Free Form 6467 (Rev. October 1999) - Federal

Form 6467
Continuation of Form 6466 (Rev. Oct. 1999)

Department of the Treasury--Internal Revenue Service

Transmittal of Forms W-4 Reported Magnetically/ Electronically (Continuation)
Please type or print clearly in BLACK ink
Transmitter Control Code

Form 6467 is a continuation of Form 6466 and should only be used if you are reporting more than four employers. For further instructions, see Form 6466.
Name of Employer Employer Identification Number

Page _______ of ________ Total Employee Records

Cat. No. 43382H

Form

6467 (Rev. 10-1999)