Transcription of Form Application for Enrollment to Practice Before
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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. NumberCityStateZip CodeCountryYour email Address:Your Telephone Number:5 Enter your PTIN number issued by the IRS:6Do you have an Employer Identification Number (EIN)?
NOTE: Note should read "If you answer "YES" to question 9, 10, 11, or 12, please provide a written explanation of the ... You are not authorized to practice before the IRS as an EA until enrollment has been granted. ... appropriate persons when the security of information may have been compromised for their use to prevent, mitigate or remedy ...
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