Get IRS 211 2007
OMB No. 1545-0409 Department of the Treasury - Internal Revenue Service Form 211 Date Claim Received Application for Award for Original Information Rev. December 2007 Claim No. completed by IRS 1. Name of individual claimant 2. Claimant s Date of Birth 3. Claimant s SSN or ITIN 4. Name of spouse if applicable 5. Spouse s Date of Birth Month Day Year 6. Spouse s SSN or ITIN 7. Address of claimant including zip code and telephone number 8. Name Title of IRS employee to whom violation was reported .
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