This Figure shows Form 3552, Prompt Assessment Billing Assembly, a five-page form used to transfer Quick, Prompt and Jeopardy Assessments to the BMF, IMF or IRAF. Page 1 (Part 1 - ISRP Copy) displays a maximum amount of information, and we will attempt to break it down by portions.The top portion, or header of the Form 3552, displays the document locator number, MFT, Tax Period and taxpayer information. The top portion of this form contains the following items:In the upper left corner of the Form 3552 are three organization headings listed vertically: Department of the Treasury, Internal Revenue Service and Director, respectivelyIn the upper right corner opposite those three headings is the Document Locator Number box, containing the document locator number, 00251-116-12104-1.About two lines beneath that information is a single box containing four conjoined boxes marked as MFT, Tax Period, Assessment Date and Trans Code. Immediately to the right of this four-part box are three rows, in vertical order, marked Notice Date, Name Control and Taxpayer Identifying Number respectively. The MFT is 30, the Tax Period is 202012, the Assessment Date is 20210419, the Trans Code is 370, the Notice Date is 20210419, the Name Control is BLAC, and the Taxpayer Identifying Number is 000-00-5000, respectively.Beneath the four-part box is a taxpayer information box containing five lines of printed text; the first line displays, in label format, the TIN (000005000), 5-digit 84720The second line of the taxpayer information box displays the check digit, WS (flushed with left margin of the box), S27 and 20The third line of the taxpayer information box displays the taxpayer's name: Oliver BlackThe fourth line of the taxpayer information box displays the taxpayer's street address: 203 Toad AveThe fifth line of the taxpayer information box displays the taxpayer's city, state and zip code: Cedar City UT 84720Flushed with the right margin of the taxpayer information box are the letters, IRS, displayed vertically (alternating with spaces between the letters)To the right of the taxpayer information box are three more items: Form Number, Plan/Report Number and Tax Period EndedOf the three, only the Tax Period Ended displays an entry: 20201231The second portion of the Form 3552 displays four (4) columns and 29 tax and information items straddling 15 lines in two of them. The first column contains 15 tax items, the third column contains 15, and the second and fourth columns display blank rows used for capturing the appropriate taxpayer entries in response to those money amounts and tax data entries. The fifteen (15) tax information items in the first column are displayed on the form in the following order:1) Adjusted Total of Income Tax Withheld (Forms 943 and 945) and Form 941 posted prior to 12/31/20042) Taxable Social Security Wages (Form 941, 943, 944 and 945)3) Taxable Social Security Tips (Forms 941 and 944)4) Taxable Medicare Wages and Tips (Forms 941 and 944)5) Additional Taxable Medicare Wages and Tips (Form 941, 943, 944)6) Exempt Wages/Tips Paid to Qualified Employees (F941, F943 and F944)7) SECTION 3121Q Tax Amount8) Fractions of Cents - Adjustment (Form 941)9) Sick Pay - Adjustment (Form 941, Current Years Adjustment-Form 944)10) Current Quarter's Tips and Group Term Life Insurance - Adjustment11) Qualified Small Business Credit - Form 8974 (Form 941, 943, and 944)12) Income Tax Withheld - Adjustment (Form 941 Current and Form 944 Prior Year)13) Social Sec. and Med. Tax - Adjustment (Forms 941, 943, 944 and 945)14) Special Additions to Federal Income Tax (Forms 941 and 944)15) Special Additions to Social Security and Medicare (Forms 941 and 944)The second and fourth columns are used by Accounting examiners to list the appropriate money amounts and date entries corresponding to the line items posted in the first and third columns, respectively.The fifteen (15) tax information items and related data in the third column are displayed on the form in the following order:16) Total Income Tax Withheld from Wages (Form 941 posted after 12/31/2004 and Form 944)17) Tips Deemed Wages (Section 3121q)18) Total Backup Withholding - Adjustment (Form 945)19) Gross Income Paid (Form 1042)20) R R (Railroad) Retirement Tax - Adjustment (Form CT-1)21) Interest-To-Date22) 2% Interest Date23) Interest Computation Date24) 870 Agreement Date25) Correspondence Received Date26) Excess Fringe Benefit Date27) Reversion Date28) Plan Year Ending29) 4980F Amendment Date30) Form 8288 Date of Transfer (MFT 17 only)The third portion of Form 3552 displays the following five (5) adjoining columns, identified with the following headings: Reference, TC (i.e., transaction code), Assessment, Adjustment or Credit, and Balance Due each containing 15 blank rows each for entries.The fourth portion of Form 3552 displays twenty (20) fields/line items in the bottom six lines of the Form 3552 and are identified left to right by item number and description as follows:6th (sixth) line from the bottom: Box 36, Reference Code: see enclosed notice; followed by Box 37, Ref. Amt (Reference Amount); (followed by a blank field under Assessment column (Item 33); (a blank field under Adjustment or Credit column (Item 34) and (a blank field under Balance Due column (Item 35)5th (fifth) line from the bottom: Box 38 (gray-shaded area), entitled, Transfer Balance; followed by an unnumbered gray-shaded area beneath Reference Amount; (a blank field under Assessment column (Item 33); (another blank field under Adjustment or Credit column (Item 34) and another blank field under the Balance Due column (Item 35)4th (fourth) line from the bottom: Item 39, Abs. No (i.e., Abstract Number); followed by Item 40; Amount; (Item 41); Abs. No; Item 42, Amount; Item 43, Abs. No; and Item 44, Amount3rd (third) line from the bottom: Item 45, Abs. No (i.e., Abstract Number); followed by Item 46; Amount; Item 47; Taxable 940 Wages; Item 48, Total Amount C. R. (i.e., Credit Reduction); Item 49, State; and Item 50, Credit Reduction Wages2nd (second) line from the bottom: Item 51, State; followed by Item 52; Credit Reduction Wages; Item 53; State; and Item 54, Credit Reduction Wages1st (first) line from the bottom (or, bottom row): Item 55, Additional Information (Parts I and II only)This concludes the description of the Form 3552 (ISRP Copy, Part 1) in Figure 3.12.21-10.