Form 14764 2025

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This form is to be completed by your provider after dependent care expenses have been incurred and should be used in place of dependent care documentation. Attach this form to an online or debit card claim via your online account or to a Claim Form.
Complete the response form (Form 14764, ESRP Response PDF) indicating your agreement or disagreement with the letter. If you disagree with the proposed ESRP liability, you must provide a full explanation of your disagreement and/or indicate changes needed on Form 14765 PDF (PTC Listing).
Use this form to document key loan information such as the loan number, the interest rate, the lender, and the borrower.
In short, the primary purpose of Form 14764 is to provide employers with an easy way to communicate their agreement or disagreement with the proposed penalty outlined in the IRS letter.
Use this form to authorize a reporting agent to: Sign and file certain returns; Make deposits and payments for certain returns; Receive duplicate copies of tax information, notices, and other written and/or electronic communication regarding any authority granted; and.
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How Do I Request an IRS Letter 147c? To request a 147c letter from the IRS, contact the IRS Business and Specialty Tax line at 1-800-829-4933. They are open Monday through Friday from 7:00 AM to 7:00 PM, taxpayer local time (Alaska and Hawaii follow Pacific Time).

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