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Form 8112 - Statement Of Rights And Obligations - Treasury Inspector General For Tax - U.s. Department Of The Treasury

STATEMENT OF RIGHTS AND OBLIGATIONS

Before we ask you any questions, it is my duty to inform you of the following:

You are here to be asked questions pertaining to your employment with the Internal

Revenue Service and the duties that you perform for the IRS. You have the option to

remain silent, although you may be subject to removal from your employment by the Service

if you fail to answer material and relevant questions relating to the performance of your

duties as an employee. You are further advised that the answers you may give to the

questions propounded to you at this interview, or any information or evidence which may be

gained by reason of your answers, may not be used against you in any criminal proceeding

except that you may be subject to a criminal prosecution for any false answer that you may

give.

Receipt by Employee

I have been given the above statement of rights and obligations at the beginning of the

interview held on ____________________________.

________________________________________________________

Signature of Employee

Date

TIGTA Form 8112 (Rev. 4-99)

United States Department of the Treasury

Treasury Inspector General for Tax

Administration

Form 8112 - Statement Of Rights And Obligations - Treasury Inspector General For Tax - U.s. Department Of The Treasury