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Federal Free Printable Form 8569 (Rev. 4-2006) for 2019 Federal Geographic Availability Statement

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Geographic Availability Statement
Form 8569 (Rev. 4-2006)

OMB No. 1545-0973 Geographic Availability Statement 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 Internal Revenue Code Section 6103. Paperwork Reduction Act Notice: This form is used in considering applicants for the Senior Executive Service Candidate Development Program and other executive positions. Your response is voluntary; however, your failure to provide this information could effect your consideration for this program. This signed statement will remain the minimum area of availability and will be used for future job placement consideration. Employees must secure the approval of the Executives Resources Board for any change in their area of availability. Based upon your experience and prior assignments, you will be considered for any Board covered position located in the area of your geographic availability. The cities listed below are not all inclusive but are intended to provide you with a general idea of where IRS offices do or may exist. The time needed to complete the geographic availability statement is twenty minutes. If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would be happy to hear from you. You can write to Internal Revenue Service, Tax Products Coordinating Committee, SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW, IR-6406, Washington, DC 20224. DO NOT send the completed Geographic Availability Statement to this office. Availability for Headquarter Operations in Washington, DC and/or Atlanta is required. I am available for all locations. I am available for only those locations marked below. (You must mark all locations for which you are available. If you are only available for Washington, DC and/or Atlanta, you must mark which one or both.) Atlanta GA Fresno CA Memphis TN Andover MA Ft. Lauderdale FL Nashville TN Austin TX Greensboro NC Newark NJ Baltimore MD Hartford CT New Orleans LA Boston MA Houston TX Oakland CA Brookhaven NY Indianapolis IN Ogden UT Brooklyn NY Jacksonville FL Philadelphia PA Chicago IL Kansas City MO Phoenix AZ Cincinnati OH Laguna Niguel CA San Francisco CA Dallas TX Los Angeles CA Seattle WA Denver CO Manhattan NY St. Louis MO Detroit MI Martinsburg WV St. Paul MN Washington DC Metropolitan Area Remarks Name (Please type) Signature Return completed form to Form 8569 (Rev. 4-2006) Date signed Internal Revenue Service Attn: Executive Services Division OS:HC:S Room 3511 1111 Constitution Ave., NW Washington, DC 20224 Catalog Number 63618S www.irs.gov Department of the Treasury-Internal Revenue Service
Extracted from PDF file 2018-federal-form-8569.pdf, last modified April 2006

More about the Federal Form 8569 Other TY 2018

We last updated the Geographic Availability Statement in February 2019, so this is the latest version of Form 8569, fully updated for tax year 2018. You can download or print current or past-year PDFs of Form 8569 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 8569 from the Internal Revenue Service in February 2019.

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Historical Past-Year Versions of Federal Form 8569

We have a total of six past-year versions of Form 8569 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2018 Form 8569

Form 8569 (Rev. 4-2006)

2017 Form 8569

Form 8569 (Rev. 4-2006)

2016 Form 8569

Form 8569 (Rev. 4-2006)

Geographic Availability Statement 2015 Form 8569

Form 8569 (Rev. 4-2006)

Geographic Availability Statement 2012 Form 8569

Form 8569 (Rev. 4-2006)

Geographic Availability Statement 2011 Form 8569

Form 8569 (Rev. 4-2006)


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