Offer In Compromise Application - Tennessee Department Of Revenue Page 7
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Page 7
7. If any or all of the amount offered is from a loan or gift, provide the name of the lender or donor.
8. If any or all of the amount offered is from a source other than a loan or gift, provide the name of the source.
9. Summary Statement Supporting Reason for Offer (Required)
10. If you are represented by an attorney, accountant or agent, please provide the following contact information:
Name
Firm
Mailing Address
Phone Number (
)
(Attach Power of Attorney - Use Department of Revenue Form RV-F0103801 Only)
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