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Form 14653 online WV: What You Should Know

The PDF version of the form is a PDF file and not a printable one. The PDF is only required to verify the credit amount claimed for the prior year. The PDF Form is only available as an attachment to Notice CP06A. Proof of Employment. The IRS requires employees, directors, officers, and their families to provide proof of employment for the year in which the credit is claimed. For South Dakota, that would be: Current paycheck stub, current Form W-2, Form W-3, or a valid work authorization card. For additional information on this document, see the South Dakota Department of Revenue's information. The employer has to submit one of three Forms SA-1, SA-2, SA-3 or SA-4 as proof of employment in the taxpayer's home state for each employment held during the year in the state. The state has to provide information to the IRS on any applications for state-issued employee ID cards, tax withheld at source, or state taxes withheld at source. The application requirement of the Form SA-1, SA-2, SA-4, or any of the other two must have been submitted to the Department of Revenue by the taxpayer within 60 days of the taxpayer's most recent filing. A photocopy of the taxpayer's work authorization card or a statement from the employer certifying payment of taxes withheld at source or by the department is acceptable. If there has been an award of employer-funded tax-favored employer health insurance in accordance with South Dakota law at any time during the year, an original is required to be delivered to the IRS by the taxpayer no later than 90 days after the end of the year. It is necessary to maintain a complete record of these forms with the state. The South Dakota Department of Revenue provides additional information about Employer-Provided Health Insurance for Tax Liability purposes at If the employee meets all the required requirements, the Form South Dakota Employer-Benefits Identification Document is considered acceptable by the IRS and the federal Internal Revenue Service (IRS) will issue a Form SA-1 for any required forms. However, if the employee does not provide any of the forms by the deadline, the Form SA-1 will not be accepted as proof of employment nor will the taxpayer be issued a SA-1.

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