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IRS Penalty Response Letter - Template, Sample Form

________
________


Date: ______________


Internal Revenue Service

________

Taxpayer: ________
SSN: ________
IRS Form: ________
Tax Period: ________


To Whom It May Concern:


Enclosed is a copy of an IRS notice dated ________, assessing a penalty on my ________ for the ________ in the amount of $________ (________). Upon reviewing the notice and my own records, I have determined that the penalty may have been assessed for the following reason:

________

There was no willful negligence on my part in the completion of my ________. I plan to address the issue in the following manner:

________

Therefore, I respectfully request that the penalty in the amount of $________ be canceled due to reasonable cause.


Best,




________

Enclosure

Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.