IRS INTAKE FORM (Federal) INSTRUCTIONS: form” to be typed; completely filled out; sent by e-mail (with all the documents listed) to: “This Fill in the Date ↓ Date Intake Form Sent: Date Notarized Affidavit Sent: Donation: yes / no Serve Date: Default Date: PETITIONERS: RESPONDENTS: Judge Administrator Arresting Officer US Marshal Jail Prosecuting Attorney 1. 2. 3. 4. 5. or Fill In This Column Only ↓ ↓ PETITIONER1: name: PETITIONER2: name: NEXT FRIEND (Contact Person): name: (Only if confined in prison/ jail or in danger of confinement) street address: city: state: zip: e-mail: fax: Skype COUNTY : county: IRS ADMINISTRATION: name: (origin) street address: [only one applies] city: OR state: zip: FEDERAL COURT, statutory: phone: (origin) e-mail: [only one applies] fax: IRS ADMINISTRATOR: name (include title): (origin) street address: [only one applies] city: OR state: zip: JUDGE: phone: (origin) e-mail: [only one applies] fax: CASE NO. (origin): number: CLERK COURT: name (include of [obtained when filing papers] (origin) phone: e-mail: fax: de jure: FEDERAL COURT, name: (HC) street address:
IRS (Federal) INTAKE FORM INSTRUCTIONS: “This form” to be typed; completely filled out; sent by e-mail (with all the documents listed) to: Fill in the Date ↓ Date Intake Form Sent: Date Notarized Affidavit Sent: Donation: yes / no Serve Date: Default Date: PETITIONERS: RESPONDENTS: 1. Judge or Administrator 2. Arresting Officer 3. US Marshal 4. Jail 5. Prosecuting Attorney Fill In This Column Only ↓ ↓ PETITIONER1: name: PETITIONER2: name: NEXT FRIEND (Contact Person): name: (Only if confined in prison/ jail or in danger of confinement) street address: city: state: zip: e-mail: fax: Skype COUNTY : county: IRS ADMINISTRATION: name: [only one applies] (origin) street address: OR city: state: zip: FEDERAL COURT, statutory: phone: [only one applies] (origin) e-mail: fax: IRS ADMINISTRATOR: name (include title): [only one applies] (origin) street address: OR city: state: zip: JUDGE: phone: [only one applies] (origin) e-mail: fax: CASE NO. (origin): number: CLERK of COURT: [obtained when filing papers] name (include (origin) phone: e-mail: fax: FEDERAL COURT, de jure: name: (HC) street address:
irs_intake_form_federal_15_10_24_16.25.docx