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Federal Free Printable Form 12339 (Rev. 4-2023) for 2024 Federal Internal Revenue Service Advisory Council Membership Application

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Internal Revenue Service Advisory Council Membership Application
Form 12339 (Rev. 4-2023)

Form 12339 (April 2023) Department of the Treasury - Internal Revenue Service OMB Number 1545-1791 Internal Revenue Service Advisory Council Membership Application Complete this application and submit it no later than Close of Business on May You may also FAX your application to: 855-811-8021. 31, 2023, to [email protected]. PART I – Applicant Information (Some of the information requested in Part I is required to perform an FBI background check) Name Maiden name or other name(s) used Date(s) names were used Home street address Home telephone number City State Date of birth (mm-dd-yyyy) City of birth ZIP Code State of birth Business name Business address Job title City State Business telephone number Business FAX number ZIP Code Email address Which of the following best describes your area of focus (check one box) Large Business & International taxpayers Small Business/Self-Employed taxpayers Tax Exempt & Government Entities Individual Wage & Investment taxpayers Information Reporting PART II – Desired Skills and Qualifications Submit a short (one or two page) statement, including recent examples, addressing how your skills and qualifications relate to any of the following: ● Experience applying tax law knowledge in the resolution of complex tax issues ● Experience examining issues from a macro viewpoint and effectively communicating recommendations ● Experience working with third-party individuals or organizations who interact with the IRS on behalf of taxpayers ● Experience working in a multi-cultural/multi-lingual environment ● Experience in online services for tax professionals and user experience design PART III – Applicant Resume Attach a copy of your resume, including prior Treasury and/or IRS employment. State position(s), title(s), and dates of employment. In addition, list professional credentials, membership in professional organizations, and local liaison activities with IRS, if applicable. Catalog Number 28320P www.irs.gov Form 12339 (Rev. 4-2023) PART IV – Previous IRS Council/Committee Membership Have you ever been a member of the Internal Revenue Service Advisory Council (formerly known as Commissioner's Advisory Group), Art Advisory Panel, Electronic Tax Administration Advisory Committee, Taxpayer Advocacy Panel, Advisory Committee on Tax Exempt and Government Entities or Information Reporting Program Advisory Committee? If so, include name of the council/committee and dates of membership. Council/Committee Name Dates of Membership PART V – Consent to Disclose Tax Compliance Check Upon submitting Form 12339 to the IRS, the applicant will receive via email Form 14767, Consent to Disclose Tax Compliance Check. The applicant must submit Form 14767 in order to complete the application process. By checking this box, I am requesting that the IRS Office of National Public Liaison share with me the results of my tax check. PART VI – Applicant Signature I certify that, to the best of my knowledge and belief, all of my statements are true, correct, complete and made in good faith. Applicant signature Date signed Privacy Act and Paperwork Reduction Act Notice The Privacy Act of 1974 requires that when we ask you for information about yourself, we state our legal right to do so, tell you why we are asking for it, and how it will be used. We must also tell you what could happen if we do not receive it, and whether your response is voluntary, required to obtain a benefit, or mandatory. Our legal right to ask for the information is Public Law 92-463 and Executive Order (E.O.) 9397. We are asking for the information in order to perform Federal income tax, FBI, and practitioner checks as required of all members and applicants to the Internal Revenue Service Advisory Council. Supplying the information is voluntary and not directly required by law, but facilitates the processing of your application for membership in the IRS Advisory Council/Committee. Requesting your social security number, which is solicited under authority of E.O. 9397, is also voluntary and no right, benefit, or privilege provided by law will be denied as a result of refusal to disclose it. However, not providing all or any part of the information may limit consideration of your application. We ask for the information on this form to carry out the Internal Revenue laws of the United States. You are required to give us the information. We need it to ensure that you are complying with these laws and to allow us to figure and collect the right amount of tax. You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and return information are confidential, as required by section 6103.The time needed to complete and file this form will vary depending on individual circumstances. The estimated average time is shown below. The estimated burden for all other taxpayers who file this form is approved under OMB control number 1545-1791. Preparing, copying, assembling, and sending the form to the IRS …………………….. 1 hour, 30 mins. If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we would be happy to hear from you. You can write to: Internal Revenue Service, 1111 Constitution, Ave, NW, Washington, DC 20224. Do not send the form to this address. Instead, see the return address on the form. Catalog Number 28320P www.irs.gov Form 12339 (Rev. 4-2023)
Extracted from PDF file 2023-federal-form-12339.pdf, last modified April 2023

More about the Federal Form 12339 Other TY 2023

We last updated the Internal Revenue Service Advisory Council Membership Application in January 2024, so this is the latest version of Form 12339, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 12339 directly from TaxFormFinder. You can print other Federal tax forms here.

Related Federal Other Forms:

TaxFormFinder has an additional 774 Federal income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Federal Form 12339.

Form Code Form Name
Form 12339-A Tax Check Waiver
Form 12339-B Information Reporting Program Advisory Committee Membership Application
Form 12339-C Advisory Committee on Tax Exempt and Government Entities - Membership Application

Download all  tax forms View all 775 Federal Income Tax Forms

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 12339 from the Internal Revenue Service in January 2024.

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Historical Past-Year Versions of Federal Form 12339

We have a total of eleven past-year versions of Form 12339 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2023 Form 12339

Form 12339 (Rev. 4-2023)

2022 Form 12339

Form 12339 (Rev. 4-2022)

2021 Form 12339

Form 12339 (Rev. 5-2021)

2020 Form 12339

Form 12339 (Rev. 4-2020)

2019 Form 12339

Form 12339 (Rev. 4-2019)

2018 Form 12339

Form 12339 (Rev. 4-2017)

2017 Form 12339

Form 12339 (Rev. 4-2017)

2016 Form 12339

Form 12339 (Rev. 4-2017)

Internal Revenue Service Advisory Council Membership Application 2015 Form 12339

Form 12339 (Rev. 1-2015)

Internal Revenue Service Advisory Council Membership Application 2012 Form 12339

Form 12339 (Rev. 3-2011)

Internal Revenue Service Advisory Council Membership Application 2011 Form 12339

Form 12339 (Rev. 3-2011)

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