Form 8935-T Transmittal of Airline Payments Reports

Form 8935 - Airplane Payments Report

Form 8935-T

8935-T, Transmittal of Airline Payments Reports

OMB: 1545-2140

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FORM 8935-T, PAGE 1 of 1
MARGINS: TOP 8 mm (2⁄6 "), CENTER SIDES.
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FLAT SIZE: 203 mm (8")  279 mm (11")
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Form

April

8935-T

(March 2009)

Transmittal of Airline Payments Reports

OMB No. 1545-XXXX

Department of the Treasury
Internal Revenue Service

1

FILER’S name

2

Employer identification number

3a Name of person to contact

Street address (including room or suite number)

3b Telephone number

City, state, and ZIP code

3c Email address

(

4 Payment date(s)

5 Total amount reported

6

)

Number of Forms 8935 transmitted

Under penalties of perjury, I declare that I have examined this transmittal and accompanying forms, and, to the best of my knowledge and belief, they are true,
correct, and complete.

Signature



Title



Instructions
Purpose of form. Use Form 8935-T to transmit paper Forms
8935, Airline Payments Report, to the Internal Revenue
Service.
Who must file. Every commercial passenger airline carrier
that pays one or more airline payment amounts as defined in
section 125(b)(1) of Public Law 110-458 must file
Form 8935-T to transmit paper Forms 8935.
When to file. File Forms 8935 and 8935-T within 90 days of
the date of making the airline payment(s) to qualified current
and former employees. For payments made before
December 24, 2008, file Forms 8935 and 8935-T by March
23, 2009.
Attach all Forms 8935 to only one Form 8935-T for
payments made before December 24, 2008. For payments
made after December 23, 2008, attach Forms 8935 to only
one Form 8935-T per payment date. You can attach Forms
8935 for more than one payment date as long as all payment
dates are within 90 days of the filing date.
Where to file. Send Form 8935-T with attachments to:
Department of the Treasury
Internal Revenue Service Center
Kansas City, MO 64999
Boxes 1 and 2. Enter the name, address, and employer
identification number (EIN) of the carrier or other filer of this
form.
Boxes 3a, 3b, and 3c. Enter the name, telephone number,
and email address of the person at the airline carrier who can
be contacted for more information.
Box 4. Enter the date(s) the payments were made.
Box 5. Enter the total amount(s) paid as reported on the
attached Form(s) 8935.
Box 6. Enter the number of Forms 8935 being transmitted
with this Form 8935-T.
Signature. The contact or other responsible person at the
commercial passenger airline carrier must sign and date
Form 8935-T.

Cat. No. 52695Z

Date



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Revenue laws of the United States. You are required to give
us the information. We need it to figure and collect the right
amount of tax.
Public Law 110-458 section 125, and Internal Revenue
Code section 408A and its regulations, require you to file an
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If you have comments concerning the accuracy of these
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forms to this address. Instead, see Where to file earlier.

Form

8935-T

(3-2009)

4


File Typeapplication/pdf
File TitleForm 1725 (Rev. 7-2004)
SubjectRouting Slip
Authorefcoll07
File Modified2009-04-28
File Created2009-04-28

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