Form Cc 01 PDF Details

Form CC-01 is a document that can be used to request tax relief from the Internal Revenue Service (IRS). The form can be used to request relief for a variety of reasons, including natural disasters, casualty losses, and medical expenses. In order to complete the form, you will need to provide information about yourself and the reason for your request. You will also need to provide documentation supporting your claim.Note: This is not an exhaustive list - please consult with a tax professional if you have questions about whether or not you are eligible for tax relief. Form CC-01 can be downloaded from the IRS website at www.irs.gov/pub/irs-pdf/fcc01.pdf. The form must be filed with the IRS Processing Center in Austin, Texas. If you have any questions about filing Form CC-01, please consult a tax professional.

QuestionAnswer
Form NameForm Cc 01
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesmilitaryexempti on certification of military exemption from jury service form

Form Preview Example

CERTIFICATION OF MILITARY EXEMPTION FROM JURY SERVICE

As commanding officer/supervisor, I hereby certify that (name)

is:

an active duty member of the United States Armed Forces; or a member of the Maryland organized militia; and

is exempt at this time from jury service for which summoned by the Circuit Court for (specify Baltimore

City or County)

 

because jury service would:

unreasonably interfere with the performance of the member's military duties; or

affect adversely the readiness of the activity, command, or unit to which the member is assigned.

I anticipate the period of exemption to be from (specify start date)

 

through

(specify end date)

 

, both inclusive.

 

 

To be completed by individual requesting exemption:

Service or Militia Member or Relative (specify relationship)

Signed:

Printed Name:

Work Phone Number:Home Phone Number:

My Resident Address is:

(Number and street)

(City, State, Zip)

To be completed by Commanding Officer/Supervisor:

Signed:

Printed Name and Title:

Duty Phone Number:

Duty Office Address:

Instructions: Please attach a copy of the summons for jury service to this document and mail both to the Jury Commissioner of the specified Circuit Court at the mailing address stated in the summons.

CC-01 (8/2006)

How to Edit Form Cc 01 Online for Free

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This PDF form will require specific data to be entered, so make sure to take the time to fill in what's asked:

1. Begin completing your Form Cc 01 with a selection of major fields. Note all the information you need and ensure not a single thing neglected!

Step # 1 of completing Form Cc 01

2. The subsequent step is usually to submit these blanks: Work Phone Number Home Phone Number, My Resident Address is, Number and street, City State Zip, To be completed by Commanding, Signed, Printed Name and Title, Duty Phone Number, and Duty Office Address.

City State Zip, To be completed by Commanding, and Printed Name and Title inside Form Cc 01

Concerning City State Zip and To be completed by Commanding, be certain you take another look here. These could be the most significant ones in this document.

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