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Form 4598e for Santa Clara California: What You Should Know

Please include copies of your copies of Form 4421, Adoption Settlement Agreement. A. In this information request: Name of the person or entity to whom information is to be sought and the purpose of the request. The contact information for that person or entity. Telephone and e-mail addresses of any person or persons who should be contacted concerning the request. A.1. Identify which of the following are to be provided: 1.  A brief statement of why the records sought relate to the child's placement or adoption by the alleged parent or parents. 1.1.  Who are the parents of the child? (List the names of all the parents of the child.) A.2. Is there any other information concerning the child that would assist us in understanding the basis for the investigation? (See Question 4 for answers.) A.3. Provide the name of the alleged parent or parents, including all the following as evidence of the alleged parent or parents' relationships to the child: Full legal name. Address. Telephone number. Age or date of birth. Social Security number if required. 2.  A description of the events regarding the child that lead to the current investigation, if known. 3.  A request for any copies of documents, including any exhibits and reports, relating to the child's placement (or to have the child placed) with the alleged parents, including a proposed list of documents. 4.  A request for any information that is pertinent to the investigation. A.4. Is there any evidence of prior instances in which this taxpayer filed this information request or has previously been investigated or pursued such an investigation? Yes No B. In the event that a response is required, the person or entity requested must respond within ten (10) Business Days of receipt of this request. If it is a telephone response, please advise the taxpayer to (1) call, (2) complete the Electronic Filing Request Form and include this information in accordance with California Government Code section 994.6, and (3) then provide the Form 4564 and Form 4421 to the person or entity by which the request is received. C. If you are unable to contact an individual for purposes of this request you may also provide a written response through the contact information provided above.

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