Consent statement
A consent under section 6103(c) to the disclosure of return information, as defined in section 6103(b)(2), relating to the Closing Agreement, with blanks for the company name and the date the parties executed the Agreement.
15674
Consent to Disclose Tax Information
Form 15674, Consent to Disclose Tax Information, is a one-page consent under section 6103(c) of the Internal Revenue Code. It is signed on behalf of a company that has a Closing Agreement with the Commissioner of Internal Revenue, and it allows disclosure of certain return information relating to that Agreement.
The form lists what the Commissioner, or his or her authorized delegate, may disclose: the company's legal name, principal place of business, country of residence for income tax treaty purposes, effective date of the Agreement, failure to timely recertify its entitlement to treaty benefits (if applicable), and termination date of the Agreement (if applicable). The form says such disclosures may be made to any person and by any means, including publication on www.irs.gov, press releases and notices in Internal Revenue Service publications, without prior notice to the company.
You can fill out Form 15674 free in your browser on this page and download it without an account.

A consent under section 6103(c) to the disclosure of return information, as defined in section 6103(b)(2), relating to the Closing Agreement, with blanks for the company name and the date the parties executed the Agreement.
Six items, (a) to (f): legal name, principal place of business, country of residence for treaty purposes, effective date, any failure to timely recertify treaty benefits, and any termination date.
A statement that without this authorization the company's returns and return information are confidential, and a certification of authority to sign for the company.
Date, company legal name, EIN, address of the principal place of business, city, state or province, country, ZIP code or foreign postal code, and country of residence for treaty purpose.
The printed or typed name and title of the individual executing the consent, and their signature.
Enter the company's name in the blank before "Company" and the date the parties executed the Closing Agreement.
Items (a) to (f) are printed on the form and are not filled in. The form marks items (e) and (f) as applying only if applicable.
Enter the date, the company legal name and EIN, and the full address of the principal place of business.
Enter the country of residence for treaty purpose.
The individual executing the consent prints or types their name and title, then signs.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form prints no mailing address, deadline or instructions of its own.
The form says disclosures may be made to any person and by any means, including publication on www.irs.gov, press releases and notices in Internal Revenue Service publications, without prior notice to the company.
The form states that without this authorization, the company's returns and return information are confidential and may not be disclosed except as authorized by the Internal Revenue Code and the Agreement.
The consent relates to the Closing Agreement between the named company and the Commissioner of Internal Revenue, executed on a date entered on the form.
A named individual signs and gives their title. The form says: "I certify that I have the authority to execute this consent on the behalf of Company."
The listed items include the company's country of residence for income tax treaty purposes and any failure to timely recertify its entitlement to treaty benefits under its closing agreement.
The consent lets the Commissioner, or his or her authorized delegate, make the listed disclosures without prior notice to the company.
The form is signed on behalf of a company that is a party to a Closing Agreement with the Commissioner. It does not print where to send it.
The agency’s own page for Form 15674.
The official blank form, to print or fill by hand.
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Six items about the company: legal name, principal place of business, country of residence for treaty purposes, effective date of the Agreement, any failure to timely recertify treaty benefits, and any termination date.
An individual who certifies that they have the authority to execute the consent on behalf of the company, with their printed or typed name and title.
The form says disclosures may be made to any person and by any means, including publication on www.irs.gov, press releases and notices in Internal Revenue Service publications, without prior notice to the company.
The form cites section 6103(c) of the Internal Revenue Code of 1986, as amended, and refers to return information as defined in section 6103(b)(2).
The form itself prints no address or filing instructions.