Screen 4720-2 - Individuals Subject to Excise Taxes (990)

General Information

Not signing form
Mark this box to exclude the individual subject to excise tax’s taxable amount from Part II-B, Line 1 on Form 4720. Any income and share of liability will still appear of page 1. Marking this box will also disable the preparer’s ability to select the signer’s details for page 10.
Signature line text (organization or other information)
The individual subject to excise tax generally appears on page 10 as a signer. If a title or other organizational information should accompany the name, enter that information here.
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