1. The name and address of the person applying, under section 6325(e) of the Internal Revenue Code, for a certificate of nonattachment. 2. A description of the property for which you are requesting the certificate of nonattachment; if real property is involved, use the description in the title or deed of the property and give the complete address (street, city, state, and ZIP code). 3. A copy of each Notice of Federal Tax Lien or the following information as it appears on each filed notice: a. The name of the Internal Revenue Office; b. The name and address of the taxpayer against whom the notice was filed; c. The date and place the notice was filed; and d. The serial number shown on the notice of lien. Since there is no standard form available for an application for a Certificate of Nonattachment of Federal Tax Lien, a computer-generated request will be considered as an application (please, no handwritten requests). Submit your request and accompanying attachments to: IRS, Attn: Advisory Group Manager (Address to the IRS office in which the lien was filed. Use Publication 4235, Technical Services (Advisory) Group Addresses, to determine where to mail your request.) Please furnish the following: How to Prepare an Application for a Certificate of Nonattachment of Federal Tax Lien “Under penalties of perjury, I declare that I have examined this application, including any accompanying schedules, exhibits, affidavits, and statements, and to the best of my knowledge and belief, it is true, correct, and complete.” 4. Your address at the time the notice of lien was filed, and how long you lived at that address. 5. Other residences and the dates you lived at each from the time the notice of lien was filed to the present. 6. Your social security number and that of your spouse. 7. The name, address and telephone number of your attorney or other representative, if any. 8. Any other information that might help the Advisory Group Manager decide whether a certificate of nonattachment should be issued, such as divorce judgment, partnership agreement or dissolution agreement. 9. A daytime telephone number where you may be reached. You should include the following declaration over your signature and title: The Advisory Group Manager may require additional information before issuing the certificate. Publication 1024 (Rev. 3-2006) Catalog Number 46878I Department of Treasury Internal Revenue Service www.irs.gov Under the Privacy Act of 1974, the furnishing of information requested in items 4, 5, and 6 is voluntary. It will be used to determine whether a certificate of nonattachment should be issued. Not providing the requested information may, in some cases, prevent the Advisory Group Manager from issuing a certificate.

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1. The name and address of the person applying,under section 6325(e) of the Internal RevenueCode, for a certificate of nonattachment.

2. A description of the property for which you arerequesting the certificate of nonattachment; if realproperty is involved, use the description in thetitle or deed of the property and give the completeaddress (street, city, state, and ZIP code).

3. A copy of each Notice of Federal Tax Lien or thefollowing information as it appears on each filednotice: a. The name of the Internal Revenue Office; b. The name and address of the taxpayer

against whom the notice was filed; c. The date and place the notice was filed; and d. The serial number shown on the notice of lien.

Since there is no standard form available for anapplication for a Certificate of Nonattachment ofFederal Tax Lien, a computer-generated requestwill be considered as an application (please, nohandwritten requests). Submit your request andaccompanying attachments to:

IRS, Attn: Advisory Group Manager

(Address to the IRS office in which the lien was filed. Use Publication 4235, Technical Services (Advisory) Group Addresses, to determine where to mail your request.)

Please furnish the following:

How to Prepare an Application for a

Certificate of Nonattachment of Federal Tax Lien

“Under penalties of perjury, I declare that Ihave examined this application, including anyaccompanying schedules, exhibits, affidavits,and statements, and to the best of my knowledgeand belief, it is true, correct, and complete.”

4. Your address at the time the notice of lien wasfiled, and how long you lived at that address.

5. Other residences and the dates you lived at eachfrom the time the notice of lien was filed to thepresent.

6. Your social security number and that of yourspouse.

7. The name, address and telephone number ofyour attorney or other representative, if any.

8. Any other information that might help the AdvisoryGroup Manager decide whether a certificate ofnonattachment should be issued, such as divorcejudgment, partnership agreement or dissolutionagreement.

9. A daytime telephone number where you may bereached.

You should include the following declaration over yoursignature and title:

The Advisory Group Manager may require additionalinformation before issuing the certificate.

Publication 1024 (Rev. 3-2006)Catalog Number 46878I

Department of TreasuryInternal Revenue Service

www.irs.gov

Under the Privacy Act of 1974, the furnishing ofinformation requested in items 4, 5, and 6 is voluntary.It will be used to determine whether a certificate ofnonattachment should be issued. Not providing therequested information may, in some cases, preventthe Advisory Group Manager from issuing a certificate.