9383 Fax Order Blank for BPOL Reorders

9383

Form
Department of the Treasury
Internal Revenue Service

Fax Order Blank for TFOP Reorders

OMB No. 1545-1222

Name

Account Number

Date

Street

Contact Name

Number of Pages

City

Phone Number

Fax Number

State, Zip

Email

Fax to: (309) 662-2432
Tax Product

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Tax Product

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Tax Product

Form 1040

Instr. 1040 A Sch 2

Form 2441

Instr. 1040

Form 1040 A Sch 3

Instr. 2441

Form 1040 Sch A/B

Instr. 1040 A Sch 3

Form 3903

Form 1040 Sch C

Form 1040 EZ

Form 4562

Form 1040 Sch C-EZ

Instr. 1040 EZ

Instr. 4562

Form 1040 Sch D

Form 1040 ES

Form 4868

Form 1040 Sch E

Form 1040 NR

Form 8283

Form 1040 Sch EIC

Instr. 1040 NR

Instr. 8283

Form 1040 Sch F

Form 1040 NR-EZ

Form 8606

Form 1040 Sch R

Instr. 1040 NR-EZ

Instr. 8606

Instr. 1040 Sch R

Form 1040 X

Instr. 8812

Form 1040 Sch SE

Instr. 1040 X

Form 8822

Form 1040 A

Form 2106

Form 8829

Instr. 1040 A

Instr. 2106

Instr. 8829

Form 1040 A Sch 1

Form 2210

Form 8863

Form 1040 A Sch 2

Instr. 2210

Qty

If you need a Form or Instruction booklet that is not on this form please clearly print it below.

Tax Product

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Tax Product

Qty

Tax Product

Qty

Privacy Act and Paperwork Reduction Act Notice
The Privacy Act and the Paperwork Reduction Act require that when we ask you for the information, we must first tell you our legal right to ask you for information, why we are
asking for it, and how it will be used. We must tell what could happen if we do not receive it and whether your response is voluntary, require to obtain a benefit, or mandatory
under the law.
As a participant of the Bank, Post Office, and Library (BPOL) Program, your response is voluntary to obtain the tax items and tax information offered in the distribution
program. If you do not submit the requested information, your account may not remain in the BPOL Program.
You are not required to provide 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.
Generally, tax returns and return information are confidential, as required by Code section 6103.
The time needed to complete Form 9383 will vary depending on individual circumstances. The estimated average time is six minutes.
If you have comments concerning the accuracy of these time estimates or suggestions for making this form simpler, we would be happy to hear from you. You can write to the
Tax Forms Committee, Western Area Distribution Center, Rancho Cordova, CA 95743-0001. DO NOT mail your order blank (Form 9383) to this address.
www.irs.gov

Cat. No. 13683H

Form 9383 (Rev. 01-2006)