Request for Information Electronic Transmission Acknowledgement: Fill out & sign online

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Click ‘Get Form’ to open the Request for Information Electronic Transmission Acknowledgement in our editor.
Begin by entering the Legal Name of the Taxpayer and Trade Name (if applicable) in the designated fields. Ensure that all information is typed clearly.
Input your City Account Number accurately to facilitate proper identification.
Decide on the Withdrawal Option: check the box if you do not want electronic transmission of information.
Select the type of information requested by checking one of the options provided under 'Information requested'.
If applicable, fill in the name, facsimile number, and email address of authorized persons to receive transmissions.
Choose an expiration option for your request by checking one of the boxes provided.
Review and complete the indemnification section, ensuring you understand your responsibilities regarding unauthorized disclosures.
Finally, sign and date the form where indicated, including your printed name and title.

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