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________
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Telephone: ________
Email: ________
Date: ________
Internal Revenue Service
________
RE: Request for Abatement of Penalty for Reasonable Cause
Taxpayer Name: ________
Taxpayer Identification Number (SSN/ITIN/EIN): ________
IRS Form Number: ________
Tax Period: ________
IRS Notice Number: ________
To Whom It May Concern:
2. Penalty Assessed. Enclosed is a copy of an IRS notice dated ________, assessing a penalty in connection with my ________ for the tax period ________ in the amount of $________ (________).
3. Basis for the Assessment. Upon reviewing the notice and my own records, I have determined that the penalty appears to have been assessed for the following reason:
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The relevant facts arose on or about ________ and continued through ________. There was no willful neglect, intentional disregard, or fraudulent intent on my part in connection with the preparation or filing of my ________.
5. Corrective Action. Upon becoming aware of the matter, I acted promptly to come into full compliance. I have addressed, or plan to address, the issue in the following manner:
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6. Request for Relief. For the reasons set forth above, I respectfully request that the penalty in the amount of $________, together with any associated interest attributable solely to such penalty, be abated and canceled in full on the grounds of reasonable cause. To the extent the Service determines that reasonable cause does not apply, I further request, in the alternative, consideration of relief under the First-Time Abatement (FTA) administrative waiver described in Internal Revenue Manual § 20.1.1.3.6.1.
7. Supporting Documentation. I have enclosed a copy of the IRS notice referenced above, along with supporting documentation, for your review. If you require any additional information or documentation to process this request, please do not hesitate to contact me at the address or telephone number listed above. Thank you for your time and consideration in this matter.
8. Declaration. Under penalties of perjury, I declare that I have examined this request, including any accompanying statements and documents, and that to the best of my knowledge and belief the facts stated herein are true, correct, and complete.
Respectfully submitted,
________
Signature: ________
Date: ________
Enclosure(s): ________
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