You are on page 1of 4

(alternative name person under same control number - one 56 for each name in use under this SS Trust

controlling number)

Form 56
(Rev. December 2007)
Notice Concerning Fiduciary Relationship OMB No. 1545-0013
Department of the Treasury
Internal Revenue Service (Internal Revenue Code sections 6036 and 6903)

Part I Identification
Name of person for whom you are acting (as shown on the tax return) Identifying number Decedent’s social security no.
YOUR NAME xxx-xx-xxxx
Address of person for whom you are acting (number, street, and room or suite no.)
463 - 8TH AVENUE
City or town, state, and ZIP code (If a foreign address, see instructions.)
Sig, Iowa XXXXX
Fiduciary’s name
Your Name, esq.
Address of fiduciary (number, street, and room or suite no.)
c/o 463 - 8th Avenue
City or town, state, and ZIP code Telephone number (optional)
Sig, Iowa (XXXXX) ( XXX ) XXX-XXXX
Part II Authority

1 Authority for fiduciary relationship. Check applicable box:


a(1) Will and codicils or court order appointing fiduciary (2) Date of death
b(1) Court order appointing fiduciary (2) Date (see instructions)
c ✔ Valid trust instrument and amendments date you turned 18, EXECUTOR "Assignment Date"
d ✔ Other. Describe © Fiduciary, also known as Executor of the the "YOUR NAME" US-Social Security Trust
under the above Control number over the Your Name - Federal and State Fide Commissaries and as it is only a Dry processing trust.

Part III Nature of Liability and Tax Notices

2 Type of tax (estate, gift, generation-skipping transfer, income, excise, etc.) © Withholding Returns
3 Federal tax form number (706, 1040, 1041, 1120, etc.) © 1040, all 1099's (list all that you think are being used againt the account)
4 Year(s) or period(s) (if estate tax, date of death) © 19__ -2010
5 If the fiduciary listed in Part I is the person to whom notices and other written communications should be sent for all items
described on lines 2, 3, and 4, check here (Should is recommened to be replaced with the word SHALL ) © ✔
6 If the fiduciary listed in Part I is the person to whom notices and other written communications should be sent for some (but not all)
of the items described on lines 2, 3, and 4, check here © and list the applicable federal tax form number and the year(s) or
period(s) applicable

Part IV Revocation or Termination of Notice


Section A—Total Revocation or Termination
7 Check this box if you are revoking or terminating all prior notices concerning fiduciary relationships on file with the Internal
Revenue Service for the same tax matters and years or periods covered by this notice concerning fiduciary relationship © ✔
Reason for termination of fiduciary relationship. Check applicable box:
a Court order revoking fiduciary authority
b Certificate of dissolution or termination of a business entity
c ✔ Other. Describe © all other fiduciary's revoked, this Fiduciary has the Lawful control over both Fide Commissary's
Section B—Partial Revocation
8a Check this box if you are revoking earlier notices concerning fiduciary relationships on file with the Internal Revenue Service for
the same tax matters and years or periods covered by this notice concerning fiduciary relationship ©

b Specify to whom granted, date, and address, including ZIP code.


©

Section C—Substitute Fiduciary


9 Check this box if a new fiduciary or fiduciaries have been or will be substituted for the revoking or terminating fiduciary and
specify the name(s) and address(es), including ZIP code(s), of the new fiduciary(ies) ©
©

For Paperwork Reduction Act and Privacy Act Notice, see back page. Cat. No. 16375I Form 56 (Rev. 12-2007)
Form 56 (Rev. 12-2007) Page 2
Part V Court and Administrative Proceedings
Name of court (if other than a court proceeding, identify the type of proceeding and name of agency) Date proceeding initiated

Address of court Docket number of proceeding

City or town, state, and ZIP code Date Time a.m. Place of other proceedings
p.m.

Part VI Signature
I certify that I have the authority to execute this notice concerning fiduciary relationship on behalf of the taxpayer.

