Form 12196 Small Business Tax Product Order Blank For IRS Designate

Order Number:
Department of the Treasury – Internal Revenue Service

Form

12196

(Rev. February 2007)

Small Business Tax Product Order Blank For IRS
Designated Partners

OMB No. 1545-1638

Review Instructions Before Ordering
For more information on small business – www.irs.gov/businesses/small/index.html

For additional tax products – www.irs.gov/formspubs/index.html

Print or type your name and address legibly in the space provided below and FAX your order to 1-309-662-2432. You may call 1-800-829-2765 to place
an order or to inquire about the status of your order.
2. Date

A valid Account Number is REQUIRED to process your request.
1. ACCOUNT NUMBER:
4. Daytime telephone number

3. Name

(

)

-

5. Date needed

ext.

6. Delivery location (organization name/bldg./rm./floor)
7. Address (number and street) P.O. Boxes are not preferred
9. Last date item can be accepted

8. City, State, and Zip Code

Note: Back-ordered items will cancel two days before this
date. If items(s) is (are) still needed, you must reorder.
Cat. No. Qty.
1

Product Number/Name
Publication 1066 C - A Virtual Small Business Tax
Workshop DVD

39085X

Useful Publications for All Small Businesses

Cat. No. Qty.

Product Number/Name

Tax Publications Used for Small Business Tax Workshops
18

15065Z

Publication 535 - Business Expenses

2

15315W

Publication 910 - IRS Guide to Free Tax Services

19

15068G

Publication 538 - Accounting Periods and
Methods

3

12350Z

Publication 1518 - IRS Tax Calendar for Small
Businesses and Self-Employed

20

15071D

Publication 541 - Partnerships

4

37263R

Publication 1518 SP - IRS Tax Calendar for Small
Businesses and Self-Employed (Spanish)

21

15072O

Publication 542 - Corporations

15094C

Publication 551 - Basis of Assets

26757M

Publication 3207 - The Small Business Resource
Guide, CD-ROM

22

5

23

46574N

Publication 560 - Retirement Plans for Small
Business (SEP, SIMPLE, and Qualified Plans)

30939G

Publication 3699 - Small Business and
Self-Employed Community Website Brochure

24

15150B

Publication 3995 - Recognizing Illegal Tax
Avoidance Schemes

Publication 583 - Starting a Business and
Keeping Records

25

15154T

Publication 587 - Business Use of Your Home
(Including Use by Daycare Providers)

26

15160X

Publication 590 - Individual Retirement
Arrangements (IRAs)

27

13081F

Publication 946 - How to Depreciate Property

28

14332X

Publication 1635 - Understanding Your EIN Employer Identification Number

29

16134L

Publication 1779 - Independent Contractor or
Employee

30

27940D

Publication 3402 - Tax Issues for Limited
Liability Companies

31

34066S

Publication 3998 - Choosing a Retirement
Solution for Your Small Business

32

34333A

Publication 4035 - Home-Based Business Tax
Avoidance Schemes

33

35291P

Publication 4035 SP - Home-Based Business
Tax Avoidance Schemes (Spanish)

6

7

33989Q

Filing and Paying Taxes Electronically
22397E

Publication 966 - The Secure Way to Pay Your
Federal Taxes

9

29593G

Publication 3603 - IRS e-file, Business Return
Options Brochure

10

33342B

Publication 3959 - The Convenient Way to Learn
about EFTPS (CD-ROM)

8

Tax Publications Used for Small Business Tax Workshops
11
12

10000W

Publication 15 - (Circular E), Employer’s Tax Guide

21453T

Publication 15 A - Employer’s Supplemental Tax
Guide

29744N

Publication 15 B - Employer’s Tax Guide to Fringe
Benefits

14

11063P

Publication 334 - Tax Guide for Small Business

15

11081L

Publication 463 - Travel, Entertainment, Gift, and Car
Expenses

16

15008E

Publication 505 - Tax Withholding and Estimated
Tax

13

17

15059V

Cat. No. 27056E

Publication 531 - Reporting Tip Income

Useful Publications for Certain Businesses
34

44472W

Publication 1244 - Employee’s Daily Record of
Tips and Report to Employer

35

22209J

Publication 1872 - Tips on Tips - A Guide to Tip
Income Reporting for Employees in the Food and
Beverage Industry
Form 12196 (Rev. 2-2007)

Cat. No. Qty.

