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Form 5230 - Advisement Of Rights (Non-Custodial) - Treasury Inspector General For Tax Administration - U.s. Department Of The Treasury

ADVISEMENT OF RIGHTS (NON-CUSTODIAL)

You have a right to remain silent if your answers may tend to incriminate you.

Anything you say may be used against you in an administrative proceeding and/or any

future criminal proceeding.

If you refuse to answer the questions posed to you on the grounds that the answers

may tend to incriminate you, you will not be disciplined solely for remaining silent.

You may consult an attorney before making any statement or answering any question,

and you may have the attorney present with you during the interview.

You may stop this interview at any time. You are also free to leave at any time.

I have read and agree to the terms of this Advisement.

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(Signature)

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(Print Name)

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(Date)

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(Location)

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(Witness/Date)

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(Witness/Date)

TIGTA Form 5230 (Rev. 4-00)

Treasury Inspector General for Tax Administration

Form 5230 - Advisement Of Rights (Non-Custodial) - Treasury Inspector General For Tax Administration - U.s. Department Of The Treasury