Federal Withdrawal of Request for Collection Due Process or Equivalent Hearing
Extracted from PDF file 2023-federal-form-12256.pdf, last modified May 2020Withdrawal of Request for Collection Due Process or Equivalent Hearing
Form 12256 (May 2020) Department of the Treasury - Internal Revenue Service Withdrawal of Request for Collection Due Process or Equivalent Hearing Taxpayer name(s) Taxpayer address City State Zip code Type of tax/tax form* Tax period(s)* Social Security/Employer Identification Number(s)* *Note: You may attach a copy of your Collection Due Process notice to this form instead of listing the tax type/form number/period and identification number in the spaces above. I've reached a resolution with the Internal Revenue Service (IRS) regarding the tax and tax periods that my hearing request concerned or I am otherwise satisfied that I no longer need a hearing with the Independent Office of Appeals (Appeals). Therefore, I withdraw my hearing request under (check all that apply): IRC Section 6320, notice and opportunity for a hearing upon the filing of a Notice of Federal Tax Lien IRC Section 6330, notice and opportunity for a hearing before a levy Both IRC Section 6320 and 6330 notices Equivalent Hearing I understand that by withdrawing my request for a Collection Due Process hearing under Section 6320 and/or 6330: • I give up my right to a hearing with Appeals. I understand that Appeals will not issue a Notice of Determination with respect to the tax and tax periods subject to the hearing request. As part of a CDP determination, Appeals verifies that all legal and administrative requirements were met. I understand that by withdrawing my hearing request, Appeals will not conduct this verification. • I give up my right to seek judicial review in the Tax Court of the Notice of Determination that Appeals would have issued as a result of the CDP Hearing, as Appeals will not issue a Notice of Determination. • I give up my right to have Appeals retain jurisdiction with respect to any determination that it would have made as a result of the CDP Hearing. • The suspension of levy action and the suspension of the statute of limitations on the period of collection, as required under the provisions of IRC Sections 6320 and 6330, are no longer in effect upon the receipt by the IRS of this withdrawal. • I do not give up any other appeal rights that I am entitled to, such as an appeal under the Collection Appeals Program (CAP). I understand that by withdrawing my request for an equivalent Hearing: • I give up my right to a hearing with Appeals. I understand that Appeals will not issue a Decision Letter with respect to the tax and tax periods subject to the hearing request. • I do not give up any other appeal rights that I am entitled to, such as an appeal under the Collection Appeals Program (CAP). Taxpayer's signature Date Spouse's signature (if applicable) Date Authorized Representative signature (if applicable) Date For Privacy Act information refer to Notice 609 Catalog Number 27779K www.irs.gov Form 12256 (Rev. 5-2020)
Form 12256 (Rev. 5-2020)
More about the Federal Form 12256 Other TY 2023
We last updated the Withdrawal of Request for Collection Due Process or Equivalent Hearing in February 2024, so this is the latest version of Form 12256, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form 12256 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 12256 from the Internal Revenue Service in February 2024.
Historical Past-Year Versions of Federal Form 12256
We have a total of eleven past-year versions of Form 12256 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:
Form 12256 (Rev. 5-2020)
Form 12256 (Rev. 5-2020)
Form 12256 (Rev. 5-2020)
Form 12256 (Rev. 5-2020)
Form 12256 (Rev. 10-2012)
Form 12256 (Rev. 10-2012)
Form 12256 (Rev. 10-2012)
Form 12256 (Rev. 10-2012)
Form 12256 (Rev. 10-2012)
Form 12256 (Rev. 10-2012)
Form 12256 (Rev. 2-2007)
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