This review list is intended to educate you about the content of this document and to aid you in its preparation. This agreement shields the employer against IRS, state, and municipal assessments if it is determined that the Contractor does not fulfill the IRS qualifications for Contractor status at the time of the assessment. This effectively places the Contractor on the hook for any evaluations. Additionally, displaying this paper to an IRS, State, or municipal agent is likely to cause them to move on to another case or inquiry, since they are “pursuing” businesses, not people. They are likely to move on to other firms if they discover that the “Contractor” must “pay up.”
- Make several copies. Obtaining notarized copies is usually a good idea, since revenue
agents often adhere to legal formalities, and remember, this is for their benefit.
Independent Contractor Notice
Independent Contractor Notice
You are acting as an independent contractor for ________________________. As an independent contractor, you should be aware of the following:
1. At the conclusion of the tax year, a report will be sent to the Internal Revenue Service and other local authorities of the gross amount earned.
2. No withholding of taxes takes place. You may have the obligation to pay periodic taxes or withholding towards the same. Please consult with a tax advisor of your choosing regarding the requirements. ________________________ cannot provide tax advice.
3. Your Federal Tax ID Number is: __________________________, for reporting purposes.
___________________ Date:
Independent Contractor
___________________
CustomerI, the principal officer of Independent Contractor, do hereby indemnify Customer from any additional tax liability should the IRS rule that we were acting as employees or otherwise assess any taxes upon the Customer. This indemnity shall also apply to any state or local taxes that may be assessed against Customer. I make this indemnity both as the Independent Contractor and as an individual guarantor.
___________________ ______________________
Independent Contractor, Principal Principal as an Individual
Social Security Number:___________________ Date:
Witness
Independent Contractor Notice
Review ListThis review list is provided to inform you about this document in question and assist you in its preparation. This document protects the employer, in part, from IRS, State, and local assessments if the Contractor is found to not meet the then IRS standards for Contractor status. This puts the Contractor squarely on the hook for any assessments. Just as importantly, showing this document to an IRS, State, or local agent is apt to make them move on to another case or investigation since they are “after” companies not individuals. If they find that the “Contractor” must “pay up,” they are apt to move on to other corporations.
1. Make multiple copies. Getting notarized copies is always a good idea since revenue agents tend to respect the legal niceties, and, remember, it is for them you are doing this.
Frequently Asked Questions
What does it mean to be an independent contractor according to this notice?
According to the notice, you are acting as an independent contractor for the specified customer. This means you are not an employee, and the customer will not withhold taxes from your payments. You are responsible for your own tax obligations.
Will taxes be withheld from my payments as an independent contractor?
No, the notice explicitly states that no withholding of taxes takes place. You may have the obligation to pay periodic taxes or withholding towards the same. It is your responsibility to handle tax payments.
What tax reporting will be done for my earnings?
At the conclusion of the tax year, a report will be sent to the Internal Revenue Service and other local authorities of the gross amount earned. This report is based on your Federal Tax ID Number provided in the notice. The customer will not provide tax advice.
Do I need to provide my Federal Tax ID Number?
Yes, the notice includes a field for your Federal Tax ID Number for reporting purposes. This number is used to report your earnings to tax authorities. You must ensure it is correctly provided.
Can the customer give me tax advice?
No, the notice clearly states that the customer cannot provide tax advice. You should consult with a tax advisor of your choosing regarding tax requirements. It is your responsibility to seek professional guidance.
What happens if the IRS rules that I was an employee?
The notice includes an indemnity clause where the independent contractor indemnifies the customer from any additional tax liability if the IRS rules that they were acting as employees. This indemnity also applies to state or local taxes. The independent contractor makes this indemnity both as the contractor and as an individual guarantor.
What is the purpose of the indemnity clause in this notice?
The indemnity clause protects the customer from any additional tax liability should the IRS rule that the independent contractor was acting as an employee. It also covers any state or local taxes assessed against the customer. The independent contractor provides this indemnity as both the contractor and an individual guarantor.
Who is responsible for paying taxes on my earnings?
As an independent contractor, you are responsible for paying taxes on your earnings. The notice states that no withholding takes place, and you may have the obligation to pay periodic taxes or withholding. You should consult with a tax advisor regarding the requirements.
What should I do if I have questions about my tax obligations?
The notice advises you to consult with a tax advisor of your choosing regarding the requirements. The customer cannot provide tax advice. It is in your best interest to seek professional guidance to ensure compliance.
What information is required from me as an independent contractor?
You are required to provide your Federal Tax ID Number for reporting purposes. Additionally, you must sign the notice as the independent contractor. The notice also includes a field for the date and your signature.





thx for sharing your sample form!I love it so much !!!!!
I discovered you today. You do things fantastic. BRAVO
These are so sweet. I love your printable form.
So professionally written!!! Many thanks!
This is soo brilliant form :3 Oh yes..
this one is really awesome
don’t get me wrong, This form is amazing
sweet jesus… this is what im looking for
I might use this sample legal form
YAAAAAY this is my awsome. I don’t need to hire a lawyer :))