Fillable Soboba Band of Luiseo Indians (Soboba Band of Luiseno Indians)

Fill Online, Printable, Fillable, Blank Soboba Band of Luiseo Indians (Soboba Band of Luiseno Indians) Form

Use Fill to complete blank online SOBOBA BAND OF LUISENO INDIANS (CA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Soboba Band of Luiseo Indians (Soboba Band of Luiseno Indians)

On average this form takes 4 minutes to complete

The Soboba Band of Luiseo Indians (Soboba Band of Luiseno Indians) form is 1 page long and contains:

  • 1 signature
  • 5 check-boxes
  • 11 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Soboba Band of Luiseno Indians

BROWSE SOBOBA BAND OF LUISENO INDIANS (CA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Updated 07/11/2017
Soboba Band of Luiseño Indians
P.O. Box 487, San Jacinto, CA 92581 * 951.654.2765
PER CAPITA TAX WITHHOLDING AUTHORIZATION
FEDERAL AND STATE TAXES - The minimum required amount will be automatically deducted from your Per Capita
distribution. If you wish to deduct an additional amount, please specify below. This deduction will remain in effect until
an updated form is submitted.
IMPORTANT: The Tribe is required to honor Federal Levy Orders for not filing taxes. If an order is received, the office
will attempt to contact you with the information listed on this form and will process the levy on the next per capita
distribution.
NOTE: Form needs to be submitted by the 15
th
of the month.
TRIBAL MEMBER INFORMATION
First
Middle
Last
SSN
Home Phone
Cell Phone
FEDERAL WITHHOLDING
STATE WITHHOLDING
Please check () one:
Minimum Federal Requirement
Minimum Requirement plus an additional
amount of $________________
__________% (must be over 24% due to fluctuation
of gross income)
Please check () one:
$_______________ (Flat Amount)
____________% (Flat Percentage 13.3% max)
_________________________________________
Signature
_________________________________________
Date
Submit Form
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Soboba Band of Luiseo Indians (Soboba Band of Luiseno Indians)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document