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.


  1. 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.


  1. Your Federal Tax ID Number is: __________________________, for reporting purposes.


___________________                                              Date:

Independent Contractor






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:



Independent Contractor Notice

Review List

This 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.




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