Form 8821 2020

Form Go Tax Information Authorization OMB No. 1545-1165 For IRS Use Only to www.irs.gov/Form8821 for instructions and the latest information. Received by Don t Rev. January 2018 Department of the Treasury Internal Revenue Service sign this form unless all applicable lines have been completed. Don t use Form 8821 to request copies of your tax returns or to authorize someone to represent you. Name Telephone Function Date 1 Taxpayer information* Taxpayer must sign and date this form on line 7. Taxpayer name and address Taxpayer identification number s Daytime telephone number Plan number if applicable 2 Appointee. If you wish to name more than one appointee attach a list to this form* Check here if a list of additional appointees is attached CAF No* Name and address PTIN Fax No* Check if new Address periods and specific matters you list below. See the line 3 instructions. By checking here I authorize access to my IRS records via an Intermediate Service Provider. a Type of Tax Information Income Employment Payroll Excise Estate Gift Civil Penalty Sec* 4980H Payments etc* b Tax Form Number 1040 941 720 etc* c Year s or Period s d Specific Tax Matters 4 Specific use not recorded on Centralized Authorization File CAF. If the tax information authorization is for a specific use not recorded on CAF check this box. See the instructions. If you check this box skip lines 5 and 6. 5 Disclosure of tax information you must check a box on line 5a or 5b unless the box on line 4 is checked a If you want copies of tax information notices and other written communications sent to the appointee on an ongoing basis check this box. Note. Appointees will no longer receive forms publications and other related materials with the notices. b If you don t want any copies of notices or communications sent to your appointee check this box. 6 Retention/revocation of prior tax information authorizations. If the line 4 box is checked skip this line. If the line 4 box isn t checked the IRS will automatically revoke all prior Tax Information Authorizations on file unless you check the line 6 box and attach a copy of the Tax Information Authorization s that you want to retain*. To revoke a prior tax information authorization s without submitting a new authorization see the line 6 instructions. 7 Signature of taxpayer. If signed by a corporate officer partner guardian partnership representative executor receiver administrator trustee or party other than the taxpayer I certify that I have the authority to execute this form with respect to the tax matters and tax periods shown on line 3 above. IF NOT COMPLETE SIGNED AND DATED THIS TAX INFORMATION AUTHORIZATION WILL BE RETURNED. DON T SIGN THIS FORM IF IT IS BLANK OR INCOMPLETE* Signature Print Name For Privacy Act and Paperwork Reduction Act Notice see instructions. Name Telephone Function Date 1 Taxpayer information* Taxpayer must sign and date this form on line 7. Taxpayer name and address Taxpayer identification number s Daytime telephone number Plan number if applicable 2 Appointee.