Form 211a - State Or Local Law Enforcement Application For Reimbursement For Original Information Page 2
Download a blank fillable Form 211a - State Or Local Law Enforcement Application For Reimbursement For Original Information in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 211a - State Or Local Law Enforcement Application For Reimbursement For Original Information with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2State or Local Law Enforcement Application
for Reimbursement for Original Information
General Information
1)
This application is voluntary and the information requested enables us to determine and pay reimbursements.
2)
Not providing the information requested may result in the suspension of the processing of this application.
3)
Our authority for asking for the information on this form is derived from 26 U.S.C. 7624.
4)
No reimbursement shall be paid to you in any case where the taxes recovered total less than $50,000.
5)
The term ''taxes recovered'' means additional taxes, penalties, and additions to tax collected with respect to
illegal drug-related activities (or money laundering in connection with such activities), but not additional interest
or criminal fines that may be collected.
6)
The amount of the reimbursement payable is at the discretion of the IRS District Director or Service Center
Director and shall be equal to the cost incurred in your investigation of the taxpayer (including but not limited to
reasonable expenses, per diem, salary, and overtime) but not to exceed 10 percent of the sum recovered.
No reimbursement will be made for expenses incurred in the investigation of a taxpayer which have been
7)
reimbursed under any other program or arrangement including, but not limited to, Federal or state equitable
sharing arrangements.
The reimbursement will be paid after collection from the taxpayer and after the expiration of the applicable period
8)
of limitations for filing a claim for refund by the taxpayer, unless adequate indemnification is provided.
Instructions
1)
Submit this application to the Chief, Criminal Investigation Division of the Internal Revenue Service District in
which the taxpayer is located as soon as practicable after submitting the information but not later than 30 days
after the Service notifies you of the amount of taxes recovered as a result of the information submitted.
2)
Include all of the information which you provided to the IRS. For an agency to be eligible for a reimbursement, the
information provided must have substantially contributed to the recovery of the tax.
Form 211A
Page 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 211a - State Or Local Law Enforcement Application For Reimbursement For Original Information
Financial
Form 211a - State Or Local Law Enforcement Application For Reimbursement For Original Information
Financial
Form 4466w - Corporation Or Pass-through Entity Application For Quick Refund Of Overpayment Of Estimated Tax
Financial
Form 4466w - Corporation Or Pass-through Entity Application For Quick Refund Of Overpayment Of Estimated Tax - 2011
Business
Form 4466w - Corporation Or Pass-through Entity Application For Quick Refund Of Overpayment Of Estimated Tax
Financial
Form Mvt 5-10 - Motor Vehicle Inspection Form By A Federal, State, County Or Municipal Law Enforcement Officer
Legal
Form Ftc-cspr-17z - Federal Law Enforcement Training Centers Name-based Criminal History Record Information Consent/inquiry Form
Legal
Related Categories
Parent category: Financial