Looking for a U.s. Department Of The Treasury Forms And Templates? Download it for free!

Form 872-U - Change Of Irs Address To Submit Notice Of Termination Of Special Consent To Extend The Time To Assess Tax

In reply refer to:

Department of the Treasury—Internal Revenue Service

872-U

Form

Taxpayer Identification Number:

Change of IRS Address to Submit Notice of Termination

(Rev. July 2003)

of Special Consent to Extend the Time to Assess Tax

The Commissioner of Internal Revenue notifies

(Taxpayer Name(s))

(Taxpayer Address: Number, Street, City, or Town, State, Zip Code)

that with respect to

tax for the periods ended

(Kind of Tax)

The addresses to submit a notice of termination of special consent to assess tax are as

follows: If MAILING form, send to:

If HAND CARRYING form, deliver to:

The above addresses supersede the addresses provided in Form

, executed by the taxpayer and the Commissioner on

and

, respectively. Accordingly, the termination of that agreement initiated by the taxpayer will not be

(Date)

valid

until

the

a subsequent Form 872-U mailed to the taxpayer's last known address by the IRS division considering the taxpayer's case. The subsequent Form

872-U will supersede the addresses provided above.

FOR IRS USE ONLY

(Division Executive Name)

(Division Executive Title)

(Date signed)

(Authorized Official Signature and Title)

Instructions for Internal Revenue Service Employees

Complete the Division Executive's name and title depending upon your division by entering the appropriate division executive for your business unit:

Small Business/Self-Employed Division = Area Director; Director, Compliance Policy; Director, Compliance Services; etc.

Wage and Investment Division = Area Director; Director, Field Compliance Services

Large and Mid-Size Business Division = Director, Field Operations

Tax Exempt and Government Entities Division = Director, Exempt Organizations; Director, Employee Plans; Director, Federal, State and Local

Governments; Director, Indian Tribal Governments; Director, Tax Exempt Bonds

Appeals = Chief, Appeals

The appropriate authorized official within your division must sign and date the signature and title line.

872-U

Catalog Number 32542T

Form

(Rev. 7-2003)

Form 872-U - Change Of Irs Address To Submit Notice Of Termination Of Special Consent To Extend The Time To Assess Tax

Related Articles

Related forms

Related Categories