Instructions For Form 843 - Claim For Refund And Request For Abatement Page 2
ADVERTISEMENT
1
2
3
4
5
6
7Internal Revenue Service
In response to Letter 5067C (Annual
Mail Stop
4921 IPF
Fee on Health Insurance Providers
1973 N. Rulon White Blvd.
Final Fee)
Ogden, UT 84404
Note. To ensure proper
Caution. Use this address only
processing, write "Annual Fee on
if you are claiming a refund of
Health Insurance Providers" across the
the health insurance provider
top of Form 843.
fee.
The service center where you filed
For requests of a net interest rate of
your most recent return.
zero
This change will be reflected in the next revision of the Instructions for
Form 843.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Instructions For Form 843 (rev. December 2013) (for Use With Form 843 (rev. August 2011)) - Claim For Refund And Request For Abatement
Financial
Instructions For Form 843 - Claim For Refund And Request For Abatement - Internal Revenue Service - 2002
Financial
Instructions For Form 843 - Claim For Refund And Request For Abatement - Internal Revenue Service - 2011
Financial
Related Categories
Parent category: Financial