Printable blank Form 15109

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1. What is a 15109 Form?

Fillable Form 15109 is a free federal tax form issued by the Internal Revenue Service of the USA (IRS). This document is also called Request for Tax Deferment, and its primary purpose is to collect information about an applicant to conclude whether he/she qualified for tax deferment based on the time spent in combat zones as a military service unit (not for business purposes). The form requires some supporting documentation (see below) and obliges you to fill in all the requested information. Otherwise, your ta deferment will be rejected or delayed significantly. 

2. What I need the Form 15109 for?

This PDF form used for disclosing your information in the following cases:

  • If you want to request a tax deferment based on your service in a combat zone as a part of the US Army;
  • If you are a civilian who was hired by the federal government and worked in a combat zone;
  • If you don’t have any authorization but served in a combat zone and have the rights to request a deferment. 

Don’t fill the form:

  • if you don’t want to disclose your information to the wide range of parties that legally proceed with this form for a variety of purposes listed in the form. 

3. How to fill out Form 15109?

The approximate time to finish this blank is 20 minutes and requires you to provide:

  • Name;
  • SSN (Social Security Number);
  • Organization name, military dept info;
  • Employer telephone;
  • Combat zone name/area;
  • Dates of entry and exit. 

When Section 1 is done, attach a copy of your military orders showing your deployment dates, a copy of your Letter of Authorization, or a written statement from your employer or a military organization. At PDFLiner, you can fill this form online, print directly, or download Form 15109 to complete it differently. 

4. Organizations that work with Form 15109

  • Internal Revenue Service of the US (IRS);
  • Department of Justice;
  • Department of Defence;
  • Other federal agencies (on request). 

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