Form 12196

Department of the Treasury

Internal Revenue Service

Cat. No. 27056E Form 12196 (Rev. 4-2001)

Ship To Complete Street Address (Materials cannot be shipped to a post office box. )

To Name

Attn

Street

City

For Additional

Information Contact

Telephone number

Fax number

State Zip

Quantity Product Number/Name

Form SS-4—Application for Employer Identification

Number

Form W-5—Earned Income Credit Advance

Payment Certificate

Quantity Product Number/Name

Small Business Tax Product Order Blank

 Visit IRS Web Site @ www.irs.ustreas.gov/prod/forms_pubs/bpol

Account Number:

Print or type your name and address legibly in the space provided below and FAX your order to 1-309-662-2432. You should receive

your order within 10 days after we receive your request. You may call 1-800-829-2765 to inquire about the status of your order.

For Paperwork Reduction Act Notice, see reverse.

E-Mail

OMB No. 1545-1638

Please type or print.

Form W-4—Employee’s Withholding Allowance

Certificate

Form W-2—Wage and Tax Statement

Instructions for Form W-2

Form W-9— Request for Taxpayer Identification

Number and Certification

Form W-3—Transmittal of Income and Tax

Statements

Form 1040—U.S. Individual Income Tax Return

Form 1040 Schedule C—Profit or Loss From

Business

Form 1040 Schedule C-EZ—Net Profit From

Business

Form 1040 Schedule F—Profit or Loss From

Farming

Form 1040 Schedule E—Supplemental Income

and Loss

Publication 15-B—Employer’s Tax Guide to Fringe

Benefits

Publication 393—Federal Employment Tax Forms

Publication 454—Your Business Tax Kit (see

content on back)

Publication 533—Self-Employment Taxes

Publication 538—Accounting Periods and Methods

(included in Pub. 454)

Publication 15—Employer’s Tax Guide

Form 1096—Annual Summary and

Transmittal of U.S. Information Returns

Form 1099-MISC—Miscellaneous Income

Instructions for Forms 1099,

1098, 5498, 1096, and W-2G

Publication 15-A—Employer’s Supplemental Tax

Guide

Form 1040-ES—Estimated Tax For Individuals

Publication 583—Starting a Business and Keeping

Records (included in Publication 454)

(attach additional pages as necessary)

New participants call 1-800-829-2765 to OPEN an account

Publication 910—Guide to Free Tax Services

Publication 1057—Intro to Federal Taxes

for Small Business and Self Employed

Publication 1518—Tax Tips Calendar

Publication 1796—Tax Forms CD-ROM

(For site use only)

Publication 1194B—Taxpayer Information

Publications for Businesses (For site use only)

Publication 3207—The Small Business Resource

Guide CD-ROM

Publication 1132, Volumes I and II—

Reproducible Federal Tax Forms and

Instructions (For site use only)

Publication 2053—Quick and Easy Access to IRS

Tax Help and Forms

Instructions for Form 1040

(Rev. 4-2001)

Publication 334—Tax Guide for Small Business

Publication 1066—Small Business Tax Workshop

Workbook

Publication 1635—Understanding Your 

EIN—Employer Identification Numbers

Publication 1853—Business Talk Brochure

Publication 3609—Filing Information Returns

Electronically (FIRE)

Package X—Reference Copies of Federal Tax

Forms and Instructions (For site use only)

Publication 3745—The Small Business Resource

Guide: Brochure
Form 12196 Page 2

● Current tax forms, instructions and publications

● Prior-year tax forms and instructions

● Popular tax forms which may be filled-in

electronically, printed out for submission, and

saved for recordkeeping

● Internal Revenue Bulletin

Paperwork Reduction Act Notice

We ask for the information on this form to carry out the

Internal Revenue laws of the United States. Your

response is voluntary.

The time needed to complete this form will vary

depending on the individual circumstances. The estimated

average time is 3 minutes. If you have comments

concerning the accuracy of this time estimate or

suggestions for making this form simpler, we would be

happy to hear from you. You can write to:

Please DO NOT send your order Form 12196 to the Tax

Forms Committee, FAX to: 1-309-662-2432.

You are not required to provide the information

requested on a form that is subject to the Paperwork

Reduction Act unless the form displays a valid OMB

control number. Books or records relating to a form or its

instructions must be retained as long as their contents

may become material in the administration of any Internal

Revenue law. Generally, tax returns and return information

are confidential, as required by Code section 6103.

Note: The Small Business Initiative is an extension of the IRS Bank, Post Office and Library (BPOL) Program.

Tax Forms Committee

Western Area Distribution Center

Rancho Cordova, CA 95743-0001

● Form SS-4, Application for Exployer Identification

Number

● Form 1040-ES, Estimated Tax For Individuals

● Publication 509, Tax Calendars

● Publication 583, Starting a Business and Keeping

Records

● Publication 594, Understanding the Collection Process

● Publication 1544, Reporting Cash Payments of over

$10,000

Form 1065 Schedule K-1—Partner’s Share of Income,

Credits, Deductions, Etc.

Form 1120S—U.S. Income Tax Return for an S

Corporation

Form 2290—Heavy Vehicle Use Tax Form

Form 2553—Election by a Small Business

Form 8300—Report of Cash Payments Over

$10,000 Received in a Trade or Business

Form 1041 Schedule K-1—Shareholder’s Share of

Income, Credits, Deductions, etc.

Form 1065—U.S. Partnership Return of Income

Form 1065 Schedule D—Capital Gains and Losses

Form 8109B—FTD Deposit Form (Over The Counter

Version)

Form 941—Employer’s Quarterly Federal Tax Return

Form 943—Employer’s Annual Tax Return for Agricultural

Employees

Form 943A—Agricultural Employer’s Tax Guide

Form 1120S Schedule K-1—Shareholder’s Share

of Income, Credits, Deduction, etc.

Form 1120—U.S. Corporation Income Tax Return

Form 940—Employer’s Annual Federal Unemployment

Tax Return

Publication 51—Agricultural Employer’s Tax Guide

(Circular A)

Form 1040X—Amended U.S. Individual Income Tax

Return

Form 1120-A—U.S. Corporation Short-Form Income Tax

Return

Purpose

Form 12196 is used by Small Business Information and

Development Centers, One-Stop Capital Shops, and

Women’s Business Centers, to order Federal tax products

for distribution to their clients.

Special Product Information

Publication 454, Your Business Kit, contains the following

products:

Publication 1796, Federal Tax Forms CD-ROM contains

the following information.

Other Commonly Requested Products:

● Publication 560, Retirement Plans for Small

Business (SEP, Keogh, and SIMPLE Plans)

● Publication 587, Business Use of Your Home

● Publication 535, Business Expenses

● Form 9779, EFTPS Enrollment Form (information copy)

● Publication 225, Farmer’s Tax Guide

● Publication 533, Self-Employment Tax

● Publication 547, Casualties, Disasters, and Thefts

(Business and Nonbusiness)

● Publication 954, Tax Incentives for Empowerment

Zones and Other Distressed Communities