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instructions 7004 Form: What You Should Know

Request abatement of certain state withholding, foreign withholding and income taxes. · Request a refund or decrease in the amount of tax you owe on any money you paid to a state or local government while attending a state university. Note. A “Refund Request” does not relieve an individual of his or her obligation to file federal tax returns. The applicant is still required to complete and file a separate tax return. This document gives the IRS the name, address, e-mail address, and Social Security number of the applicant. The agency will notify the applicant by e-mail of any changes to the information provided by the applicant and how to update his or her information if necessary. Form 843 Information for the Applicant The form requires an applicant to provide the following information: 1. A complete and believable statement from the applicant that (a) the applicant is claiming a refund of income tax, (b) the applicant has the right to claim tax abatement, and (c) the person's failure to provide the information or failure to provide the abatement as provided in the application may result in adverse action by or adverse civil action by the IRS or by a court, the applicant or his or her estate or estate administrator or any other person, and (d) the person has obtained and relied on the information in the application. 2. The applicant must have information from the IRS or from a related agency that demonstrates that the applicant owes a tax for which he or she is not liable or that has been withheld. The applicant must have a valid or legal obligation to provide his or her name and IRS tax identification number. Taxpayers, including an immediate family, can use Form 843 to: · For refunds of income taxes that exceed tax due. · For filing the tax return information on a person who is not an immediate family member, and who is unable to provide the required personal information. · To request an abatement or reduction in the amount of tax or interest due. · For filing a tax return information on an individual who is an immediate family member when the individual is disabled and is unable to provide the required personal information. · For filing a tax return information on an individual who no longer has any obligation to pay the tax, but is otherwise eligible for a refund or reduction in the tax. 3.

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