Form 13815
(November 2006)
Catalog Number 48813X
Government Entity Assessment
Department of the Treasury — Internal Revenue Service
www.irs.gov
This form is used to determine those taxpayers that are identified as government entities.
Name of Entity:
The entity’s TIN (Taxpayer Identification Number) is
and it was issued in the name of
The entity is not a government entity because:
The entity’s correct name is:
(If you want the entity’s name changed, please send a letter signed by an authorized individual or power of attorney
stating the correct name with attached verification.)
The entity’s correct address is:
(If you want the entity’s address changed,
please fill out Form 8822 or send a letter
signed by an authorized individual or
power of attorney requesting change)
The entity’s name and TIN (Taxpayer Identification Number) are correct, and it has several TIN’s
for various parts of its governmental operations. The TIN’s and names of these entities are listed
below:
(If more than five, please list on the back of this sheet.)
1)
-
2)
-
3)
-
4)
-
5)
-
The entity does not have a TIN. It is a subordinate entity of
(insert name of organization):
All financial transactions are filed under the entity’s TIN:
-
The entity does not have a TIN and does have financial transactions. Please provide us with
information on obtaining a TIN.
Name of Contact Person
Telephone Number
Form
13815 (11-2006)