Form 870 - Instructions

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Name of Taxpayer:
Identification Number:
Form 870 page 2
Instructions
General Information
If you consent to the assessment of the deficiencies
We will consider this waiver a valid claim for refund or
shown in this waiver, please sign and return the form in
credit of any overpayment due you resulting from any
order to limit any interest charge and expedite the
decrease in tax and penalties shown above, provided
adjustment to your account. Your consent will not
you sign and file it within the period established by law
prevent you from filing a claim for refund (after you have
for making such a claim.
paid the tax) if you later believe you are so entitled. It will
not prevent us from later determining, if necessary, that
Who Must Sign
you owe additional tax; nor extend the time provided by
law for either action.
If you filed jointly, both you and your spouse must sign.
If this waiver is for a corporation, it should be signed with
We have agreements with State tax agencies under
the corporation name, followed by the signatures and
which information about Federal tax, including increases
titles of the corporate officers authorized to sign. An
or decreases, is exchanged with the States. If this
attorney or agent may sign this waiver provided such
change affects the amount of your State income tax, you
action is specifically authorized by a power of attorney
should file the required State form.
which, if not previously filed, must accompany this form.
If you later file a claim and the Service disallows it, you
If this waiver is signed by a person acting in a fiduciary
may file suit for refund in a district court or in the United
capacity (for example, an executor, administrator, or a
States Claims Court, but you may not file a petition with
trustee) Form 56, Notice Concerning Fiduciary
the United States Tax Court.
Relationship, should, unless previously filed, accompany
this form.
870
Catalog Number 16894U
Form
(Rev. 3-1992)

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