Independent Contractor Notice

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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

___________________

Customer

I, 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