Form 907 - Agreement To Extend The Time To Bring Suit

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In reply refer to:

Department of the Treasury - Internal Revenue Service

907

Form

Agreement to Extend the Time to Bring Suit

Taxpayer Identification Number

(Revised January 2001)

, taxpayer(s) of

(Name(s))

(Number, street, city or town, State, ZIP code)

and the Commissioner of Internal Revenue agree that the taxpayer(s) may bring suit to recover the taxes described below, on or before

(Expiration date)

Claims for the amounts shown below have been timely filed by the taxpayer(s), and these claims have been disallowed in whole or in part. A notice of

disallowance has been mailed to the taxpayer(s) by certified or registered mail, unless the taxpayer(s) waived the requirement that the notice be issued.

Date Notice of Disallowance Mailed

Kind of Tax

Period Ended

Amount of Tax

or Waiver Filed

Refund

Credit

IMPORTANT:

You must submit with this agreement a statement of the issues involved in the claims for refund or credit of the taxes listed above.

You may request in writing that the claims be reopened and reconsidered at any time before the expiration date shown.

You should state the particular circumstances on which you base the request. Please identify the claims in the request by stating the amounts claimed,

the periods involved, and the date and symbols appearing on the letter in which notice of disallowance was given, or the date the waiver (Form 2297)

was filed. Attach a copy of this agreement to your request.

This agreement will not be effective until the appropriate Internal Revenue Service official signs this form on behalf of the Commissioner of Internal

Revenue. You should therefore be prepared to protect your interests by bringing suit, if desired, at any time before this agreement is signed.

If the appropriate Internal Revenue Service official signs this agreement on behalf of the Commissioner of Internal Revenue , the final decision in any

case now in litigation does not bind that official in the disposition, of the issues on the taxes covered by this agreement.

YOUR SIGNATURE HERE

(Date signed)

SPOUSE'S SIGNATURE

(Date signed)

TAXPAYER'S REPRESENTATIVE

SIGN HERE

(Date signed)

CORPORATE

NAME

(Title)

(Date signed)