Form 4810

(Rev. August 2022)

Request for Prompt Assessment Under 

Internal Revenue Code Section 6501(d)

Department of the Treasury 

Internal Revenue Service 

See instructions on back. 

Go to www.irs.gov/Form4810 for the latest information.

OMB No. 1545-0430

For IRS Use Only

Requester’s name 

Title 

Number, street, and room or suite no. (If a P.O. box, see instructions.) 

City, town, or post office, state, and ZIP code Daytime phone number 

Kind of tax 

Income 

Gift 

Employment 

Excise 

Tax Returns for Which Prompt Assessment of Any Additional Tax Is Requested 

Form 

Number 

Tax Period 

Ended 

SSN/EIN on 

Return Name and Address Shown on Return Service Center Where Filed Date Filed 

If applicable, provide the name of decedent’s spouse (surviving or deceased). Spouse’s social security number 

If corporate income tax returns are included, check the applicable box below: 

Dissolution has been completed. 

Dissolution has begun and will be completed either before or after the 18-month period of limitation. 

Dissolution has not begun but will begin before the 18-month period of limitation expires and will be completed either before or after that 

period expires. 

Attached are copies of: 

The returns listed above. 

Letters of administration or letters testamentary. 

Other (describe): 

I request a prompt assessment of any additional tax for the kind of tax and periods shown above, as provided by Internal Revenue Code section 6501(d).

Sign 

Here 

Under penalties of perjury, I declare that I have examined this request, including accompanying schedules and statements, and to the best of my knowledge 

and belief, it is true, correct, and complete. 

I certify that I have never been assessed any penalties for civil fraud for any federal or state tax matter nor have I been charged with, indicted for, 

or convicted of fraud. If you cannot certify this statement, attach a detailed statement explaining the circumstances under which you were 

assessed a penalty, charged with, indicted for, or convicted of fraud. 

Signature of requester Date Identifying number 

For Privacy Act and Paperwork Reduction Act Notice, see back of form. Cat. No. 42022S Form 4810 (Rev. 8-2022)
Form 4810 (Rev. 8-2022) Page 2

General Instructions

Section references are to the Internal Revenue Code 

unless otherwise noted.

Future Developments

For the latest information about developments related to 

Form 4810 and its instructions, such as legislation 

enacted after they were published, go to www.irs.gov/

Form4810.

Purpose of Form

Use Form 4810 to request prompt assessment of tax. 

Attach to your request the documentation requested on 

Form 4810. If you prefer to use your own format, your 

request must list the same information as requested on 

this form and include the applicable attachments. 

Specifically, you must verify your authority to act for the 

taxpayers (for example, letters testamentary or letters of 

administration) and provide copies of the authorizing 

document. Also, your request must clearly show:

• It is a request for prompt assessment under section 

6501(d);

• The kind of tax and the tax periods involved;

• The name and social security number (SSN) or 

employer identification number (EIN) shown on the return 

(copies of the returns may be attached to help identify the 

return; write at the top of the return copy: “COPY - DO 

NOT PROCESS AS ORIGINAL”); and

• The date and location of the IRS office where the 

returns were filed.

When To File

Do not file Form 4810 requesting prompt assessment 

until after you file the tax returns listed on the front of this 

form. You must submit a separate request for prompt 

assessment for any tax returns filed after this Form 4810.

Where To File

Send your request to the Internal Revenue Service Center 

where you filed the returns for which you are requesting 

prompt assessment. However, if this is related to gift tax 

reported on a Form 709, send to:

Internal Revenue Service 

Stop 824G 

7940 Kentucky Drive 

Florence, KY 41042-2915

Private delivery services. You can use certain private 

delivery services (PDSs) designated by the IRS, in 

addition to the United States mail, to file Form 4810. Go 

to www.irs.gov/PDS for the current list of designated 

services. The PDS can tell you how to get written proof of 

the mailing date. 

▲!

CAUTION

PDSs can’t deliver items to P.O. boxes. You 

must use the U.S. Postal Service to mail any 

item to an IRS P.O. box address. 

Privacy Act and Paperwork Reduction Act Notice. We 

ask for the information on this form to carry out the

Internal Revenue laws of the United States. We collect

this information under the authority under Internal

Revenue Code section 6501(d). We need it to ensure that 

you are complying with these laws and to allow us to 

figure and collect the right amount of tax. You are not 

required to request prompt assessment; however, if you 

do so, you are required to provide the information 

requested on this form. Failure to provide the information 

may delay or prevent processing your request. Section 

6109 requires you to provide the requested taxpayer 

identification numbers.

You are not required to provide the information 

requested on a form that is subject to the Paperwork 

Reduction Act unless the form displays a valid OMB 

control number. Books or records relating to a form or its 

instructions must be retained as long as their contents 

may become material in the administration of any Internal 

Revenue law. Generally, tax returns and return 

information are confidential as required by section 6103. 

However, section 6103 allows or requires the IRS to 

disclose or give such information shown on your Form 

4810 to the Department of Justice to enforce the tax 

laws, both civil and criminal, and to cities, states, the 

District of Columbia, and U.S. commonwealths or 

possessions. We may also disclose this information to 

other countries under a tax treaty, to federal and state 

agencies to enforce federal nontax criminal laws, or to 

federal law enforcement and intelligence agencies to 

combat terrorism.

The time needed to complete and file this form and 

related schedules will vary depending on individual 

circumstances. The estimated average times are:

Recordkeeping . . . . . . . . . . 5 hr., 30 min.

Learning about the law or the form . . . . 18 min.

Preparing the form . . . . . . . . . . 24 min.

Copying, assembling, and 

sending the form to the IRS . . . . . . . . 0 min.

If you have comments concerning the accuracy of 

these time estimates or suggestions for making this 

request simpler, we would be happy to hear from you. 

You can send us comments through www.irs.gov/

FormComments. Or you can write to:

Internal Revenue Service 

Tax Forms and Publications 

1111 Constitution Ave. NW, IR-6526 

Washington, DC 20224

Do not send Form 4810 to this address. Instead, see 

Where To File, earlier.