Free AO 229(S) - Supplemental Juror Information Card - Federal


File Size: 99.1 kB
Pages: 1
Date: August 27, 2002
File Format: PDF
State: Federal
Category: Court Forms - Federal
Author: US Courts
Word Count: 216 Words, 1,322 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.uscourts.gov/forms/ao229s.pdf

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AO 229(S)

SUPPLEMENTAL JUROR INFORMATION CARD
JUROR NO. JUROR NAME * Privacy Act Information: The Federal Judiciary is required by section 6041 of the Internal Revenue Code to file an information return (From 1099) with the Internal Revenue Service containing the Social Security Number of a juror who receives $600 or more in jury attendance fees during a calendar year. The district court must obtain your Social Security Number in the event it becomes necessary to file an information return for your jury attendance fees. Your Social Security Number will be disclosed by the court only when required by law.

SOC. SEC. NO.*

AO 229(S)

SUPPLEMENTAL JUROR INFORMATION CARD
JUROR NO. JUROR NAME * Privacy Act Information: The Federal Judiciary is required by section 6041 of the Internal Revenue Code to file an information return (From 1099) with the Internal Revenue Service containing the Social Security Number of a juror who receives $600 or more in jury attendance fees during a calendar year. The district court must obtain your Social Security Number in the event it becomes necessary to file an information return for your jury attendance fees. Your Social Security Number will be disclosed by the court only when required by law.

SOC. SEC. NO.*

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