Form 8554 - Application For Renewal Of Enrollment To Practice Before The Internal Revenue Service (2005) Page 2

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C. Have you been disciplined for alleged misconduct by any professional body or licensing authority since your last renewal of

enrollment? (If ''Yes,'' attach statement with an explanation of the facts specifying the date, name and location of the professional

body or licensing authority, nature of the misconduct or violation and penalty imposed or other disposition of case.)

Yes

10. Declaration: I hereby certify, under penalty of perjury, that the information provided on this form is true and correct

to the best of my knowledge.

Signature

Date

______________________________________________________________________________________________

___________________________________________Instructions_________________________________________

Type (or print legibly using ink) and sign this form.

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Attach a check or money order for $80, payable to the Internal Revenue Service.

The fee is non-refundable.

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Mail to: U.S. Treasury/IRS Enrollment Renewals, P.O. Box 894191, Los Angeles, CA 90189-4191

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Internal Revenue Service, Attn: Box 4191, 5860 Uplander Way, Culver City, CA 90230

Send mail by courier to:

You must renew your enrollment as required in Circular 230. If you do not renew your enrollment, you will be placed in inactive

status and you may not hold yourself out as an enrolled agent. Incomplete applications will be returned. If you have any

questions, you may E-mail them to EPP@IRS.GOV or call 313-234-1280. Form 8554 is available @ under

Forms and Publications.

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If your enrollment mailing address changes after you submit this form, please send us your written change of address. Your

written change of address must include: Your name; your current and former address; your social security number; the date;

and your signature. Send your change of address to: IRS-Detroit Computing Center, P.O. Box 33968 Detroit, MI 48232 Attn:

EPP Unit.

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Sending Form 8822, Change of Address, to an Internal Revenue Service campus will not change your enrollment address.

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The Centralized Authorization File (CAF) is a computerized system of records which houses authorization information from

powers of attorney, tax information authorizations and estate tax

returns,

taxpayer records, and representative records. Once

the Form 2848, 706 or 8821, is received and entered into the CAF, the designee is assigned a specific CAF number for

identification purposes

Paperwork Reduction Act Notice

We are requesting the information on this form to determine your qualifications for renewal of enrollment to practice before the Internal Revenue Service pursuant to 31

CFR Part 10. The information is required for those who desire to practice as an enrolled agent.

You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control

number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal

Revenue law. Generally, tax returns and return information are confidential, as required by Code Section 6103.

The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time is: I hour and 12 minutes.

If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would be happy to hear from you. You can write

to the Tax Forms Committee, 1111 Constitution Avenue, N.W., Washington, DC 20224 . DO NOT SEND YOUR COMPLETED FORM TO THIS ADDRESS.

Instead, mail it to the address in the instructions.

Privacy Right Notice

Our legal right for asking for your Social Security Number (SSN) is 31 USC 330. We use the SSN as a basis for checking our files for any possible duplication. When

the SSN is entered, the system checks all the files for the SSN. If it is found, the system tells the user the record already exists. Otherwise, the record is entered. This

makes for quicker processing of your application for renewal to practice before the Service. Giving us your SSN or any other information is voluntary. However, not

having this information will slow processing and make it impossible to renew your enrollment.

Privacy Act Statement

Collection of this information is authorized by Section 330 of Title 31, United States Code, and Part 10 to Title 31, Code of Federal Regulations, and Executive Order

9397 authorizes our request of your SSN. The primary use of this information is for the Office of Professional Responsibility to renew your enrollment to practice before

the IRS. Disclosures of the information may be made to Federal, state, or foreign agencies if relevant for their use in investigations or prosecutions of violations of laws

or regulations, for hiring and retaining an individual, or for granting a security clearance, license, contract, grant or other benefit. Providing false or fraudulent

information may subject you to penalties.

Form 8554 (Rev. 02-2005)

Department of the Treasury - Internal Revenue Service

Catalog Number 21842Q