Transcription of Form 12203 Request for Appeals Review
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Form 12203 Request for Appeals Review
Catalog Number 12203 (Rev. 2-2016)Form 12203 (February 2016)Department of the Treasury - internal revenue ServiceRequest for Appeals ReviewComplete the information in the spaces below, including your signature and the name(s)Taxpayer Identification Number(s)Mailing addressCityStateZIP CodeTax form numberTax period(s) endedYour telephone number(s)Best time to callIdentify the item(s) (for example: filing status, exemptions, interest or dividends) you disagree with in the proposed change or assessment report you received with the enclosed letter.
(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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