Elective Pay and Transfer Election — 0726 Publ 5884 (PDF)

General information (page 1 of 4): Registrant information

Tax period of the election	Month and year when the tax period for which the election will be made ends	Month: MM _________________ Year: YYYY _________________
Tax year of election	Tax year that corresponds to the period when the election will be made. Especially important for fscal year flers, this is based off when the tax year begins.	Year: YYYY _________________
Employer Identifcation	EIN issued to the taxpayer submitting the registration	NNNNNNNNN _______________
Name associated with EIN	Name as it appears on your annual or periodic tax or information return(s)
Parent of a consolidated group?	Identifes the registrant as the parent of a consolidated group of corporations.	Yes or No
Registrant type	Determines which registration options are appropriate for the registrant.	Must select 1 (but only 1) type. See instructions for the appropriate choice when more than one description could apply. __________________

General inf Data field	formation (page 3 of 4): Banki Meaning	ing Information Response format and notes
Account number	Registrant is asked to provide information about any bank account in its name	The 8 to 17 digit number for your bank account
Confrm account number	Confrm account number	The 9 digit number that identifes the fnancial institution where you have your account
Routing number	Routing number	Routing number
Confrm routing number	Confrm routing number	Confrm routing number