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Ogden UT 84404 You can fax Form 8655 to the IRS. The number is 801-620-4142. Additional Information found in Pub. 1474 Technical Specifications Guide for Reporting Agent Substitute Form 8655 If you want to prepare and use a substitute Form 8655 see Pub. 1167 General Rules and Specifications for Substitute Forms and Schedules. If your printed in the lower left margin of each substitute Form 8655 you file with the IRS. Revoking an Authorization If you have a valid Form 8655 on file with the IRS the filing of a new Form 8655 revokes the authority of the prior reporting agent beginning with the period indicated on the new Form 8655. Reporting Agent Authorization Form Rev. December 2012 Department of the Treasury Internal Revenue Service OMB No. 1545-1058 Information about Form 8655 is at www.irs.gov/form8655. Email us at taxforms irs. gov and enter Form 8655 on the subject line or write to Internal Revenue Service Tax Products Coordinating Committee SE W CAR MP T T SP 1111 Constitution Ave. NW IR-6526 Washington DC 20224. Do not send Form 8655 to this address. Instead see Where To File above. Disclosure authority is effective upon signature of taxpayer and IRS receipt of Form 8655. The authority granted on Form 8655 will not revoke any Power of Attorney Form 2848 or Tax Information Sign Here I certify I have the authority to execute this form and authorize disclosure of otherwise confidential information on behalf of the taxpayer. I am authorizing the IRS to disclose otherwise confidential tax information to the reporting agent relating to the authority granted on line 15 and/or line 16 including disclosures required to process Form 8655. Taxpayer 1a Name of taxpayer as distinguished from trade name 2 Employer identification number EIN 1b Trade name if any 4 If you are a seasonal employer check here. Address number street and room or suite no. 5 Other identification number. City or town state and ZIP code 7 Daytime telephone number Contact person 8 Fax number Name enter company name or name of business Authorization of Reporting Agent To Sign and File Returns Use the entry lines below to indicate the tax return s to be filed by the reporting agent. Enter the beginning year of annual tax returns or beginning quarter of quarterly tax returns. See the instructions for how to enter the quarter and year. Once this authority is granted it is effective until revoked by the taxpayer or reporting agent. 940-PR 941-SS CT-1 payments. See the instructions for how to enter the month and year. Once this authority is granted it is effective until revoked by the taxpayer or reporting agent. 990-PF 990-T Disclosure of Information to Reporting Agents 17 a b Check here to authorize the reporting agent to receive or request copies of tax information and other communications from the IRS related to the authorization granted on lines 15 16 and/or line 18. Check here if the reporting agent also wants to receive copies of notices from the IRS Disclosure Authorization 18 a The reporting agent is authorized to receive otherwise confidential taxpayer information from the IRS to assist in responding to certain IRS notices relating to the Form W-2 series information returns.

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Keywords relevant to Form 8655

  • 941-X
  • OMB
  • 2009
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  • 990-PF
  • irb07-25
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