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Form Application for Enrollment to Practice Before

Form 23(October 2020)Department of the Treasury Internal Revenue ServiceApplication for Enrollment to Practice Before the Internal Revenue ServiceSee Instructions on Page 3 OMB Number 1545-0950 Before you file this form, you must: Take and pass all three parts of the Special Enrollment Examination Obtain a Preparer Tax Identification Number (PTIN) Read Circular 230 The $67 Application fee is here if you are a former Internal Revenue Service Employee, and enter the date you separated from the Service . / /For IRS use: Date Enrolled: Enrollment Number:Part 1. Tell Us About Yourself1 Your Social Security NumberIf you do not have an SSN, please check this of Birthmm/dd/yyyy3 Your Full Legal NameFirstMILast4 Your Current AddressNumber Street Suite or Apt.

to: the Department of Justice, and courts and other adjudicative bodies, with respect to civil or criminal proceedings; public authorities and professional organizations for their use in connection with employment, licensing, disciplinary, regulatory, and …

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