Form 8718 - User Fee For Exempt Organization Determination Letter Request

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8718
User Fee for Exempt Organization
OMB No. 1545-1798
For
Form
Determination Letter Request
IRS
Control number
(Rev. January 2010)
Use
Attach this form to determination letter application.
Amount paid
Department of the Treasury
Only
Internal Revenue Service
(Form 8718 is NOT a determination letter application.)
User fee screener
2 Employer Identification Number
1 Name of organization
Caution. Do not attach Form 8718 to an application for a pension plan determination letter. Use Form 8717 instead.
3
Type of request
Fee
a
Initial request for a determination letter for:
● An exempt organization that has had annual gross receipts averaging not more than $10,000 during the
preceding 4 years or
● A new organization that anticipates gross receipts averaging not more than $10,000 during its first 4 years
$400
Note. If you checked box 3a, you must complete the Certification below.
Certification
I certify that the annual gross receipts of
name of organization
have averaged (or are expected to average) not more than $10,000 during the preceding 4 (or the first 4) years of
operation.
Signature
Title
b
Initial request for a determination letter for:
● An exempt organization that has had annual gross receipts averaging more than $10,000 during the preceding
4 years or
● A new organization that anticipates gross receipts averaging more than $10,000 during its first 4 years
$850
c
Group exemption letters
$3,000
Instructions
Internal Revenue Service
to a form or its instructions must be
P.O. Box 12192
retained as long as their contents may
The law requires payment of a user fee
Covington, KY 41012-0192
become material in the administration of
with each application for a determination
any Internal Revenue law. The rules
Who Should File
letter. The user fees are listed on line 3
governing the confidentiality of Form 8718
above. For more information, see Rev.
are covered in section 6104.
Organizations applying for federal income
Proc. 2009-8; 2009-1 I.R.B. 229, or latest
tax exemption, other than Form 1023 filers.
The time needed to complete and file
annual update.
Organizations submitting Form 1023
this form will vary depending on individual
Check the box or boxes on line 3 for the
should refer to the instructions in that
circumstances. The estimated average time
type of application you are submitting. If
application package.
is 5 minutes. If you have comments
you check box 3a, you must complete and
concerning the accuracy of this time
sign the certification statement that
estimate or suggestions for making this
appears under line 3a.
form simpler, we would be happy to hear
Paperwork Reduction Act Notice. We ask
Attach to Form 8718 a check or money
from you. You can write to the Internal
for the information on this form to carry out
order payable to the “United States
Revenue Service, Tax Products
the Internal Revenue laws of the United
Treasury” for the full amount of the user
Coordinating Committee,
States. If you want your organization to be
fee. If you do not include the full amount,
SE:W:CAR:MP:T:T:SP, 1111 Constitution
recognized as tax-exempt by the IRS, you
your application will be returned. Attach
Ave. NW, IR-6526, Washington, DC 20224.
are required to give us this information. We
Form 8718 to your determination letter
Do not send this form to this address.
need it to determine whether the
application.
Instead, see Where To File above.
organization meets the legal requirements
Generally, the user fee will be refunded
for tax-exempt status.
only if the Internal Revenue Service
You are not required to provide the
declines to issue a determination.
information requested on a form that is
subject to the Paperwork Reduction Act
Where To File
unless the form displays a valid OMB
control number. Books or records relating
Send the determination letter application
and Form 8718 to:
8718
Form
(1-2010)
Cat. No. 64728Z
*6472801201001*

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