1. Type of files represented by this transmittal

Form 6466

(Rev. Oct. 1999)

 OMB No.

 1545-0314

Original

Cat. No. 43381W Form 6466(Rev. 10-1999)

Title Date

(See instructions on back)

2.

Affidavit IRS Use Only

Under penalties of perjury, I declare that I have examined this

transmittal, including accompanying documents, and, to the

best of my knowledge and belief, it is correct and complete.

(Normally, the payer must sign the affidavit above. The authorized

agent of the payer may sign if all conditions are met as stated

on the back.)

SIGNATURE ( REQUIRED )

Department of the Treasury -- Internal Revenue Service

 Please type or print clearly in BLACK ink

IRS Use Only

Name of Employer

2a.

Transmitter control code

(Required)

3.

Total Empoyee Records

4. Name of transmitter

Please use this section to report information for up to four additional employers. If additional space is needed, please

use Form 6467, Transmittal of Magnetic Media of Form W-4, Employee's Withholding Allowance Certificate (Continuation),

and attach it to this form.

10.

Tax year of

media

 Tax quarter of

 media

 Replacement

Name/address of company and name/title of person to whom

problem files are to be returned (street, city, state, and ZIP Code)

Name

6.

City State Zip

Address

Contact

Employer Identification Number

5. Name of person to contact regarding magnetic media files 7. Type of media filed

9 track tape

7a. Tape cartridge

36 track 18 track 4mm 8mm QIC

 File Name:

3 1/2" diskette

7b. Electronic filers only

8. Total number of records on all magnetic media in this shipment

9. Total pieces of magnetic media in shipment

Transmittal of Forms W-4 Reported

Magnetically/Electronically

Telephone number:
Form 6466(Rev. 10-1999)

Instructions for Form 6466

General Instructions

Paperwork Reduction Act Notice. We ask for the information on

these forms to carry out the Internal Revenue Laws of the United

States. 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 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.

The time needed to provide this information will vary

depending on individual circumstances. The estimated average

times are:

Preparing Form 6466 . . . . . . . . . . . . . . . . . . . . . . . 18 min.

Preparing Form 6467 . . . . . . . . . . . . . . . . . . . . . . . 20 min.

If you have comments concerning the accuracy of these

time estimates or suggestions for making this form simpler, we

would be happy to hear from you. You can write to the Tax Forms

Committee, Western Area Distribution Center, Rancho Cordova, CA

95743-0001.

DO NOT SEND THE FORMS TO THIS OFFICE. Instead, see the

instructions below on where to file.

When completing this form, please type or print clearly in BLACK

ink.

Purpose of Form. Use Form 6466 to transmit Form W-4

magnetically/electronically. You must include Form 6466 with each

file you submit to the Internal Revenue Service.

Specific Instructions

Block 1

Indicate whether the data in this shipment is an original or

replacement file by checking the appropriate box.

Block 2, 2a

Indicate the tax year and tax quarter for which media is being

submitted.

Block 3

Enter the five-character alpha/numeric transmitter control code

assigned by IRS.

Block 4

Enter the name of the transmitter. (Reference Affidavit

Requirements below.)

Block 5

Enter the name and telephone number of the person to contact

about the magnetic/electronic files.

Block 6

Enter the name and address of the company, along with the name/

title of the person to whom unprocessed media is to be returned.

NOTE: IRS will not return media that has been successfully

processed.

Block 7

Indicate whether you are filing on 9 track tape, 3 1/2 inch diskettes.

Block 7a

Indicate whether your tape cartridge is 18 or 36 track, 4mm or 8mm

or QIC.

Block 7b

Indicate the file name assigned by our system.

Block 8

Enter the combined number of all records listed in Section 10

and any attached Forms 6467.

Block 9

Enter the total number of media included in your shipment.

Block 10

Enter the employer name, employer identification number and total

number of employee records for each employer on your media.

The first employer name entered may be same as the transmitter

listed in Block 4.

Note: Forms 6466 must be signed before IRS can process your

files.

Mailing Address:

Send your media with transmittal Forms 6466/6467 to the appropriate

address below:

Internal Revenue Service

Martinsburg Computing Center

Special Projects

230 Murall Drive

Kearneysville, WV 25430

Form 6467 Transmittal of Forms W-4 Reported Magnetically/

Electronically (Continuation)

In addition to the Form 6466, use Form 6467 if you are reporting

more than four employers.

Affidavit Requirements

A transmitter, service bureau, paying agent, or disbursing agent (all hereafter referred to as “agent”) may sign Form 6466 on behalf

of the payer (or other person required to file), if the conditions in items 1 and 2 are met:

1. The agent has the authority to sign the form under an agency agreement (oral, written, or implied) that is valid under state law.

2. The agent signs the form and adds the caption “For: (Name of payer or other person required to file)”.

The authorized agent’s signing of the affidavit on the payer’s behalf does not relieve the payer of the responsibility for filing a correct,

complete, and timely Form 6466, with attachments, and will not relieve the payer of any penalties for not complying with those requirements.