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IRS.gov Website
Instructions for Forms 1094-B and 1095-B
taxmap/instr2/i109495b-005.htm#en_us_publink20631xd0e686

taxmap/instr2/i109495b-005.htm#TXMP2b23611a
Specific Instructions for Form 1094-B(p3)

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Line 1.(p3)
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Enter the filer’s complete name.
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Line 2.(p3)
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Enter the filer’s nine-digit (EIN). If you do not have an EIN, you may apply for one online. Go to IRS.gov and enter “EIN” in the search box. You may also apply by faxing or mailing Form SS-4, Application for Employer Identification Number, to the IRS. See the Instructions for Form SS-4 for more information. See Publication 1635, Employer Identification Number, for further information.
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Lines 3 & 4.(p3)
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Enter the name and telephone number, including area code, of the person to contact who is responsible for answering any questions.
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Lines 5-8.(p3)
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Enter the filer’s complete address where all correspondence will be sent. If mail is delivered to a P.O. Box and not a street address enter the box number instead of the street address.
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Line 9.(p3)
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Enter the total number of Forms 1095-B that are transmitted with Form 1094-B.