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Form 9423 (Rev. 2-2020)

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. Explain why you disagree with the collection action(s) you checked above and explain how you would resolve your tax problem.

person enrolled to practice before the IRS. If you want your representative to appear without you, you must provide a properly completed Form 2848, Power of Attorney and Declaration of Representative. You can obtain Form 2848 from your local IRS office, by calling 1-800-829-3676, or by going to www.irs.gov. Decision on the Appeal

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  Power, Attorney, Declaration, Representative, 2848, Power of attorney and declaration of representative

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Transcription of Form 9423 (Rev. 2-2020)

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