Form 8453-X - Political Organization Declaration For Electronic Filing Of Notice Of Section 527 Status

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Political Organization
8453-X
Form
Declaration for Electronic Filing of
OMB No. 1545-1693
(Rev. September 2008)
Notice of Section 527 Status
Department of the Treasury
Internal Revenue Service
Part I
Notice Information
1
Name of organization
Employer identification number
2
Mailing address (P.O. box or number, street, and room or suite number)
City or town, state, and ZIP code
3
Confirmation number
4a Date Form 8871 filed
4b Time Form 8871 filed
Declaration
Part II
Under penalties of perjury, I declare that the organization named in Part I is to be treated as a tax-exempt organization
described in section 527 of the Internal Revenue Code, that it has filed the electronic Form 8871 referenced above, and that
I have examined that notice, including accompanying schedules and statements, and to the best of my knowledge and belief,
Sign
it is true, correct, and complete.
Here
Signature of authorized official
Date
Instructions
After electronically submitting Form 8871, an
Upon receipt of this form, the Internal Revenue Service
authorized official must sign, date, and send Form
will send the organization a username and password
8453-X to:
that must be used to file an amended or final Form
8871 or to electronically file Form 8872, Political
Department of the Treasury
Organization Report of Contributions and Expenditures.
Internal Revenue Service
Ogden, UT 84201
8453-X
For Paperwork Reduction Act Notice, see separate Instructions for Form 8871.
Cat. No. 36512T
Form
(Rev. 9-2008)

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