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Form 8821 Tax Information Authorization For IRS …

8821. OMB No. 1545-1165. form For IRS Use Only (Rev. January 2000). Tax Information Authorization Received by: Name Department of the Treasury . Internal Revenue Service IF THIS Authorization IS NOT SIGNED AND DATED, IT WILL BE RETURNED. Telephone ( ). Function 1 Taxpayer Information . Date / /. Taxpayer name(s) and address (please type or print) Social security number(s) Employer identification number Daytime telephone number Plan number (if applicable). ( ). 2 Appointee. Name and address (please type or print) CAF No. Telephone No. ( ). Fax No. ( ). Check if new: Address Telephone No. 3 Tax matters. The appointee is authorized to inspect and/or receive confidential tax Information in any office of the IRS for the tax matters listed on this line. (a) (b).

Form 8821 (Rev. 1-2000) Page 2 Line 4—Specific use not recorded on CAF. Generally, the IRS records all tax information authorizations on the CAF system.

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