Product Number/Name

Cat. No. Qty.

Product Number/Name

Additional Requested Products

Useful Publications for Certain Businesses (Cont.)
Publication 1875 - Tips on Tips - A Guide to Tip
Income Reporting for Employers in the Food and
Beverage Industry

50

14425J

Form 1099-MISC - Miscellaneous Income

22212G

51

27982J

Instructions - Form 1099-MISC

52

11234O

26288G

Publication 3144 - Tips on Tips - A Guide to Tip
Income Reporting for Employers in Businesses
Where Tip Income Is Customary

Form 940 - Employer’s Annual Federal
Unemployment (FUTA) Tax Return

53

13660I

Instructions - Form 940

26307C

Publication 3148 - Tips on Tips - A Guide to Tip
Income Reporting for Employees Who Receive
Tip Income

54

17001Z

Form 941 - Employer’s Quarterly Federal Tax
Return

55

14625L

Instructions - Form 941

39

31997W

Publication 3780 - Tax Information for Small
Construction Businesses

56

11320B

Form 1040 - U.S. Individual Income Tax Return

47514V

Publication 4492 - Information for Taxpayers
Affected by Hurricanes Katrina, Rita, and Wilma

57

40

11325E

Instructions - Form 1040 with Schedules A, B, C,
D, E, F, J, and SE

58

11334P

Form 1040, Schedule C - Profit or Loss from
Business (Sole Proprietorship)

59

14374D

Form 1040, Schedule C-EZ - Net Profit from
Business (Sole Proprietorship)

60

11344L

Form 1040, Schedule E - Supplemental Income
and Loss

61

11358Z

Form 1040, Schedule SE - Self-Employment Tax

62

24334P

Instructions - Form 1040, Schedule SE

63

11340T

Form 1040ES - Estimated Tax for Individuals

36

37

38

Additional Requested Products
41

16055N

Form SS-4 - Application for Employer Identification
Number

42

62736F

Instructions - Form SS-4

43

10134D

Form W-2 - Wage and Tax Statement

44

10159Y

Form W-3 - Transmittal of Wage and Tax Statements

45

25979S

Instructions - Forms W-2 and W-3

46

10220Q

Form W-4 - Employee’s Withholding Allowance
Certificate

64

18629R

Form 2553 - Election by a Small Business
Corporation

47

10231X

Form W-9 - Request for Taxpayer Identification
Number & Certification

65

49978N

Instructions - Form 2553

48

20479P

Instructions for the Requester - Form W-9

66

13232M

Form 8829 - Expenses for Business Use of Your
Home

14400O

Form 1096 - Annual Summary and Transmittal of
U.S. Information Returns

67

15683B

Instructions - Form 8829

49

Purpose
Form 12196 is used only by IRS designated partners for requesting tax products for use as training material in conducting educational services on
IRS’ behalf. Partners may include instructors for Small Business Tax Workshops, Small Business Development Centers (SBDCs), Service Corps of
Retired Executives (SCORE) offices, Chambers of Commerce, or other like educational organizations.
When ordering, please follow these guidelines: (Products May Be Delivered in Multiple Shipments)
1. Enter a valid account number which was provided by your Stakeholder Liaison Representative. Only orders with valid accounts will
be processed.
2. Enter today’s date.
3. Enter the name of the person to whom the order will be shipped.
4. Enter the daytime telephone number of the person receiving the order.
5. Enter the date the order is needed.
6. Enter the delivery location, be specific.
7. Enter the complete mailing delivery address where the order is to be shipped. P.O. Boxes are not preferred.
8. Enter city, state, and ZIP code.
9. Give the last date order will be accepted (only products in backorder status after the date given will need to be reordered).
You may FAX your order blank to the IRS National Distribution Center. FAX to: 1-309-662-2432. This is not a toll-free telephone number and
there is no acknowledgement of receipt of your fax.

Paperwork Reduction Act Notice
We ask for the information on this form to carry out the Internal Revenue laws of the United States. Your response is voluntary.
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 or its instructions 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 complete this form will vary depending on the individual circumstances. The estimated average time is 5 minutes. If you have
comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would be happy to hear from you. You can
write to: Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Avenue NW, Washington, DC
20224.
DO NOT send your order blank to the Tax Products Coordinating Committee. FAX it to: 1-309-662-2432.
Cat. No. 27056E

Form 12196 (Rev. 2-2007)