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Form 4490 Department of the Treasury/Internal Revenue Service The undersigned officer of the Internal Revenue Service. a duly authorized agent of the Proof of Claim Procedures. A proof of claim (POC) is a written statement that sets forth a claim against the probate estate of a deceased debtor. The Service may file a Form 4490, Proof of Claim for Internal Revenue Taxes, with the court or location mandated by state law to give notice of taxes due. NOTE: Do not use this form to make a claim for an administrative expense that arises after the bankruptcy . The instructions and definitions below are general explanations of the law. . tax-identification, or financial-account number, only.Proof of Claim for Internal Revenue Taxes In the for the In the Matter of: Court _ Form 4490 (Rev. administrator. Any executor. 2-2005) Taxpayer's Identifying Number: Social Security Number The undersigned officer of the Internal Revenue Service. Section 3713(b). 7 Mar 2015 Proof of Claim for Internal Revenue Taxes In the for the In the Matter of: Court _ Form 4490 (Rev. 2-2005) Taxpayer's Identifying Number: Social 30 Sep 2012 Fill 4490 Form Pdf Irs, download blank or editable online. Sign, fax and printable Video instructions and help with filling out and completing 4490 form pdf irs Fill out, securely sign, print or email your 4490 form pdf irs instantly with SignNow. The most secure Irs form 1120 instructions 2017 2019. Index. Page. 1. 2. 8. (Notarize or witness if court requires) Subscribed and Sworn to Before Me On. Proof of Claim for. Internal Revenue Taxes. Form 4490. (Rev. 2-2005) In the. Court. for the. _ In the Matter of: Form 4490(Rev. 2-2005) Proof Statutory Claim in accord with IRS MANUAL 21.7.13.3.2.2(2)/ 1707 Cestui Que Via Trust Act Proof of Claim - IRS Form 4490.