• Agencies

Application for Determination for Employee Benefit Plan

Description: Organizations file Form 5300 to request a determination letter from the IRS for the qualification of a defined benefit (DB) plan, defined contribution (DC) plan, or 403(b) plan and the exempt status of any related trust.
Form Number: 5300 Application for Determination for Employee Benefit Plan

Determination Letters

Form Number: SBSE Determination Letter Fee

Form 5307 Determination Application: Modified Nonstandardized Pre-Approved Plans

Description: Adopters of Modified Nonstandardized Pre-Approved Plans use Form 5307 to request a determination letter from the IRS for the qualification of a defined benefit, defined contribution or 403(b) plan.

Form 5316, Application for Group or Pooled Trust Ruling

Description: Group/pooled trust sponsors file this form to request a determination letter from the IRS for a determination that the trust is a group trust arrangement as described in Rev. Rul. 81-100, 1981-1 C.B. 326, as clarified and modified by Rev. Rul. 2004-67, 2004-2 C.B. 28, and as modified by Rev. Rul. 2011-1, 2011-2 I.R.B. 251. See also Rev. Rul. 2014-24.

IRS Pre Filing Agreements and LB&I Determination Letters

Description: This form is used to pay the Pre Filing Agreement user fee after the application is accepted
Form Number: IRS Pre Filing Agreements

Application for Determination Upon Termination

Description: Use this form to request a determination of the qualified status of a pension, profit-sharing, or 403(b) plan at the time of the plan's termination.
Form Number: 5310 Application for Determination for Terminating Plan

Estate Tax Closing Letter User Fee

Description: Use this form to request a closing letter and make your Estate Tax Closing Letter User Fee payment.
Form Number: Closing Letter

Form 8940 Request for Miscellaneous Determination

Description: Organizations exempt under Section 501(a) file Form 8940 for miscellaneous determinations under Sections 507, 509(a), 4940, 4942, 4945, and 6033. Nonexempt charitable trusts may also file this form for an initial determination of foundation classification under Section 509(a)(3). Canadian registered charities file this form to be listed as an organization described in Section 501(c)(3) on IRS.gov or to request classification as a public charity rather than a private foundation.

Department of Interior - IBC

Description: Please use this form to make payments for your overpayment letter sent to you by the Interior Business Center. Payments made by you will only be applied to the overpayment ID specific by you, this can be found on the overpayment letter above your name. If you do not have or know your overpayment ID please contact the Customer Service Center at 888-367-1622.

IRS Employee Plans Determination User Fee

Description: Please use this form to pay the fee associated with form 8717.
Form Number: IRS EP User Fee

CMS Health Insurance Marketplace and Premium Stabilization Programs Payment Form

Description: Please use this form to pay amounts owed related to the Health Insurance Marketplace and Premium Stabilization Programs. Additionally, if necessary, provide the following information to your bank to prevent debit blocking on the payments processed through Pay.gov on your dunning letter/invoice: ACH Company Name: USDEPTHHSCMS...Agency Company ID: 7505008014

Debt Payments for Contracts w/Pay Office F67100, F25700, F68300, F78900, F87700

Description: The DFAS Contractor Debt Payment form is used for the submission of funds on contracts where the payment office is listed as F67100, F25700, F68300, F78900 or F87700 (Limestone, ME). To ensure accurate routing of your payment, please check your demand letter on which DFAS site to send your payment to.

Department of Interior- IBC- Payroll- MSD

Description: Please use this form to make payments for your Military Service Deposit(MSD). Payments made by you will be applied to the amount described in your MSD letter from IBC. If you have questions about your MSD please contact the Customer Service Center at 888-367-1622.
Form Number: DOI - IBC - PAYROLL - MSD

DFAS Air Force or Space Force Contract Debt 3801

Description: The DFAS Air Force or Space Force Contract Debt 3801 form is used for the payment of C17 or C18 Bills of Collections (BOC) debt on contracts where the payment office is either DFAS Columbus (503000) or DFAS Limestone (667100/67900 /387700). To use this form to pay your debt, you must include a copy of your debt (demand) letter.
Form Number: DFAS AF SF Contract Debt 3801

DFAS Civilian Pay Debt Payment 8522

Description: The DFAS Civilian Pay Debt Payment Form is intended for use by federal civilian employees to make payments on their Civilian Pay indebtedness to the government amount due. This process cannot be utilized until after receipt of notification from the employee's servicing payroll office indicating the amount due. Specific information from the notification letter (database and employee ID) is required to complete the form.

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