Transcription of Form 9423 (Rev. 2-2020)
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Form 9423 (Rev. 8-2014) Catalog Number 14169 IDepartment of the Treasury - Internal Revenue Taxpayer s name2. Representative (Attach a copy of Form 2848, Power of Attorney)3. SSN/EIN4. Taxpayer s business phone5. Taxpayer s home phone6. Representative s phone7. Taxpayer s street address8. City9. State10. ZIP code11. Type of tax (Tax form)12. Tax periods being appealed13. Tax dueCollection Action(s) Appealed14. Check the Collection action(s) you are appealingFederal Tax LienLevy or Proposed LevySeizureRejection of Installment AgreementTermination of Installment AgreementModification of Installment AgreementExplanation15.
How to Appeal If You Disagree With a Lien, Levy, or Seizure Action 1. If you disagree with the decision of the IRS employee, and wish to appeal, you must first request a conference with the employee's manager. If you do not resolve your disagreement with the Collection manager, submit Form 9423 to request consideration by Appeals.
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