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CRM 500-999

517. Authorization for Application for Ex Parte Order for Disclosure of Tax Returns and Return Information

AUTHORIZATION FOR APPLICATION

FOR EX PARTE ORDER FOR DISCLOSURE

OF TAX RETURNS AND RETURN INFORMATION

I, ________________, United States Attorney for the ____________ District of _______________, pursuant to 26 U.S.C. 6103(i)(1), hereby authorize the attached Application for Ex Parte Order for Disclosure of Tax Returns and Return Information of (name of subject(s)) for the taxable periods of _______ through _______ made by , Assistant United States Attorney, for the ______________ Division of the _________ District of _____________.

__________________________ ___________________________

Date

UNITED STATES ATTORNEY