Please
Sign
©
Here Executor of SS Trust
Fiduciary’s signature Title, if applicable Date

Form 56 (Rev. 12-2007)


Form 56 (Rev. 12-2007) Page 3

General Instructions relationship while it is in existence. final Form 1040 in the space provided. If
Establishing a fiduciary relationship prior you are acting on behalf of a decedent’s
Section references are to the Internal to termination of the entity allows the estate that must file a Form 706, United
Revenue Code unless otherwise noted. fiduciary to represent the entity on all tax States Estate (and Generation-Skipping
Form 56 cannot be used to matters after it is terminated. Transfer) Tax Return, enter the
update the last known address decedent’s SSN in addition to entering
of the person for whom you When and Where To File the EIN (if applicable) as discussed
CAUTION are acting. Use Form 8822, above under Identifying number.
Notice of fiduciary relationship.
Change of Address, to make this Generally, you should file Form 56 when Address. Include the suite, room, or
change. you create (or terminate) a fiduciary other unit number after the street
relationship. File Form 56 with the address.
Purpose of Form Internal Revenue Service Center where
If the postal service does not deliver
You must notify the IRS of the creation the person for whom you are acting is
mail to the street address and the
or termination of a fiduciary relationship required to file tax returns.
fiduciary (or person) has a P.O. box,
under section 6903 and give notice of Proceedings (other than bankruptcy) show the box number instead of the
qualification under section 6036. You and assignments for the benefit of street address.
may use Form 56 to provide this notice creditors. A fiduciary who is appointed
to the IRS. For a foreign address, enter the
or authorized to act as:
information in the following order: city,
Who Should File ● A receiver in a receivership proceeding province or state, and country. Follow
or similar fiduciary (including a fiduciary the country’s practice for entering the
The fiduciary (see Definitions below) in aid of foreclosure), or postal code. Please do not abbreviate
uses Form 56 to notify the IRS of the the country name.
creation or termination of a fiduciary ● An assignee for the benefit of creditors,
relationship under section 6903. For must file Form 56 on, or within 10 days
example, if you are acting as fiduciary of, the date of appointment with the Part II—Authority
for an individual, a decedent’s estate, or Advisory Group Manager, Advisory, Line 1a. Check the box on line 1a if the
a trust, you may file Form 56. Insolvency and Quality (AIQ) Office, of the decedent died testate (i.e., having left a
area office of the IRS having jurisdiction valid will) and enter the decedent’s date
Receivers and assignees for the over the person for whom you are acting.
benefit of creditors also file Form 56 to of death.
See Publication 4235, Technical Services
give notice of qualification under section (Advisory) Group Addresses, for more Line 1b. Check the box on line 1b if the
6036. However, a bankruptcy trustee, information. decedent died intestate (i.e., without
debtor-in-possession, or other like leaving a valid will). Also, enter the
The receiver or assignee may also file a
fiduciary in a bankruptcy proceeding is decedent’s date of death and write
separate Form 56 with the service center
not required to give notice of “Date of Death” next to the date.
where the person for whom the fiduciary
qualification under section 6036. Assignment for the benefit of
is acting is required to file tax returns to
Trustees, etc., in bankruptcy creditors. Enter the date the assets
provide the notice required by section
proceedings are subject to the notice were assigned to you and write
6903.
requirements under title 11 of the United “Assignment Date” after the date.
States Code (Bankruptcy Rules).
Specific Instructions Proceedings other than bankruptcy.
Definitions Enter the date you were appointed or
Part I—Identification took possession of the assets of the
Fiduciary. A fiduciary is any person debtor or other person whose assets are
acting in a fiduciary capacity for any Provide all the information called for in
this part. If there is more than one controlled.
other person (or terminating entity), such
as an administrator, conservator, fiduciary, each fiduciary must file (or You must be prepared to
designee, executor, guardian, receiver, otherwise give notice) a separate furnish evidence that
trustee of a trust, trustee in bankruptcy, Form 56. substantiates your authority to
personal representative, person in Name. File a separate Form 56 for each CAUTION act as a fiduciary for the
possession of property of a decedent’s person for whom you are acting in a person for whom you are acting.
estate, or debtor-in-possession of assets fiduciary capacity. For example, if you
in any bankruptcy proceeding by order will be filing the decedent’s final Form Part III—Nature of Liability
of the court. 1040 and are the executor/administrator and Tax Notices
Person. A person is any individual, trust, of the decedent’s estate, file one Form
56 entering the name of the decedent as Line 2. Specify the type of tax involved.
estate, partnership, association, This line should also identify a transferee
company or corporation. the person for whom you are acting and
file one Form 56 entering the name of tax liability under section 6901 or
Decedent’s estate. A decedent’s estate the estate as the name of the person for fiduciary tax liability under 31 U.S.C.
is a taxable entity separate from the whom you are acting. 3713(b) when either exists.
decedent that comes into existence at Line 5. If you check the box on line 5,
Identifying number. If you are acting for
the time of the decedent’s death. It we will treat your address as the
an individual, an individual debtor, or
generally continues to exist until the final address for IRS notices and
other person whose assets are
distribution of the estate’s assets is correspondence for the form(s) and
controlled, the identifying number is the
made to the heirs and other period(s) listed on lines 3 and 4.
social security number (SSN). If you are
beneficiaries.
acting for a person other than an Line 6. If you check the box on line 6,
Terminating entities. A terminating individual, including an estate or trust, we will treat your address as the
entity, such as a corporation, the identifying number is the employer address for IRS notices and
partnership, trust, etc., only has the legal identification number (EIN). correspondence for the form(s) and
capacity to establish a fiduciary period(s) that you list on line 6.
Decedent’s SSN. If you are acting on
behalf of a decedent, enter the
decedent’s SSN shown on his or her
Form 56 (Rev. 12-2007) Page 4

