Federal Free Printable Form 12009 (Rev. 12-2006) for 2017 Federal Request for an Informal Conference and Appeals Review

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Request for an Informal Conference and Appeals Review
Form 12009 (Rev. 12-2006)

Form 12009 (December 2006) Department of the Treasury — Internal Revenue Service Request for an Informal Conference and Appeals Review Use this form to request an informal conference with an IRS Supervisor. After your request is received and reviewed, the supervisor will contact you. If this matter is not resolved at the supervisor level, at your request, we will send your case to the appropriate Appeals Office for an administrative appeal. Taxpayer Name(s): Taxpayer Identification Number: Address: In the space below, please explain why you do not agree with the proposed IRS penalty. Additional sheets may be used if needed. Attach any supporting documentation. IRS Penalty: Penalty Date: (If more space is needed, attach an additional sheet) Signature: Date: Print Name: Title: Your Telephone Number(s): Send this completed form and any additional information to: Internal Revenue Service Manager Name and I.D. #: Address: . . . . . . . . . . . . . . . . . . . . . Official . . . . Use . .Only . . . . . . . . . . . . . . . . . . . . . . . Date of Taxpayer Request for Appeals Review Catalog No. 25631V Supervisor Date and Initial www.irs.gov Reset Form Fields Form 12009 (Rev. 12-2006)
Extracted from PDF file 2016-federal-form-12009.pdf, last modified December 2006

More about the Federal Form 12009 Other TY 2016

We last updated the Request for an Informal Conference and Appeals Review in May 2017, so this is the latest version of Form 12009, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 12009 directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 12009 from the Internal Revenue Service in May 2017.

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Historical Past-Year Versions of Federal Form 12009

We have a total of four past-year versions of Form 12009 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 12009

Form 12009 (Rev. 12-2006)

Request for an Informal Conference and Appeals Review 2015 Form 12009

Form 12009 (Rev. 12-2006)

Request for an Informal Conference and Appeals Review 2012 Form 12009

Form 12009 (Rev. 12-2006)

Request for an Informal Conference and Appeals Review 2011 Form 12009

Form 12009 (Rev. 12-2006)


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