(Rev. August 2007)
Department of the Treasury Internal Revenue Service

Employer’s Order Blank

OMB No. 1545–1059

Place your order now at and follow the link to Online Ordering for Information Returns and Employer Returns or print your name and complete address in the space provided below to receive your order by mail. You can use the SSA website at to create and file electronic “fill-in” versions of Forms W-2 and W-3. Instructions. Enter the quantity next to the product(s) you are ordering. Please order the number of forms needed, not the number of sheets. Note: None of the items on the order blank are available from the IRS in a continuous-feed version. All forms that require multiple copies are carbonized. You will automatically receive one instruction with any form ordered. Your product(s) will be shipped as they become available and may arrive in multiple shipments.

Item W-2 W-2 C W-2 G W-3 W-3 C 941 941 SCH B 941 C 943 943 A 944 945 945 A 1096 1098 1098-C 1098 E 1098 T 1099 A 1099 B 1099 C 1099 CAP Quantity Title
Wage and Tax Statement Corrected Wage and Tax Statement Certain Gambling Winnings Transmittal of Wage and Tax Statements Transmittal of Corrected Wage and Tax Statements Employer’s QUARTERLY Federal Tax Return Report of Tax Liability for Semiweekly Schedule Depositors Supporting Statement To Correct Information Employer’s Annual Federal Tax Return for Agricultural Employees Agricultural Employer’s Record of Federal Tax Liability Employer’s ANNUAL Federal Tax Return Annual Return of Withheld Federal Income Tax Annual Record of Federal Tax Liability Annual Summary and Transmittal of U.S. Information Returns Mortgage Interest Statement Contributions of Motor Vehicles, Boats, and Airplanes Student Loan Interest Statement Tuition Statement Acquisition or Abandonment of Secured Property Proceeds From Broker and Barter Exchange Transactions Cancellation of Debt Changes in Corporate Control and Capital Structure

Item 1099 DIV 1099 G 1099 H 1099 INT 1099 LTC 1099 MISC 1099 OID 1099 PATR 1099 Q 1099 R 1099 S 1099 SA 5498 5498 ESA 5498 SA Pub 15 Pub 15-A Pub 15-B Pub 213


Dividends and Distributions Certain Government Payments Health Coverage Tax Credit (HCTC) Advance Payments Interest Income Long-Term Care and Accelerated Death Benefits Miscellaneous Income Original Issue Discount Taxable Distributions Received From Cooperatives Payments From Qualified Education Programs (Under Sections 529 and 530) Distributions From Pensions, Annuities, Retirement or Profit-Sharing Plans, IRAs, Insurance Contracts, etc. Proceeds From Real Estate Transactions Distributions From an HSA, Archer MSA, or Medicare Advantage MSA IRA Contribution Information Coverdell ESA Contribution Information HSA, Archer MSA, or Medicare Advantage MSA Information (Circular E), Employer’s Tax Guide Employer’s Supplemental Tax Guide Employer’s Tax Guide to Fringe Benefits Check Your Withholding Table for Figuring Amount Exempt from Levy on Wages, Salary, and other Income--Forms 668-W(c), 668-W(c)(DO)

Pub 1494

Use This Portion For 2008 Forms Only
QUANTITY W-4 W-4 P W-4 S W-5 (2008 Revision)

Order Now at and follow the link to Online Ordering for Information Returns and Employer Returns
Attention: Daytime Telephone Number

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Mailing Address




Zip Code

Foreign Country

International Postal Code

Cat. No. 43708F

Where To Send Your Order
Send your order to the Internal Revenue Service at the address below: National Distribution Center P.O. Box 8903 Bloomington, IL 61702-8903 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 3 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 the Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, Washington, DC 20224. Please do not send your order Form 7018 to the Tax Products Coordinating Committee. Send your order to the National Distribution Center.