0815 Form 14711-A (PDF)

Official source: IRS Forms, Instructions & Publications (https://www.irs.gov/pub/irs-pdf/f14711a.pdf), retrieved 2026-10-03. U.S. Government work (17 U.S.C. § 105).

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Page of

(August 2015)

Department of the Treasury - Internal Revenue Service

Key Case Information

Name of issuer of bonds

Address of issuer of bonds

Name of bond issue

Issuer EIN Form number MFT Period

Report number Examiner assigned

Date closed Type of bond IPD frequency

Potential Related Form 8038-CP Returns Expected to be Filed During Next Three Years

Amount of Period

Credit

Amount of Period

Credit

Amount of Period

Credit

Amount of Period

Credit

Form 8038-CP returns filed by the issuer related to direct pay bond examination cases under Appeals jurisdiction will generally be processed for payment at the Ogden Campus. TEB will open examinations of these returns as received and offer an expedited Appeal if the same issues are present as in the key case under Appeals jurisdiction. Cases in which the Issuer elects an expedited Appeal will be forwarded to Appeals for association with the key case. (See IRM 4.82.6.7.2(2))

Catalog Number 67958T www.irs.gov Form 14711-A (8-2015)