Form (September 2004)
9155
Department of the Treasury-Internal Revenue Service
FTD Transmittal Label Reorder
Instructions: When your supply of labels reaches a 30 workday level, mail this reorder form to the same Internal Revenue Campus address where you currently send Federal Tax Deposit forms. 1. Bank name
2. Address
3. City
4. State
5. ZIP code
6. Attention: Catalog Number 11008Q
7. Number of label pads requested (50 per pad)
Form 9155 (Rev. 9-2004)