Part IV—Revocation or Part VI—Signature You are not required to provide the
information requested on a form that is
Termination of Notice Sign Form 56 and enter a title describing subject to the Paperwork Reduction Act
Complete this part only if you are your role as a fiduciary (e.g., assignee, unless the form displays a valid OMB
revoking or terminating a prior notice executor, guardian, trustee, personal control number. Books or records
concerning a fiduciary relationship. representative, receiver, or conservator). relating to a form or its instructions must
Completing this part will relieve you of be retained as long as their contents
any further duty or liability as a fiduciary may become material in the
if used as a notice of termination. Paperwork Reduction Act and Privacy administration of any Internal Revenue
However, completing Section B or C Act Notice. We ask for the information law. Generally, tax returns and return
does not relieve any new or substitute on this form to carry out the Internal information are confidential as required
fiduciary of the requirement to file a Revenue laws of the United States. Form by section 6103.
Form 56 or to otherwise give notice. 56 is provided for your convenience in
meeting this requirement and its use is The time needed to complete and file
voluntary. Sections 6903 and 6036 this form will vary depending on
Part V—Court and require you to inform the IRS of the individual circumstances. The estimated
Administrative Proceedings creation or termination of a fiduciary average time is:
Complete this part only if you have been relationship. Under section 6109 you Recordkeeping 8 min.
appointed a receiver, trustee, or fiduciary must disclose the social security number
or other identification number of the Learning about the
by a court or other governmental unit in
individual or entity for which you are law or the form 32 min.
a proceeding other than a bankruptcy
proceeding. acting. The principal purpose of this Preparing the form 46 min.
disclosure is to secure proper
If proceedings are scheduled for more identification of the taxpayer. We also Copying, assembling, and
than one date, time, or place, attach a need this information to gain access to sending the form to the IRS 15 min.
separate schedule of the proceedings. the tax information in our files and If you have comments concerning the
Assignment for the benefit of properly respond to your request. We accuracy of these time estimates or
creditors. You must attach the following may disclose this information to the suggestions for making this form simpler,
information: Department of Justice for civil or we would be happy to hear from you.
1. A brief description of the assets criminal litigation, and to cities, states, You can write to the Internal Revenue
that were assigned, and and the District of Columbia for use in Service, Tax Products Coordinating
administering their tax laws. We may Committee, SE:W:CAR:MP:T:T:SP,
2. An explanation of the action to be also disclose this information to other IR-6526, 1111 Constitution Avenue, NW,
taken regarding such assets, including countries under a tax treaty, to federal Washington, DC 20224. Do not send
any hearings, meetings of creditors, sale, and state agencies to enforce federal Form 56 to this address. Instead, see
or other scheduled action. nontax criminal laws, or to federal law When and Where To File on the prior
enforcement and intelligence agencies to page.
combat terrorism. If you do not disclose
this information, we may suspend
processing the notice of fiduciary
relationship and not consider this as
proper notification until you provide the
information. Providing false information
may subject you to penalties.