Form 1040ez-T - Request For Refund Of Federal Telephone Excise Tax 2006
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1Department of the Treasury—Internal Revenue Service
Request for Refund of Federal
Form
2006
1040EZ-T
Telephone Excise Tax
OMB No. 1545-2039
(99)
Your first name and initial
Last name
Your social security number
Name
and
If a joint request, spouse’s first name and initial
Last name
Spouse’s social security number
address
Home address (number and street). If you have a P.O. box, see page 2.
Apt. no.
You must enter
Please print
your SSN(s) above.
or type.
City, town or post office, state, and ZIP code. If you have a foreign address, see page 2.
If you do not have an SSN,
see page 2.
You can file this form to get a one-time refund of the federal telephone excise tax only if all of the following
Before You
apply.
Begin
You are not required to and do not file an individual income tax return.
You paid federal telephone excise tax on long distance or bundled telephone service billed to you after
February 28, 2003, and before August 1, 2006.
You have not received or requested a credit or refund of the federal excise tax from your telephone service
provider. (If you requested a credit or refund, you must have withdrawn the request.)
1a
Refund of federal telephone excise tax paid. Attach Form 8913 if required. See
Refund
instructions.
1a
Have it directly
deposited! See
page 3 and fill
b Routing number
c Type:
Checking
Savings
in 1b, 1c, and
1d.
d
Account number
Do you want to allow another person to discuss this request with the IRS (see page 4)?
Yes. Complete the following.
No
Third party
Designee’s
Phone
Personal identification
designee
\
(
)
name
no.
number (PIN)
Sign
Under penalties of perjury, I declare that I have examined this request and accompanying schedules and statements, and to the best of
my knowledge and belief, it is true, correct, and complete.
here
Your signature
Date
Daytime phone number
Joint request?
See page 4.
(
)
Keep a copy
Spouse’s signature. If a joint request, both must sign.
Date
for your
records.
If the taxpayer died after 2005, the taxpayer’s spouse or
General Instructions
personal representative must file Form 1040EZ-T and sign it
for that taxpayer. A personal representative can be an
Purpose of Form
executor, administrator, or anyone who is in charge of the
Form 1040EZ-T is used by certain individuals who do not
deceased taxpayer’s property. The person who files Form
have to file a federal individual income tax return and want to
1040EZ-T must enter “Deceased,” the deceased taxpayer’s
get a one-time refund of the federal excise tax they paid on
name, and the date of death across the top of the form. If this
long distance or bundled telephone service.
information is not provided, the processing of the request
Note. If you file Form 1040EZ-T and later determine you
may be delayed.
should have filed an individual income tax return for 2006,
If you are filing a joint request as a surviving spouse, you
file Form 1040X to report your income, deductions, and
only need to file Form 1040EZ-T to request the refund. Enter
additional credits. Do not file Form 1040, 1040A, 1040EZ,
“Filing as surviving spouse” in the area where you sign the
1040NR, 1040NR-EZ, 1040-PR, or 1040-SS.
request. If someone else is the personal representative, he or
she must also sign.
IRS e-file takes the guesswork out of
If you are a court-appointed representative, file the request
preparing your request. It’s the fastest, easiest, and most
and attach a copy of the certificate that shows your
convenient way to file your request electronically. You may
appointment. All other filers requesting the deceased
also be eligible to use free online commercial tax preparation
taxpayer’s refund must file the request and attach Form 1310.
software. Visit for details.
Deceased taxpayer. If you are requesting a refund on behalf
When To File
of a taxpayer who died before 2006, you must file Form 1041
File Form 1040EZ-T by April 16, 2007 (April 17, 2007, if
to request the refund.
you live in Maine, Maryland, Massachusetts, New Hampshire,
New York, Vermont, or the District of Columbia).
For Privacy Act and Paperwork Reduction Act Notice, see page 4.
1040EZ-T
Cat. No. 10361M
Form
(2006)
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