CJA Attorney Or Vendor Payee Registration
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
CJA Attorney Or Vendor Payee Registration Form. This is a Massachusetts form and can be use in District Court Federal.
Loading PDF...
Tags: CJA Attorney Or Vendor Payee Registration, Massachusetts Federal, District Court
UNITED STATES DISTRICT COURT
DISTRICT OF MASSACHUSETTS
CJA ATTORNEY OR VENDOR PAYEE REGISTRATION
NAM E:
SOCIAL SECURITY NUM BER: (required)
M AILING ADDRESS:
TELEPHONE :
FAX NO.:
EM AIL ADDRESS:
Indicate below how payments should be reported to the IRS:
Under my social security number and name, as indicated above,
OR
To the law firm with which I am affiliated. The law firm’s taxpayer identification number, name
and address are:
Taxpayer identification No. of Law Firm
Law Firm Name
Law Firm Address
Attorney Signature:
Date:
United States District Court
Clerk’s Office - Suite 2300
John Joseph Moakley United States Courthouse
1 Courthouse W ay
Boston, MA 02210
ATTN: Felicity Casey
American LegalNet, Inc.
www.FormsWorkflow.com
