Form 8836 Schedule A

Schedule A--Third Party
Affidavit

Catalog
37203P

Revision
2005

Status
Active

Language
English

Security Handling

None

Type of Use
Tax
Related Public Use

Related
Product

Description

Earned income credit pre-certification taxpayer
claiming EIC with qualifying childern may need to file this schedule
with the Form 8836 to verify residency requirements.

Physical
Properties

Product
Type
Cutsheet

Unit of
Issue
Each

Units Per
Construction
1

Total Pages
2

Printed Pages
2

Width
8 1/2

Depth
11

Thickness
.0038

Weight
.0100

Type of
Stock
Writing 20#

Color of Stock
White

Color of Ink
Black
Only

Separate
Covers

Distribution

Distribution to Public
Orig
Approval Required

Resupply Location
Kansas City
SC

IMDDS Pattern
None

Disposition
Instructions
Destroy Prev Issues Upon
Rec

Contacts

Publishing Analyst
Swilley,
Scott
(972)308-1602

Distribution
Analyst

Originator
Chris
Bohanan
(202)282-5132
SE:W:CAR:MP:T:I:F

Computer Assisted Publishing System
November 26,
2007