Federal Free Printable Form 14017 (Rev. 10-2010) for 2017 Federal Application for Fast Track Settlement

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Application for Fast Track Settlement
Form 14017 (Rev. 10-2010)

Application for Fast Track Settlement Date Type of Tax From Submitted to Appeals LB&I Location SB/SE TE/GE Other Representative name (If applicable) Taxpayer name Taxpayer TIN/EIN Name of Firm Tax years Address Address City State Telephone Fax Zip City State Telephone Fax Source (FE/OE/CO, etc) Examination Group / Team Manager City Zip State Zip Telephone Fax Other Participants (if applicable) Name Position or Affiliation Phone Signatures The undersigned request Appeals assistance in the Fast Track Settlement (FTS) process. The issues for which this assistance is requested are described in the Form(s) 5701, Summary of Issues or Examination Re-Engineering Lead Sheets or similar documents and the taxpayer’s written response, and are attached to this application. By signing this application, taxpayer consents, pursuant to section 6103(c) of the Code, to the disclosure of the taxpayer’s returns and return information pertaining to the issues being considered in the FTS process to those persons named on the application as participants in the process. The prohibition against ex parte communications between Appeals personnel and other Service employees provided by section 1001(a) of the Internal Revenue Service Restructuring and Reform Act of 1998 does not apply to the communications arising in FTS because Appeals personnel, in facilitating an agreement between the taxpayer and the other Service Operating Division, are not acting in their traditional Appeals settlement role. IRS employees, taxpayer and persons invited to participate by the IRS or taxpayer will not voluntarily disclose information regarding any communication made during the FTS session, except as provided by statute. Taxpayer Signature Date signed Taxpayer Spouse's Signature (If related to a joint return) Date signed Taxpayer(s) Representative Signature Date signed IRS Group / Team Manager Signature Date signed Approving Operating Division Official (Signature and Title) Date signed Accepted by Appeals Official (Appeals Team Manager Signature) Date signed Accepted by Appeals Official (Appeals Program Manager Signature) Date signed Industry (IC) Industry Coordinated Industry Case (CIC) NR HMT RFPH CTM Other FS MFT: PBC: Preferred Conference Site Form 14017 (Rev. 10-2010) Potential Joint Committee Yes No Listed Transaction Yes No Fast Track End Date Catalog Number 51767Y www.irs.gov Department of the Treasury - Internal Revenue Service
Extracted from PDF file 2016-federal-form-14017.pdf, last modified October 2010

More about the Federal Form 14017 Other TY 2016

We last updated the Application for Fast Track Settlement in May 2017, so this is the latest version of Form 14017, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 14017 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 14017 from the Internal Revenue Service in May 2017.

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Historical Past-Year Versions of Federal Form 14017

We have a total of four past-year versions of Form 14017 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 14017

Form 14017 (Rev. 10-2010)

Application for Fast Track Settlement 2015 Form 14017

Form 14017 (Rev. 10-2010)

Application for Fast Track Settlement 2012 Form 14017

Form 14017 (Rev. 10-2010)

Application for Fast Track Settlement 2011 Form 14017

Form 14017 (Rev. 10-2010)


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