12180 Form PDF Details

The 12180 form is a state tax form that is used to report and pay taxes on income earned in New York. The form is due by April 15th each year, and must be filed with the New York Department of Taxation and Finance. The first section of the form asks for your name, address, and Social Security number, while the second section lists all of your taxable income for the year. The remainder of the form is used to calculate your tax liability and submit payment. If you have any questions about filling out the 12180 form, or need help filing it, contact the New York Department of Taxation and Finance.

QuestionAnswer
Form Name12180 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesirs 12180, irs 12180 form, third party authorization form 12180, 12180 authorization form

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THIRD PARTY CONTACT AUTHORIZATION FORM

Internal Revenue Code Section 7602(c)

Under section 7602(c) of the Internal Revenue Code, the Internal Revenue Service (IRS) is required to provide taxpayers with reasonable advance notice that contacts with persons other than the taxpayer may be made with respect to the determination or collection of the tax liability of such taxpayer. Additionally, the IRS is required to provide the taxpayer with a record of persons contacted on a periodic basis. The IRS will also provide this record to the taxpayer upon request. However, the IRS is not required to provide advance notice or a record of persons contacted with respect to any contacts which the taxpayer has authorized.

By signing this form, you are waiving your rights under section 7602(c) with respect to the persons you have authorized the IRS to contact. Accordingly, the IRS will not be required to maintain a record of these contacts. If no third party contacts are made other than those authorized by you, the IRS will not be required to provide you with advance notice that contacts with third parties may be made or provide you with a record of persons contacted.

Authorization of Third Party Contact(s)

I authorize an officer or employee of the Internal Revenue Service to contact the following third person(s) with respect to the determination or collection of my tax liability.

Name(s) of Third Person(s)

I understand that by signing this form, I am waiving my rights under section 7602(c) with respect to contacts made by an officer or employee of the Internal Revenue Service with the above-listed person(s).

TAXPAYER’S SIGNATURE

 

DATE

 

TAXPAYER IDENTIFICATION NUMBER

 

 

 

SPOUSE’S SIGNATURE

 

DATE

 

TAXPAYER’S REPRESENTATIVE

 

DATE

 

CORPORATE NAME

 

DATE

 

CORPORATE OFFICER(S)

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

Form 12180 (Rev. 1-99)

Cat. No. 26954H

Department of the Treasury—Internal Revenue Service

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