Request For Return/information (Federal/state Tax Exchange Program - State And Local Government Use Only)

ADVERTISEMENT

Request for Return / Information
(Federal/State Tax Exchange Program - State and Local Government Use Only)
Return to
Internal Revenue Service
Disclosure Scanning Operation
Stop 93A
Post Office Box 621506
Atlanta, GA 30362-3006
I am requesting the following identified return(s) / return information under terms of the Federal / State Tax Coordination
Agreement. I understand disclosure or use of the information received for other than authorized tax administrative purposes
is subject to criminal and civil liabilities under sections 7213 and 7431 of the Internal Revenue Code.
1. Name of Taxpayer
SSN / ElN
Address
2. Information Requested
Tax periods
Type of return forms
Copy of return(s)
Yes
No
Check the appropriate block
Transcript
Audit Workpapers
Outstanding balance of assessments including penalties and interest computed to
(date)
Other (Specify below)
3. Reason requested (Check the appropriate block)
Pending Examination
Criminal Investigation
Pending Collection Activity
Other (Specify)
1. Name of employee making request
Date request made
2. Group Manager Signature
Group Manager phone number
Division / Branch / Group
3. From (Signature l Authorized Representative)
Date signed
Telephone number
4. Requesting Agency
Agency name
Attention
Street address
Street address
City, State, ZIP code
Instructions for Form 8796-A, Request for Returns/Information under Federal/State Exchange Agreement
The form may be used by state and local tax agency personnel requesting return(s) or return information from IRS.
Complete Sections A, B and C. After signature approval, forward to the pre-printed address in Section A. State the agency's need and use for the
requested data as specifically as possible in section B-3. A general statement that it is needed for tax administration is insufficient.
Note: Do not send expedite requests or other requests that require local handling to the address in Section A. Contact your local Disclosure Office.
If the office agrees to expedite or otherwise handle your request locally, you will submit it directly to that office.
8796-A
Form
(9-2011)
Catalog Number 58558D
Department of the Treasury-Internal Revenue Service

ADVERTISEMENT

00 votes

Related Articles

2018 Business Tax Calendar: Key Deadlines And Due Dates
2018 Tax Return Due Dates And Deadlines
Top 20 Happy Easter Cards And Gift Tags To Download For Free

Related forms

Form 14417 - Reimbursable Agreement - Non-federal Entities (state And Local Governments, Foreign Governments, Commercial Organizations, And Private Businesses) Form 14417 - Reimbursable Agreement - Non-federal Entities (state And Local Governments, Foreign Governments, Commercial Organizations, And Private Businesses) Financial
Form Boe-401-cuts - Combined State And Local Consumer Use Tax Return For Vehicle, Mobilehome, Vessel, Or Aircraft - 2014 Form Boe-401-cuts - Combined State And Local Consumer Use Tax Return For Vehicle, Mobilehome, Vessel, Or Aircraft - 2014 Financial
Form Eeo-4 - State And Local Government Information Form Eeo-4 - State And Local Government Information Legal
Form Boe-401-cuts (s1f) - Combined State And Local Consumer Use Tax Return For Vehicle, Mobilehome, Vessel, Or Aircraft Form Boe-401-cuts (s1f) - Combined State And Local Consumer Use Tax Return For Vehicle, Mobilehome, Vessel, Or Aircraft Financial
Form 14581-c - Medicare Coverage Compliance Self-assessment For State And Local Government Employers Form 14581-c - Medicare Coverage Compliance Self-assessment For State And Local Government Employers Financial
Form 14581-e - Retirement Plan Coverage Compliance Self-assessment For State And Local Government Entities Form 14581-e - Retirement Plan Coverage Compliance Self-assessment For State And Local Government Entities Financial
Form 14581-f - Social Security Coverage Compliance Self-assessment For State And Local Government Entities Form 14581-f - Social Security Coverage Compliance Self-assessment For State And Local Government Entities Financial
Form Lb-0443 - Report To Determine Status State And Local Government Form Lb-0443 - Report To Determine Status State And Local Government Legal
Form Edu-96 - State And Local Sales/use Tax Rate Changes Form Edu-96 - State And Local Sales/use Tax Rate Changes Financial
Form Edu-96 - State And Local Sales/use Tax Rate Changes - Kansas Department Of Revenue Form Edu-96 - State And Local Sales/use Tax Rate Changes - Kansas Department Of Revenue Financial

Related Categories

Parent category: Financial
Download
Go