Note:

If the original was date-stamped, the date that the document was signed should be inserted directly below the letterhead on the first page of the redacted document.

X

Has the author identified and redacted all non-disclosable items? (If any items other than taxpayer identifying information is redacted, please explain in the box below. See attached list and don’t forget to redact tax years and dollars and amounts)

X

Have sufficient copies of the unredacted and redacted written determination been printed?

One copy each for the taxpayer, plus one additional copy each for each representative of the taxpayer (up to two representatives) designated to receive the document.

One copy each for the office’s administrative records.

X

Were copies of this checklist and the final, issued unredacted and redacted written determinations sent by attachment in encrypted email to the Chief Counsel Disclosure Unit? Primary email address: *CC 6110 Disclosure.

AUTHOR:

Name of IRC 6110 Redaction Coordinator

Date:

REVIEWER:

Name of IRC 6110 Redaction Coordinator or other delegated employee in Mandatory Review

Date:

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