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Form 8821 PDF

This 3-sentence summary provides the key details about Form 8821: Form 8821 is a Tax Information Authorization form that allows a taxpayer to authorize the IRS to disclose their confidential tax information to an appointed representative by providing the taxpayer and appointee's identifying information and specifying the tax years, forms, and matters involved. The taxpayer must sign and date the form to authorize the appointee to receive copies of tax notices and other written communications from the IRS regarding the specified tax information.

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Samuel Farrell
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482 views1 page

Form 8821 PDF

This 3-sentence summary provides the key details about Form 8821: Form 8821 is a Tax Information Authorization form that allows a taxpayer to authorize the IRS to disclose their confidential tax information to an appointed representative by providing the taxpayer and appointee's identifying information and specifying the tax years, forms, and matters involved. The taxpayer must sign and date the form to authorize the appointee to receive copies of tax notices and other written communications from the IRS regarding the specified tax information.

Uploaded by

Samuel Farrell
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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8821 Tax Information Authorization

OMB No. 1545-1165


For IRS Use Only
Form Information about Form 8821 and its instructions is at www.irs.gov/form8821. Received by:

Do not sign this form unless all applicable lines have been completed. Name
(Rev. March 2015)
Do not use Form 8821 to request copies of your tax returns Telephone
Department of the Treasury Function
Internal Revenue Service or to authorize someone to represent you.
Date

1 Taxpayer information. Taxpayer must sign and date this form on line 7.
Taxpayer name and address Taxpayer identification number(s)

Daytime telephone number Plan number (if applicable)

2 Appointee. If you wish to name more than one appointee, attach a list to this form. Check here if a list of additional
appointees is attached
Name and address CAF No.
PTIN
Telephone No.
Fax No.
Check if new: Address Telephone No. Fax No.
3 Tax Information. Appointee is authorized to inspect and/or receive confidential tax information for the type of tax, forms,
periods, and specific matters you list below. See the line 3 instructions.
(a) (b) (c) (d)
Type of Tax Information (Income, Tax Form Number Year(s) or Period(s) Specific Tax Matters
Employment, Payroll, Excise, Estate, Gift,
Civil Penalty, Sec. 4980H Payments, etc.) (1040, 941, 720, etc.)

4 Specific use not recorded on Centralized Authorization File (CAF). If the tax information authorization is for a specific
use not recorded on CAF, check this box. See the instructions. If you check this box, skip lines 5 and 6 . . . . . .

5 Disclosure of tax information (you must check a box on line 5a or 5b unless the box on line 4 is checked):
a If you want copies of tax information, notices, and other written communications sent to the appointee on an ongoing
basis, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Note. Appointees will no longer receive forms, publications, and other related materials with the notices.
b If you do not want any copies of notices or communications sent to your appointee, check this box . . . . . . .

6 Retention/revocation of prior tax information authorizations. If the line 4 box is checked, skip this line. If the line 4 box
is not checked, the IRS will automatically revoke all prior Tax Information Authorizations on file unless you check the line 6
box and attach a copy of the Tax Information Authorization(s) that you want to retain. . . . . . . . . . . . .

To revoke a prior tax information authorization(s) without submitting a new authorization, see the line 6 instructions.
7 Signature of taxpayer. If signed by a corporate officer, partner, guardian, executor, receiver, administrator, trustee, or
party other than the taxpayer, I certify that I have the authority to execute this form with respect to the tax matters and tax
periods shown on line 3 above.

IF NOT COMPLETE, SIGNED, AND DATED, THIS TAX INFORMATION AUTHORIZATION WILL BE RETURNED.

DO NOT SIGN THIS FORM IF IT IS BLANK OR INCOMPLETE.

Signature Date

Print Name Title (if applicable)

For Privacy Act and Paperwork Reduction Act Notice, see instructions. Cat. No. 11596P Form 8821 (Rev. 3-2015)

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