Form TR-205, Request for Trial by Written Declaration Instructions
This form contains 23 fields organized into 7 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Additional Information | ||
| 7 List account number(s) here (optional) | Text |
Optionally, list any account numbers associated with your tax records.
|
| Entity Type | ||
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_1[0]_1 | CheckBox |
Check this box if you are an individual/sole proprietor or single-member LLC.
|
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_1[1]_2 | CheckBox |
Check this box if you are a C Corporation.
|
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_1[2]_3 | CheckBox |
Check this box if you are an S Corporation.
|
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_1[3]_4 | CheckBox |
Check this box if you are a Partnership.
|
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_1[4]_5 | CheckBox |
Check this box if you are a Trust/Estate.
|
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_1[5]_6 | CheckBox |
Check this box if you are a Limited Liability Company (LLC).
|
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_1[6]_7 | CheckBox |
Check this box if you are an Exempt Payee.
|
| Exemption | ||
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].c1_2[0]_1 | CheckBox |
Check this box if you are exempt from backup withholding. Refer to the form instructions to determine if you qualify for exemption.
|
| Exempt payee code (if any) | Text |
Enter the exempt payee code if you are exempt from backup withholding. Refer to the form instructions for the list of codes.
|
| Identification Information | ||
| 1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner's name on line 1, and enter the business/disregarded entity's name on line 2.) | Text |
Enter the full name of the individual or entity. For sole proprietors or disregarded entities, enter the owner's name here.
|
| 2 Business name/disregarded entity name, if different from above | Text |
Enter the business name or disregarded entity name if it is different from the name entered in the previous field.
|
| Personal Information | ||
| topmostSubform[0].Page1[0].f1_06[0 | Text |
Enter your full name as shown on your tax return.
|
| 5 Address (number, street, and apt. or suite no.). See instructions | Text |
Enter your address, including number, street, and apartment or suite number. Refer to the form instructions for more details.
|
| 6 City, state, and ZIP code | Text |
Enter your city, state, and ZIP code.
|
| Requester Information | ||
| Requester's name and address (optional) | Text |
Optionally, enter the name and address of the requester.
|
| Tax Identification Number | ||
| Social security number | Text |
Enter your Social Security Number (SSN).
|
| topmostSubform[0].Page1[0].Boxes3a-b_ReadOrder[0].f1_04[0 | Text |
Enter your Employer Identification Number (EIN) if applicable.
|
| topmostSubform[0].Page1[0].f1_11[0 | Text |
Enter the first part of your Social Security Number (SSN).
|
| topmostSubform[0].Page1[0].f1_12[0 | Text |
Enter the second part of your Social Security Number (SSN).
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| topmostSubform[0].Page1[0].f1_13[0 | Text |
Enter the third part of your Social Security Number (SSN).
|
| Employer identification number | Text |
Enter the first part of your Employer Identification Number (EIN).
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| Employer identification number | Text |
Enter the second part of your Employer Identification Number (EIN).
|