Notice Concerning Fiduciary Relationship
(Rev.Form December56 2019)                       (Internal Revenue Code Sections 6036 and 6903)                                 OMB No. 1545-0013
Department of the Treasury        ▶ Go to www.irs.gov/Form56 for instructions and the latest information.
Internal Revenue Service
Part I      Identification 
Name of person for whom you are acting (as shown on the tax return)                             Identifying number      Decedent’s social security no. 

Address of person for whom you are acting (number, street, and room or suite no.) 

City or town, state, and ZIP code (If a foreign address, see instructions.) 

Fiduciary’s name 

Address of fiduciary (number, street, and room or suite no.) 

City or town, state, and ZIP code                                                                     Telephone number (optional) 
                                                                                                      (                )
Section A.  Authority 
1         Authority for fiduciary relationship. Check applicable box: 
a           Court appointment of testate estate (valid will exists) 
b           Court appointment of intestate estate (no valid will exists)
c           Court appointment as guardian or conservator
d           Fiduciary of intestate estate
e           Valid trust instrument and amendments 
f           Bankruptcy or assignment for the benefit or creditors 
g           Other. Describe ▶
2 a       If box 1a, 1b, or 1d is checked, enter the date of death ▶
b         If box 1c, 1e, 1f, or 1g is checked, enter the date of appointment, taking office, or assignment or transfer of assets ▶

Section B.  Nature of Liability and Tax Notices 
3         Type of taxes (check all that apply):              Income         Gift       Estate   Generation-skipping transfer         Employment 
            Excise          Other (describe) ▶

4         Federal tax form number (check all that apply):           a       706 series b 709    c 940 d              941, 943, 944 
          e 1040 or 1040-SR         f     1041               g      1120    h     Other (list) ▶

5         If your authority as a fiduciary does not cover all years or tax periods, check here  . . . .            . .  . . .    . . .  .  ▶
          and list the specific years or periods ▶

For Paperwork Reduction Act and Privacy Act Notice, see separate instructions.                    Cat. No. 16375I             Form 56 (Rev. 12-2019) 

Form 56 (Rev. 12-2019)                                                                                                                    Page  2 
Part II   Revocation or Termination of Notice  
                                  Section A—Total Revocation or Termination
6     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 ▶

                                                  Section B—Partial Revocation
7 a   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
8     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)          . .  . . . .    .         . . .  . . ▶
      ▶

Part III  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 IV   Signature 
         Under penalties of perjury, I declare that I have examined this document, including any accompanying statements, and to the best of my 
Please   knowledge and belief, it is true, correct, and complete. 
Sign     ▲
Here 
          Fiduciary’s signature                                          Title, if applicable                   Date 
                                                                                                                                 Form 56 (Rev. 12-2019)