Response to IRS Unreported Income Notice - Form

________
________
Telephone: ________

Date: ________

Internal Revenue Service
________

Re: Response to Notice of Proposed Adjustment / Notice CP2000 (or Equivalent)

Taxpayer: ________
Taxpayer Identification Number (SSN/ITIN): ________
IRS Form: ________
Tax Period: ________
IRS Notice/Letter Number: ________
Response Due Date Stated in Notice: ________

To Whom It May Concern:

§ 1. Purpose of Correspondence. This letter is submitted in timely response to the notice issued by the Internal Revenue Service (the “Notice”) dated ________, concerning a proposed adjustment to my ________ for the tax period ________. I am responding within the time period prescribed in the Notice and reserve all rights available to me under the Internal Revenue Code, including but not limited to my rights under Title 26 of the United States Code and the Taxpayer Bill of Rights set forth in 26 U.S.C. § 7803(a)(3).

§ 2. Summary of the Proposed Adjustment. The Notice asserts that I failed to report the following income on my ________ for ________:

________

The amount of the proposed additional tax, penalties, and interest set forth in the Notice is ________.

§ 3. Statement of Disagreement. I respectfully disagree with the findings and the proposed adjustment in their entirety. The income identified in the Notice was, in fact, correctly and timely reported on my federal income tax return. This item was included on ________ and was reported in the following manner:

________

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§ 5. Supporting Documentation. Enclosed for your reference are copies of the following documents substantiating the position stated above: (a) a copy of ________ as filed; and (b) the additional supporting records described as ________. I am retaining the originals and can provide further documentation upon request.

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§ 7. Reservation of Rights. Nothing in this letter shall be construed as an admission of liability or a waiver of any right, claim, or defense available to me under applicable law, including my right to request an administrative appeal through the IRS Independent Office of Appeals and, if necessary, to petition the United States Tax Court.

§ 8. Contact Information. If you require any additional information or documentation to resolve this matter, please contact me at the address or telephone number listed above, or contact my authorized representative, ________, if one has been designated by a duly executed Form 2848, Power of Attorney and Declaration of Representative. Thank you for your time and attention to this matter.

§ 9. Declaration. Under penalties of perjury, I declare that I have examined the facts stated in this letter and the accompanying documents, and to the best of my knowledge and belief, they are true, correct, and complete.

Respectfully submitted,

________
Signature: ________
Date: ________

Enclosure(s)