Form 14242 - Report Suspected Abusive Tax Promotions Or Preparers Form Page 2

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10. How is the promoter involved in the promotion (Describe promoters involvement)
11. Who is the target group of the promotion (Describe industry or type of taxpayer, i.e. nurse, policeman, home business, etc.)
12. a. Are you aware of any similar promotions in your area
Yes
No
b. If YES, describe the other promotions and any similarities they have to this promotion
13. Is the promotion still being advertised
Yes
No
14. Describe the tax benefits of the promotion (Provide any information used to explain the tax benefits of the promotion)
15. Describe the geographic scope of the promotion. For example, is it restricted to a small area, nationwide, or worldwide
16. Do you know of any tax preparers completing returns for investors or promoters based upon this promotion
Yes
No
If YES, provide the following information (if available) (If more than one preparer is involved, provide information on all preparers)
Name of preparer(s)
Mailing address of preparer(s)
Telephone number of preparer(s)
Social Security Number (SSN) of preparer(s)
17. Did you have any private/personal conversations with the promoter/accountant/return preparer/associate
Yes
No
If YES, provide the following information (if available)
With whom did you have a conversation
What did they say during the conversation
Where did this conversation take place
When did this conversation take place (mm/dd/yyyy)
When this conversation took place, if anyone else was present, list their names
18. a What is your current relationship with the promoter(s)
b. Did you have personal/telephone contact with any of the promoters
Yes
No
19. Do you know any individuals/businesses that have purchased or used the promotion
Yes
No
If YES, provide their names
14242
Department of the Treasury - Internal Revenue Service
Form
(Rev. 2-2013) Catalog Number 57652G

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