Tax Information Authorization (Form 8821 style)

# Tax Information Authorization (Form 8821 Style) This document mirrors IRS Form 8821. It authorizes the IRS to disclose confidential tax information to the designee named below. This authorization does NOT grant authority to represent the taxpayer before the IRS. --- ## Line 1 — Taxpayer Information **Taxpayer Name:** ___________ **Taxpayer Identification Number (SSN or EIN):** ___________ **Street Address:** ___________ **City:** ___________ **State:** ___________ **ZIP Code:** ___________ **Daytime Telephone Number:** ___________ **Plan Number (if applicable):** ___________ --- ## Line 2 — Designee(s) Individuals or entities authorized to receive or inspect the taxpayer's confidential tax information: **Designee Name or Organization:** ___________ **CAF Number (if applicable):** ___________ **Street Address:** ___________ **City:** ___________ **State:** ___________