2. Wizard

Form 12661

(Rev. 10-2015)

Dispute Issue Verification

Catalog Number 29360J

Instructions

Important Things You Should Know

 
  • Only complete this form if you have a closed audit and have additional information to consider. Refer to Publication 3598 for more information on the Audit Reconsideration process.
  • Please complete a separate block for each issue or adjustment with which you disagree. Attach photocopies of supporting information for each issue or adjustment marked. Number the supporting information with the same number as its disputed issue. If you need additional blocks, photocopy additional sheets and number accordingly. 

All fields marked with an asterisk (*) are required.

Found on the 3338C letter, which IRS office completed your audit?

 

Enter the tax year. Please enter in YYYY format. Use commas to separate multiple years.

Please enter numbers only and SSN will automatically format

Complete a separate block for each issue or adjustment with which you disagree.

Attach photocopies of supporting information for each issue or adjustment marked. Number the supporting information with the same number as its disputed issue. If you need additional blocks, photocopy additional sheets and number accordingly.

All fields marked with an asterisk (*) are required.

Dispute

Enter the disputed amount. Do not enter a dollar sign or commas. ex. 1500.50.

Enter the report amount. Do not enter a dollar sign or commas. ex. 1500.50.

    All fields marked with an asterisk (*) are required.

    Review

    Your Form Has Been Submitted

    Download a PDF for your records