US Attorneys > USAM > Title 9 > Criminal Resource Manual 520
prev | next | Criminal Resource Manual

520

Application for Ex Parte Order to Disclose Returns and Return Information

IN THE UNITED STATES DISTRICT COURT FOR THE

_______ DISTRICT OF ________

___________ Division

UNITED STATES OF AMERICA

v. MISCELLANEOUS NO.

APPLICATION FOR EX PARTE ORDER TO

DISCLOSE RETURNS AND RETURN INFORMATION

Comes now the United States of America, through its attorneys ______________, United States Attorney for the _______ District of ___________, and __________________________, Assistant United States Attorney, pursuant to 26 U.S.C. 6103(i)(5), and makes application to the Court for an ex parte order directing the Internal Revenue Service (IRS) to disclose to applicant (and others hereinafter named) returns and return information of:

NAME:

ADDRESS:

SOCIAL SECURITY NUMBER:

which returns and return information are described as those returns and return information for the taxable period(s) ______

_____.

In support of its application applicant alleges and states the following:

    1. A federal arrest warrant relating to the commission of the Federal felony offense(s) of (LIST OF OFFENSE(S)) __________

      _________________________________________________________________

      _________________________________________________________________

      has been issued for the individual named above who is a fugitive from justice.

    2. There is reasonable cause to believe that such return or return information may be relevant in determining the location of such individual. (STATE FACTS SUFFICIENT TO ALLOW THE COURT TO SO FIND.)

    3. The returns of such individual or return information with respect to such individual is sought exclusively for use in locating such individual. No disclosure will be made except in accordance with the provisions of 26 U.S.C. § 6103.

Applicant further alleges and states that:

NAME:

TITLE:

AGENCY:

is involved in locating the fugitive.

This application is authorized by __________________, United States Attorney. Therefore, applicant prays that this Court enter an order, ex parte, on this application granting disclosure by the Internal Revenue Service of the returns and return information specified in this application.

Respectfully submitted,

(Name of United States Attorney)
UNITED STATES ATTORNEY

By: ________________________________
Assistant United States Attorney

[cited in Criminal Resource Manual 510]