Form 12203 Request for Appeals Review

(Rev. 3-2020) Form . 12203 (March 2020) Department of the Treasury - Internal Revenue Service. Request for Appeals Review. Complete the information in the spaces below, including your signature and the date. Taxpayer name(s) Taxpayer Identification Number(s)Mailing address City. State. ZIP CodeTax form number Tax period(s) ended.

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