Example or actual filer reference:
Form revision checked:
Line 1 legal name / address / contact verified:
Line 2 TIN source and nine-digit formatting:
Line 3 underlying return method:
Line 4 multiple-payer list, if applicable:
Line 5 prior initial extension reference, if applicable:
Line 6 exact form selection:
Line 7 actual qualifying facts, if applicable:
Signature requirement / authority:
Deadline source / current route / final version: