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Form 8821 Instruksi

Instruksi untuk Form 8821, Otorisasi Informasi Pajak

Juni 2019

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Department of the Treasury  
Internal Revenue Service  
Instructions for Form 8821  
Tax Information Authorization  
(Rev. September 2021)  
For faster processing of certain authorizations,  
use the all-digital Tax Pro Account at IRS.gov/  
TaxProAccount. Most requests record  
and/or receive your confidential information verbally or in  
writing for the type of tax and the years or periods you list  
on Form 8821. Form 8821 is also used to delete or revoke  
prior tax information authorizations. See the instructions  
for line 5, later.  
TIP  
immediately to the Centralized Authorization File (CAF).  
Section references are to the Internal Revenue Code  
unless otherwise noted.  
You may file your own tax information authorization  
without using Form 8821, but it must include all the  
information that is requested on Form 8821.  
General Instructions  
Future Developments  
Form 8821 doesn’t authorize your designee to speak  
on your behalf; to execute a request to allow disclosure of  
return or return information to another third party; to  
advocate your position regarding federal tax laws; to  
execute waivers, consents, closing agreements; or  
represent you in any other manner before the IRS. Use  
Form 2848, Power of Attorney and Declaration of  
Representative, to authorize an individual to represent  
you before the IRS. The designee may not substitute  
another party as your authorized designee.  
For the latest information about developments related to  
Form 8821 and its instructions, such as legislation  
enacted after they were published, go to IRS.gov/  
What’s New  
Taxpayer notification. Section 6103(c) limits disclosure  
and use of return information provided pursuant to your  
consent and holds the recipient subject to penalties,  
brought by private right of action, for any unauthorized  
access, other use, or redisclosure without your express  
permission or request.  
Designated recipient notification. Section 6103(c)  
limits disclosure and use of return information received  
pursuant to the taxpayer's consent and holds the recipient  
subject to penalties for any unauthorized access, other  
use, or redisclosure without the taxpayer's express  
permission or request.  
Authorizations listed on prior Forms 8821 are  
automatically revoked unless you attach copies of your  
prior Forms 8821 to your new submissions.  
A designee is never allowed to endorse or  
negotiate a taxpayer's refund check or receive a  
!
CAUTION  
taxpayer's refund via direct deposit.  
Need a copy of tax return information? Go to IRS.gov/  
Transcripts and click on either “Get Transcript Online” or  
“Get Transcript by Mail” to order a copy of your transcript.  
IRS transcripts of your tax return are often used instead of  
a copy of the actual tax return to validate income and tax  
filing status for mortgage applications, for student and  
Purpose of Form  
Form 8821 authorizes any individual, corporation, firm,  
organization, or partnership you designate to inspect  
Where To File Chart  
IF you live in...  
THEN use this address...  
Fax number*  
Alabama, Arkansas, Connecticut, Delaware, District of  
Columbia, Florida, Georgia, Illinois, Indiana, Kentucky,  
Louisiana, Maine, Maryland, Massachusetts, Michigan,  
Mississippi, New Hampshire, New Jersey, New York,  
North Carolina, Ohio, Pennsylvania, Rhode Island, South  
Carolina, Tennessee, Vermont, Virginia, or West Virginia  
Internal Revenue Service  
5333 Getwell Road, Stop 8423  
Memphis, TN 38118  
855-214-7519  
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Iowa,  
Kansas, Minnesota, Missouri, Montana, Nebraska,  
Nevada, New Mexico, North Dakota, Oklahoma, Oregon,  
South Dakota, Texas, Utah, Washington, Wisconsin, or  
Wyoming  
Internal Revenue Service  
1973 Rulon White Blvd., MS 6737  
Ogden, UT 84201  
855-214-7522  
855-772-3156  
All APO and FPO addresses, American Samoa,  
Commonwealth of the Northern Mariana Islands, Guam,  
U.S. Virgin Islands, Puerto Rico, a foreign country, or  
otherwise outside the United States.  
Internal Revenue Service  
International CAF Team  
2970 Market Street  
MS 4-H14.123  
Philadelphia, PA 19104  
304-707-9785  
(Outside the United  
States)  
* These numbers may change without notice. For updates, go to IRS.gov/Form8821 and search under “Recent Developments.”  
Sep 02, 2021  
Cat. No. 66794Z  
 
small business loan applications, and during tax  
preparation.  
security number (SSN), individual taxpayer identification  
number (ITIN), and/or employer identification number  
(EIN).  
You may also request transcript information by mail by  
completing Form 4506-T, Request for Transcript of Tax  
Return, or Form 4506T-EZ, Short Form Request for  
Individual Tax Return Transcript. Alternatively, you may  
call 800-908-9946 to order a transcript over the phone.  
Electronic Signatures  
Forms 8821 with an electronic signature image or  
digitized image of a handwritten signature may only be  
submitted to the IRS online at IRS.gov/Submit8821.  
If you want a photocopy of an original tax return, use  
Form 4506, Request for Copy of Tax Return. There is a  
fee for each return ordered, which must be paid with your  
request.  
Electronic signatures appear in many forms.  
Acceptable electronic signature methods include:  
A typed name that is typed into the signature block;  
A scanned or digitized image of a handwritten signature  
that is attached to an electronic record;  
When a properly executed Form 8821 is on file with the  
IRS, your designee can also get online tax information  
through IRS.gov/eServices.  
Form 56. Use Form 56, Notice Concerning Fiduciary  
Relationship, to notify the IRS of the existence of a  
fiduciary relationship. A fiduciary (trustee, executor,  
administrator, receiver, or guardian) stands in the position  
of a taxpayer and acts as the taxpayer, not as a  
A handwritten signature input onto an electronic  
signature pad;  
A handwritten signature, mark, or command input on a  
display screen with a stylus device; or  
A signature created using third-party software.  
Note. If the taxpayer electronically signs Form 8821 in a  
remote transaction, a third party submitting Form 8821 to  
the IRS on behalf of the taxpayer must attest that he or  
she has authenticated the taxpayer’s identity. A remote  
transaction for an electronic signature occurs when the  
taxpayer is electronically signing the form and the third  
party submitter isn’t physically present with the taxpayer.  
representative. A fiduciary may authorize an individual to  
represent or perform certain acts on behalf of the person  
or entity by filing a power of attorney that names the  
eligible individual(s) as representative(s) for the person or  
entity. Because the fiduciary stands in the position of the  
person or entity, the fiduciary must sign the power of  
attorney on behalf of the person or entity.  
To authenticate an individual taxpayer’s identity for  
remote transactions, the third party must:  
When To File  
1. Inspect a valid government-issued photo  
identification (ID) and compare the photo to the taxpayer  
via a self-taken picture of the taxpayer or video  
If you are submitting Form 8821 to authorize disclosure of  
your confidential tax information for a purpose other than  
addressing or resolving a tax matter with the IRS (for  
example, for income verification required by a lender), the  
IRS must receive the Form 8821 within 120 days of the  
taxpayer’s signature date on the form. This 120-day  
requirement doesn’t apply to a Form 8821 submitted to  
authorize disclosure for the purpose of assistance with a  
tax matter with the IRS.  
conferencing. Examples of a government-issued photo ID  
include a driver’s license, employer ID, school ID, state ID,  
military ID, national ID, voter ID, visa, or passport;  
2. Record the name, SSN or ITIN, address, and date  
of birth of the taxpayer; and  
3. Verify the taxpayer’s name, address, and SSN or  
ITIN through secondary documentation, such as a federal  
or state tax return, IRS notice or letter, social security  
card, or credit card or utility statement. For example, if a  
taxpayer changed their address in 2020, a 2019 tax return  
can be used to verify the taxpayer’s name and taxpayer  
identification number, and a recent utility statement to  
verify the taxpayer’s address.  
How To File  
If you check the box on line 4, mail or fax Form 8821 to the  
IRS office handling the specific matter.  
If you did not check the box on line 4, you can choose  
how to submit your Form 8821 from the options below.  
If you use an electronic signature (see Electronic  
To authenticate a business entity taxpayer’s identity for  
Signatures below), you must submit your Form  
remote transactions, the third party must:  
!
CAUTION  
8821 online.  
1. Confirm through documentation that the individual  
who is signing the form has authority to sign on behalf of  
the taxpayer. See Line 6. Signature of Taxpayer, later, to  
determine who has this authority.  
2. Inspect a valid government-issued photo ID of the  
individual authorized to sign on behalf of the taxpayer (for  
example, corporate officer, partner, guardian, tax matters  
partner, executor, receiver, administrator, trustee) and  
compare the photo to the authorized individual via a  
self-taken picture of the authorized individual or video  
conferencing. Examples of a government-issued photo ID  
include a driver’s license, employer ID, school ID, state ID,  
military ID, national ID, voter ID, visa, or passport.  
Online. Submit your Form 8821 securely at IRS.gov/  
Note. You will need to have a Secure Access account to  
submit your Form 8821 online. For more information on  
Secure Access, go to IRS.gov/SecureAccess.  
Fax. Fax your Form 8821 to the IRS fax number in the  
Mail. Mail your Form 8821 directly to the IRS address in  
Taxpayer Identification Number (TIN)  
A TIN is used to confirm the identity of a taxpayer and  
identify the taxpayer's return and return information. It is  
important that you furnish your correct name, social  
3. Record the name, EIN, and address of the business  
entity taxpayer.  
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Instructions for Form 8821 (Rev. 09-2021)  
   
4. Verify the business entity taxpayer’s name, EIN,  
and address through secondary documentation, such as a  
tax information reporting form (for example, W-2, 1099,  
etc.), IRS notice or letter, or utility statement.  
Line 2. Designee  
Enter your designee’s full name and mailing address. Use  
the identical full name on all submissions and  
correspondence. Enter the nine-digit CAF number for  
each designee. If a designee(s) has a CAF number for  
any previously filed Form 8821 or power of attorney (Form  
2848), use that number. If a CAF number has not been  
assigned, enter “NONE,” and the IRS will issue one  
directly to your designee. The IRS doesn't assign CAF  
numbers for employee plan status determination or  
exempt organization application requests.  
If you want to name more than two designees, check  
the box on line 2 and attach a list of designees to Form  
8821. Provide the address and requested numbers for  
each designee named.  
If Form 8821 is electronically signed in a remote  
transaction, the third party must authenticate the signing  
individual’s identity and, in the case of an entity taxpayer,  
must authenticate the relationship between the taxpayer  
and the individual signing on behalf of the taxpayer,  
unless the third party has personal knowledge allowing  
the third party to authenticate this information (for  
example, through a previous business relationship; a  
personal relationship, such as an immediate family  
member; or a similar relationship, such as between an  
employer and an employee).  
If you want to authorize your designee to receive  
copies of all notices and communications sent to you by  
the IRS, you must check the box provided under the  
designee’s name and address. You may not designate  
more than two designees on Form 8821 to receive copies  
of notices and communications sent to you by the IRS for  
the same matter(s). Do not check the box if you do not  
want copies of notices and communications sent to your  
designee(s).  
Designee Address Change  
If your designee's address changes, a new Form 8821  
isn’t required. The designee can provide the IRS with the  
new information by sending written notification of the new  
address to the location where the Form 8821 was filed.  
Your designee(s) must sign and date the written notice of  
address change.  
Specific Instructions  
Line 1. Taxpayer Information  
Note. Designee(s) will not receive forms, publications,  
and other related materials with the correspondence.  
Address information provided on Form 8821 will not  
change your last known address with the IRS. To change  
your last known address, use Form 8822 for your home  
address and Form 8822-B to change your business  
address.  
Individual. Enter your name, TIN, and your street  
address in the space provided. Don’t enter your  
designee's name or address information in the Taxpayer  
information box. If a return is a joint return, the designee(s)  
identified will only be authorized for you. Your spouse, or  
former spouse, must submit a separate Form 8821 to  
designate a designee(s).  
Check the appropriate box to indicate if the designee's  
address, telephone number, or fax number is new since  
the IRS issued the CAF number.  
Line 3. Tax Information  
Columns (a)–(c). Enter the type of tax information, the  
tax form number, the years or periods, and the specific  
matter. For example, you may list “Income, 1040” for  
calendar year “2018” and “Excise, 720” for “2018” (this  
covers all quarters in 2018).  
For multiple years or a series of inclusive periods,  
including quarterly periods, you may enter, for example,  
“2017 thru 2019” or “2nd 2017–3rd 2018.” For fiscal years,  
enter the ending year and month, using the “YYYYMM”  
format.  
Corporation, partnership, or association. Enter the  
name, EIN, and business address.  
Employee plan or exempt organization. Enter the  
name, address, and EIN or SSN of the plan sponsor/plan  
name, exempt organization, or bond issuer. Enter the  
three-digit plan number when applicable. If you are the  
plan's trustee and you are authorizing the IRS to disclose  
the tax information of the plan's trust, see the instructions  
relating to the trust.  
Don’t use a general reference such as “All years,” “All  
periods,” or “All taxes.” Any tax information authorization  
with a general reference will be returned.  
You may list the current year/period and any tax years  
or periods that have already ended as of the date you sign  
the tax information authorization. You may also list future  
tax years or periods. However, the IRS will not record  
on the CAF system future tax years or periods listed  
that exceed 3 years from December 31 of the year  
that the IRS receives the tax information  
Trust. Enter the name, title, and address of the trustee,  
and the name and EIN of the trust.  
Estate. Enter the name and address of the estate. If the  
estate doesn't have a separate taxpayer identification  
number, enter the decedent's SSN or ITIN.  
Tax-advantaged bonds. Enter the bond issuer's name  
and address. For others (for example, a conduit  
borrower), follow the form instructions. For additional  
instructions specific to third-party authorization forms  
regarding tax-advantaged bonds, go to IRS.gov/  
authorization.  
You must enter the description of the matter, the tax  
form number, and the future year(s) or period(s). If the  
matter relates to estate tax, enter the decedent's date of  
death instead of the year or period. If the matter relates to  
an employee plan, include the plan number in the  
description of the matter.  
If you designate someone only with respect to a penalty  
and interest due on that penalty, enter “civil penalty” in  
Instructions for Form 8821 (Rev. 09-2021)  
-3-  
column (a), and if applicable, enter the tax year(s) for the  
penalty in column (c). Enter “N/A” (not applicable) in  
column (b). You don’t have to enter the specific penalty in  
column (d).  
If the taxpayer is subject to penalties related to an  
individual retirement account (IRA), enter “IRA civil  
penalty” in column (a) and leave blank columns (b) and  
(d).  
from the IRS or use an Intermediate Service Provider to  
indirectly obtain your tax information from the IRS.  
Line 4. Specific Use Not Recorded on CAF  
Generally, the IRS records tax information authorizations  
on the CAF system. However, authorizations relating to  
certain issues or matters aren’t recorded. Check the box  
on line 4 if Form 8821 is being submitted for a specific use  
that the IRS will not record on the CAF. Examples of  
specific uses not recorded include but are not limited to  
the following.  
Note. If Form W-2 is listed on line 3, then the designee(s)  
is entitled to inspect or receive taxpayer notices regarding  
any civil penalties and payments related to that Form W-2.  
A Form 8821 that lists a specific tax return will also entitle  
the designee to inspect or receive taxpayer notices  
regarding any return-related civil penalties and payments.  
For example, if Form 1040 is listed, the designee(s) is  
entitled to inspect or receive taxpayer notices regarding  
the failure-to-pay penalty. (The designee, however, will  
only automatically be sent copies of new notices if the box  
is checked on line 2.) Specific reference to those penalties  
and payments isn’t required. However, any civil penalty or  
healthcare-related payment that isn’t return-related, such  
as the section 4980H employer shared responsibility  
payment, the annual fee for branded prescription drug  
sales under section 9008 of the Affordable Care Act  
(ACA), or the health insurance provider fee under section  
9010 of the ACA, isn’t covered by the Form 8821 unless  
column (a) references “civil penalties” or the name of a  
specific penalty or payment.  
1. Requests to disclose information to loan companies  
or educational institutions.  
2. Requests to disclose information to federal or state  
agency investigators for background checks.  
3. Requests for information regarding the following  
forms:  
a. Form SS-4, Application for Employer Identification  
Number;  
b. Form W-2 Series;  
c. Form W-4, Employee’s Withholding Certificate;  
d. Form W-7, Application for IRS Individual Taxpayer  
Identification Number;  
e. Form 843, Claim for Refund and Request for  
Abatement;  
f. Form 966, Corporate Dissolution or Liquidation;  
g. Form 1096, Annual Summary and Transmittal of  
Column (d). Enter any specific information you want the  
IRS to provide. Examples of column (d) information  
include lien information, balance due amount, a specific  
tax schedule, section 4980H employer shared  
U.S. Information Returns;  
h. Form 1098, Mortgage Interest Statement;  
i. Form 1099 Series;  
responsibility payment information, or a tax liability.  
j. Form 1128, Application To Adopt, Change, or  
Retain a Tax Year;  
Enter “not applicable” in column (d) if you are not  
limiting your designee's authority to inspect and/or receive  
all confidential tax information described in columns (a),  
(b), and (c).  
For requests regarding Form 8802, Application for  
United States Residency Certification, enter “Form 8802”  
in column (d) and check the specific use box on line 4.  
Also enter the designee's information the same as  
instructed on Form 8802.  
k. Form 2553, Election by a Small Business  
Corporation; or  
l. Form 4361, Application for Exemption From  
Self-Employment Tax for Use by Ministers, Members of  
Religious Orders, and Christian Science Practitioners.  
If you check the box on line 4, your designee should  
mail or fax Form 8821 to the IRS office handling the  
matter. Otherwise, your designee should bring a copy of  
Form 8821 to each appointment to inspect or receive  
information. A specific-use tax information authorization  
will not revoke any prior tax information authorizations.  
Authority to access electronic IRS records via Inter-  
mediate Service Providers. Your designee is not  
authorized to use an Intermediate Service Provider to  
retrieve your confidential tax information indirectly from  
the IRS unless you check the box on line 3. If you don't  
authorize the use of an Intermediate Service Provider,  
your designee can obtain your tax information directly  
from the IRS by using the IRS e-Services Transcript  
Delivery System. Intermediate Service Providers are  
privately owned companies that offer subscriptions to their  
software and/or services that your authorized designee  
can use to retrieve, store, and display your tax return data  
(personal or business) instead of obtaining your tax  
information directly from the IRS through the IRS  
Line 5. Retention/Revocation of Prior Tax  
Information Authorizations  
If the line 4 box is checked, skip line 5. If line 4 isn’t  
checked, the IRS will automatically revoke all prior tax  
information authorizations on file unless you instruct  
otherwise. If you don’t want a prior tax information  
authorization submission to be revoked, you must attach a  
copy of the tax information authorization you want to retain  
and check the line 5 box.  
Revocation request. If you want to revoke a prior tax  
information authorization without submitting a new  
authorization, write “REVOKE” across the top of the  
authorization you want to revoke. Provide a current  
taxpayer signature and date under the original signature.  
e-Services Transcript Delivery System. Intermediate  
Service Providers are independent of, and not affiliated in  
any way with, the IRS. The IRS has no involvement in your  
designee's choice to obtain your tax information directly  
-4-  
Instructions for Form 8821 (Rev. 09-2021)  
 
If you don’t have a copy of the tax information  
authorization you want to revoke, and it isn’t a specific-use  
authorization, send a notification to the IRS using the  
corresponding address in the Where To File Chart. In the  
notification:  
trustee, the trust must submit a Form 56 to identify the  
current trustee.  
Estate. An executor having the authority to bind the  
estate must sign. A Form 56 should be filed to identify the  
executor. If there is more than one executor, only one  
co-executor having the authority to bind the estate is  
required to sign. See 26 CFR 601.503(d).  
All others. See section 6103(e) if the taxpayer has died,  
is insolvent, is a dissolved corporation, or if a trustee,  
guardian, executor, receiver, or administrator is acting for  
the taxpayer. The IRS generally requires documentation  
of your status and your authority to act in these situations.  
1. State that the authority of the designee is revoked,  
2. List the name and address of each designee whose  
authority is being revoked,  
3. List the tax matters and tax periods, and  
4. Sign and date the notification.  
If you are completely revoking a designee’s authority,  
state “revoke all years/periods” instead of listing the  
specific tax matters, years, or periods.  
To revoke a specific-use tax information authorization,  
send the tax information authorization or notification of  
revocation to the IRS office handling your case, using the  
instructions above.  
Privacy Act and Paperwork Reduction Act  
Notice  
We ask for the information on this form to carry out the  
Internal Revenue laws of the United States. Form 8821  
authorizes the IRS to disclose your confidential tax  
information to the person you designate. This form is  
provided for your convenience and its use is voluntary.  
The information is used by the IRS to determine what  
confidential tax information your designee can inspect  
and/or receive. Section 6103(c) and its regulations require  
you to provide this information if you want to designate  
one or more designees to inspect and/or receive your  
confidential tax information. Under section 6109, you must  
disclose your identification number. If you don’t provide all  
the information requested on this form, we may not be  
able to honor the authorization. Providing false or  
Line 6. Signature of Taxpayer  
You must handwrite your signature on Form 8821  
if you file it by mail or by fax. Digital, electronic, or  
!
CAUTION  
typed-font signatures are not valid signatures for  
Forms 8821 filed by mail or by fax. If you use an electronic  
signature (see Electronic Signatures, earlier), you must  
submit your Form 8821 online (see How To File).  
Individual. You must sign and date the authorization. If a  
joint return has been filed, your spouse must execute his  
or her own authorization on a separate Form 8821 to  
designate a designee.  
fraudulent information may subject you to penalties.  
We may disclose this information to the Department of  
Justice for civil or criminal litigation, and to cities, states,  
the District of Columbia, and U.S. commonwealths and  
possessions for use in administering their tax laws. We  
may also disclose this information to other countries under  
a tax treaty, to federal and state agencies to enforce  
federal nontax criminal laws, or to federal law  
enforcement and intelligence agencies to combat  
terrorism.  
Corporation. Generally, Form 8821 can be signed by:  
1. An officer having authority under applicable state  
law to bind the corporation,  
2. Any person designated by the board of directors or  
other governing body,  
3. Any officer or employee on written request by any  
principal officer and attested to by the secretary or other  
officer, and  
4. Any other person authorized to access information  
under section 6103(e)(1)(D), except for a person  
described in section 6103(e)(1)(D)(iii) (bona fide  
shareholders of record owning 1% or more of the  
outstanding stock of the corporation).  
You aren’t required to provide the information  
requested on a form that is subject to the Paperwork  
Reduction Act unless the form displays a valid OMB  
control number. Books or records relating to a form or its  
instructions must be retained as long as their contents  
may become material in the administration of any Internal  
Revenue law.  
Partnership. Generally, Form 8821 can be signed by any  
person who was a member of the partnership during any  
part of the tax period covered by Form 8821. If the Form  
8821 covers more than one tax year or tax period, the  
person must have been a member of the partnership for  
all or part of each tax year or period covered by Form  
8821.  
The time needed to complete and submit a Tax  
Information Authorization will vary depending on individual  
circumstances. The estimated average time is:  
Recordkeeping, 6 min.; Learning about the law or  
authorization, 12 min.; Preparing and sending the  
form to the IRS, 44 min.  
Employee plan. If the plan is listed as the taxpayer on  
line 1, a duly authorized individual having authority to bind  
the taxpayer must sign and that individual’s exact title  
must be entered.  
Trust. A trustee having the authority to bind the trust  
must sign with the title of trustee entered. If the trust hasn’t  
previously submitted a completed Form 56, Notice  
Concerning Fiduciary Relationship, identifying the current  
If you have comments concerning the accuracy of  
these time estimates or suggestions for making Form  
8821 simpler, we would be happy to hear from you. You  
can send your comments from IRS.gov/FormComments.  
Or you can send your comments to the Internal Revenue  
Service, Tax Forms and Publications, 1111 Constitution  
Ave. NW, IR-6526, Washington, DC 20224. Don’t send  
Form 8821 to this office. Instead, see How To File, earlier.  
Instructions for Form 8821 (Rev. 09-2021)  
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