CS-20-517 TAS Customer Survey

Voluntary Customer Surveys to Implement E.O. 12862 Coordinated by the Corporate Planning and Performance Division on Behalf of All IRS Operations Functions

CS-20-517 TAS Customer Survey Attachment

CS-20-517 TAS Customer Survey

OMB: 1545-1432

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1545-1432 can be found here:

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Exhibit A

December 31, 9999

000001
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123456789012346201601
Sample A Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

Dear Sample A Sample:

Exhibit B

December 31, 9999

000002
"L(En:D+
qqQ11QQ

123456789012346201601
Sample B Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

Attn: Business Name

Exhibit C

December 31, 9999

000003
"K'L3T
d+
qQqQQ11Q

123456789012346201601
Sample C Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT
Re: Power of Attorney Name
Dear Sample C Sample:

000001

Exhibit D

December 31, 9999

000001
"Ip'P
c+
qQqQQQ1QQ

123456789012346201601
Sample A Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

Dear Sample A Sample:

000002

Exhibit E

December 31, 9999

000002
"L(En:D+
qqQ11QQ

123456789012346201601
Sample B Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

Attn: Business Name

000003

Exhibit F

December 31, 9999

000003
"K'L3T
d+
qQqQQ11Q

123456789012346201601
Sample C Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT
Re: Power of Attorney Name
Dear Sample C Sample:

Exhibit G

000001
"Ip'P
c+
qQqQQQ1QQ

123456789012346201601
Sample A Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

000001
"Ip'P
c+
qQqQQQ1QQ

123456789012346201601
Sample C Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

000001
"Ip'P
c+
qQqQQQ1QQ

123456789012346201601
Sample B Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

000001
"Ip'P
c+
qQqQQQ1QQ

123456789012346201601
Sample D Sample
PO Box 1234
North Conway, ST 03860-2665

TTAAFATTFAAFTAATFDTFDTTADFDFATTDTFDFDDTDTTFAFFDDDTFDTADAFADTDDFFT

000001
,,

10000001201601

Exhibit H

1

0

0

0

0

0

0

1

File Type	application/pdf
File Modified	2020-10-30
File Created	2020-09-16