Form 8554 - Application For Renewal Of Enrollment To Practice Before The Internal Revenue Service - 1998 Page 2

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D. OTHER DATA:
1. Have you been convicted or fined for any violation of law, police regulation, or ordinance (excluding minor traffic
violations for which a fine or forfeiture of $100 or less was imposed) since the issuance or latest renewal of your
enrollment? (If “yes,” attach statement specifying the date, name and location of the court, nature of the offense or
violation and penalty imposed or other disposition of case.)
YES
NO
____________
_____________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
2. Have you timely filed all required U.S. tax returns which became due since the issuance or latest renewal of your
enrollment? (If “no,” attach statement specifying the type of return, the taxable period covered and any penalty
imposed.)
YES
NO
_____________
_____________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
3. Have you been disciplined for alleged misconduct by any professional body or licensing authority since the issuance
or latest renewal of your enrollment? (If “yes,” please attach statement specifying the date, name and location of
disciplinary authority, nature of misconduct and discipline imposed.)
YES
NO
_____________
_____________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________
E. DECLARATION:
I hereby certify, under penalty of perjury, that the information provided on this form is true and correct to the best of my
knowledge.
Signature: ________________________________________________________________ Date:
______________________________
Paperwork Reduction Act Notice:
We are requesting the information on this form to determine your qualifications for renewal of enrollment to practice before
the Internal Revenue Service pursuant to 31 CFR Part 10. The information is required for those who desire to practice as
an enrolled agent.
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless
the form displays a valid OMB control number. Books or records relating to a form or its instructions must be retained as
long as their contents may become material in the administration of any Internal Revenue law. Generally, tax returns and
return information are confidential, as required by Code section 6103.
The time needed to complete and file this form will vary depending on individual cirucmstances. The estimated average time
is: 1 hour and 12 minutes.
If you have comments concerning the accuracy of this time estimate or suggestions for making this form simpler, we would
be happy to hear from you. You can write to the Tax Forms Committee, Western Area Distribution Center, Rancho Cordova,
CA 95743-0001. DO NOT SEND THE FORM TO THIS ADDRESS. Instead, mail it to the address in the instructions.
PRIVACY RIGHT NOTICE:
Our legal right for asking for your Social Security Number (SSN) is 31 USC 330. We use the SSN as a basis for checking our
files for any possible duplication. When the SSN is entered, the system checks all the files for the SSN. If it is found, the
system tells the user the record already exists. Otherwise, the record is entered. This makes for quicker processing of your
application for renewal to practice before the Service. Giving us your SSN or any other information is voluntary. However,
not having this information will slow processing and make it impossible to renew your enrollment.
FOR OFFICIAL USE ONLY
Approved:
Disapproved:
____________________________________________________
____________________________________________________
Date
Date
Form 8554 (Rev. 6-98)
Department of the Treasury — Internal Revenue Service
Cat. No. 21842Q

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