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12661 Disputed Issue Verification - IRS tax forms

www.irs.gov Form . 12661 (Rev. 10-2015) Form . 12661 (October 2015) Department of the Treasury - Internal Revenue Service. Disputed Issue Verification. Taxpayer name. Tax period. Social Security NumberInstructions for completing disputed issues. Please complete a separate block for each issue or adjustment with which you disagree.

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