Transcription of Form 8655 Reporting Agent Authorization
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Form 8655 Reporting Agent Authorization
Form 8655(Rev. October 2018)Department of the Treasury internal revenue Service Reporting Agent Authorization Information about Form 8655 and its instructions is at No. 1545-1058 Taxpayer1aName of taxpayer (as distinguished from trade name)1bTrade name, if any 2 Employer identification number (EIN)3 Address (number, street, and room or suite no.)City or town, state, and ZIP code 4 If you are a seasonal employer, check here .. 5 Other identification number (optional)6 Contact person 7 Daytime telephone number 8 Fax numberReporting Agent9 Name (enter company name or name of business)10 Employer identification number (EIN)11 Address (number, street, and room or suite no.)City or town, state, and ZIP code12 Contact person13 Daytime telephone number14 Fax numberAuthorization of Reporting Agent to Sign and File Returns (Caution: See Authorization Agreement)15 Indicate the tax return(s) to be signed and filed.
Form 8655 (Rev. October 2018) Department of the Treasury Internal Revenue Service . Reporting Agent Authorization Information about Form 8655 and its instructions is at
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