voucher (Section 144

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Date

Form

8813

I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 8813, PAGE 1 of 2 (PAGE 2 IS BLANK)
PRINTS: FACE ONLY
MARGINS: TOP 8.5mm (2⁄6"), CENTER SIDES.
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
FLAT SIZE: 203mm (8") x 93mm (32⁄3")
PERFORATE: (NONE)
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Date

Signature

O.K. to print
Revised proofs
requested

Partnership Withholding Tax Payment Voucher (Section 1446)
䊳

(Rev. December 2005)
Department of the Treasury
Internal Revenue Service

Action

For calendar year

Mail this voucher with a check
or money order payable to the
“United States Treasury.” Write
the partnership’s employer
identification number, tax year,
and “Form 8813” on the check
or money order.

OMB No. 1545-1119

See separate Instructions for Forms 8804, 8805, and 8813.
, or tax year beginning

, 20

, and ending

1 Partnership’s U.S. employer identification
number

, 20
2 Amount of this payment

$
3 PARTNERSHIP’S name, address, (number, street, and room or suite no.), city, state, and ZIP code. If a P.O.
box or foreign address, see instructions.

䊳

Do not staple or attach this
voucher to your payment.

䊳

Do not send cash.

䊳

If you have elected to apply the
provisions of Regulations section
1.1446-6T, attach the required
schedule and certifications.

For Paperwork Reduction Act Notice, see separate Instructions for Forms 8804, 8805, and 8813.

Cat. No. 10681H

Form

8813

(Rev. 12-2005)