Form 4549-E - Income Tax Discrepancy Adjustments - Internal Revenue Service Page 2
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1
2Department of the Treasury-Internal Revenue Service
4549-E
Form
Income Tax Discrepancy Adjustments
Page
of
(Rev. 12-2004)
Name and Address of Taxpayer
SS or EI Number
Return Form No.:
Person with whom
Name and Title:
examination
changes were
discussed.
Period End
Period End
Period End
17. Penalties
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
18. Total Penalties
Underreporter attributable to negligence: (1981 - 1987) A tax addition of
50 percent of the interest due on underpayment will accrue until paid or
assessment.
Underreporter attributable to fraud:: (1981 - 1987)
A tax addition of 50 percent of the interest due on underpayment
will accrue until paid or assessed.
Underreporter attributable to Tax Motivated Transactions TMT interest
will accrue and be assessed at 120% of underpayment rate in
accordance with IRC 6621(c)
19. Summary of Taxes, Penalties and Interest:
a. Balance due or Overpayment Taxes - Line 16, Page 1
b.
Penalties (Line 18, Page 2) - computed to
c.
Interest (IRC § 6601) - computed to
d.
TMT Interest - computed
on TMT underpayment
e. Amount due or refund (sum of Lines a, b, c and d)
Other Information:
Examiner's Signature:
Employee ID:
Office:
Date:
Consent to Assessment and Collection- I do not wish to exercise my appeal rights with the Internal Revenue Service or to contest in the United States
Tax Court the findings in this report. Therefore, I give my consent to the immediate assessment and collection of any increase in tax and penalties, and
accept any decrease in tax and penalties shown above, plus additional interest as provided by law. It is understood that this report is subject to
acceptance by the Area Director, Area Manager or Director of Field Operations.
PLEASE NOTE: If a joint return was filed. BOTH taxpayers must sign
Signature of Taxpayer
Date:
Signature of Taxpayer
Date:
By:
Date:
Title:
Catalog Number 13383E
publish.no.irs.gov
Form 4549-E
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