Form 2587 - Application For Special Enrollment Examination

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Department of the Treasury
OMB No. 1545-0949
Application for Special Enrollment Examination
Internal Revenue Service
Form 2587
MAIL BY DUE DATE — NO EXTENSIONS GRANTED
(Rev. June 2000)
Candidate No.
In accordance with section 10.4(a), Treasury Department Circular No. 230 I apply
(IRS use only)
to take The 2000 Special Enrollment Examination.
READ INSTRUCTIONS BEFORE COMPLETING— Please type or print legibly. Mail Part 4 with your fee to the Internal
Revenue Service, P.O. Box 845854, Dallas TX 75284-5854. NOTE: Mail sent by special courier (FED eX, UPS, etc.) MUST
th
be mailed to: Remittance Processing Dept, 5
Floor, LBX 845854, 1401 Elm Street, Dallas, TX 75202. Your application must
be postmarked by the U.S. Postal Service or similarly evidenced if a private mailing service was used, no later than
July 31, 2000.
If you have a fee credit or part(s) credit from the previous year’s examination, attach a copy of the written authorization
provided you by the IRS. If you hafe any questions regarding this application, call (313) 234-1280.
1. Name (Last, First, M.I.)
3. Social Security No.
Yours
Spouse’s
2. Mailing Address
4. Telephone No.
Work
Home
E-mail
Fax No.
7. Initial here if you authorize
6. Parts to be taken
5. Preferred Examination Site
your name released to the public.
ALL Parts
Location Code (See Instructions)
(See Instructions)
a. First Choice
Part 1
Part 2
b. Second Choice
Part 3
Part 4
c. Third Choice
8. If you have a disability that requires special assistance, please explain.
9.
Date
Your Signature
Before you mail Part 4, please make sure you: have signed and dated it; have checked the box(es) showing the
part(s) of the exam you are required to take; and have included your examination fee (check or money order made payable
to the Internal Revenue Service). Mail to: IRS P.O. Box 845854, Dallas, TX 75284-5854
Cat. No. 18668Q
Department of the Treasury
Form 2587 (Rev. 6-00)
Internal Revenue Service
Part 5 - Your Copy (Retain for Your Records)

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