Date:
Via Certified Mail - Return Receipt Requested
Department of the Treasury
Internal Revenue Service
City, State, Zip of the IRS office you’re supposed to mail to
Re: Section 83(b) Election
To whom it may concern,
Enclosed, please find two copies of the Section 83(b) election form for filing on behalf of the following undersigned taxpayer:
Name: ____________
SSN: --___
Address: ____________
Please acknowledge receipt of this filing by signing or stamping and dating the enclosed extra copy and returning it to the undersigned at the address set forth above. Thank you.
Sincerely,
Signature
Your name