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Ion, and where appropriate, explain the circumstances that are creating the economic burden and how the Taxpayer could be adversely affected if the requested assistance is not provided (This block MUST be completed by the initiating employee) 10. How did the taxpayer learn about the Taxpayer Advocate Service IRS Forms or Publications Catalog Number 16965S Media IRS Employee www.irs.gov Other (please specify) Form 911 (Rev. 2-2015) Page 3 Instructions for completing Form 911 (Rev. 5-2011).

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