Audit Letter Template
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Department of the Treasury
Letter Date:
Internal Revenue Service
February 22, 2013
PO Box 9045
Taxpayer Identification Number:
Stop 826
XXX-XX-XXXX
Andover MA 01810-9045
Form:
Tax Year(s):
1040
December 31, 2011
Person to Contact:
Tax Examiner
FIRST M LAST
Contact Identification Number:
STREET ADDRESS
XXX-XXXXX
INDEPENDENCE MO 64050-3011
Contact Telephone Number:
Toll-free (XXX) XXX-XXXX
Contact Fax Number:
Toll-free (XXX) XXX-XXXX
Contact Hours:
8:00 AM until 8:00 PM
Dear Taxpayer:
We are examining your 2011 federal income tax return. We need you to provide us with additional
information to substantiate the items checked below that you claimed on your return.
Filing Status and Exemptions
Schedule A - Itemized Deduction
Tax Credits
x
x
Head of Household
x
Medical & Dental Expense
Foreign Tax Credit
Exemptions
Interest You Paid
Earned Income Credit
Adjustments to Income
Gifts to Charity
Child Care Credit
x
Alimony Paid
Casualty & Theft Losses
Education Credit
Moving Expense
Unreimbursed Employee Expense
Adoption Credit
Other Miscellaneous Deductions
Credit for the Elderly or Disabled
Schedule C - Gross Receipts
Schedule C - Expenses
Please see the enclosed explanation of the documentation you need to provide, and send it to us within
30 days from the date of this letter. Send copies of your supporting records and/or information to the contact
person whose name and address are shown in the letter heading. This information could include receipts,
canceled checks, or other explanatory material. It is important that we receive all requested information and it
is readable. Please also complete and return any enclosed questionnaire(s). We have enclosed an envelope for
your use.
Letter 566(CG) (Rev. 1-2010)
Catalog Number 27225H
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