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Form H1003, Appointment of an Authorized Representative | Texas Health and Human Services.
An authorized representative is an individual authorized under State or other applicable law to act on behalf of a beneficiary or other party involved in the appeal. Authorized representatives have all of the rights and responsibilities of a beneficiary or party, as applicable, throughout the appeals process.
How do I complete abatement form 843? Line 1 is the tax year the abatement is for. Line 2 is the total fees/penalties you are asking the IRS to remove. Line 3 is generally going to be Income (tax). Line 4 is the Internal Revenue Code section. Line 5a is the reason you are requesting the abatement.
Use Form 843 to claim a refund or request an abatement of certain taxes, interest, penalties, fees, and additions to tax.
IRS Penalty Abatement Request Letter State the type of penalty you want removed. Include an explanation of the events and specific facts and circumstances of your situation, and explain how these events were outside of your control. Attach documents that will prove your case.
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Request an abatement of interest on a tax by writing Request for Abatement of Interest Under Section 6404(e) at the top of Form 843. Complete lines 1 through 3. Check the first box on line 5a. On line 5b, show the dates of any payment of interest or tax liability for the tax period involved.
Fires, natural disasters or civil disturbances. Inability to get records. Death, serious illness or unavoidable absence of the taxpayer or immediate family. System issues that delayed a timely electronic filing or payment.
(13) Legally authorized representative (LAR)--A person authorized by law to act on behalf of an individual, resident, or client with regard to a matter described by this chapter, and who may be the parent of a minor child or the legal guardian of or surrogate decision maker for the individual, resident, or client.

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