IRS Form 13533-A "FSA Remote Sponsor Agreement"

What Is IRS Form 13533-A?

This is a tax form that was released by the Internal Revenue Service (IRS) - a subdivision of the U.S. Department of the Treasury on February 1, 2014. As of today, no separate filing guidelines for the form are provided by the IRS.

Form Details:

  • A 1-page form available for download in PDF;
  • Actual and valid for filing 2020 taxes;
  • Editable, printable, and free;
  • Fill out the form in our online filing application.

Download a fillable version of IRS Form 13533-A through the link below or browse more documents in our library of IRS Forms.

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Download IRS Form 13533-A "FSA Remote Sponsor Agreement"

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Department of the Treasury - Internal Revenue Service
13533-A
Form
FSA Remote Sponsor Agreement
(February 2014)
We appreciate your willingness and commitment to serve as a sponsor of a Facilitated Self Assistance (FSA) Remote site,
by promoting web link(s) to a third-party provider offering free online tax preparation services to taxpayers.
To maintain program integrity and provide for reasonable protection of information provided by the taxpayers serviced
through the FSA Program, it is essential that partners adhere to the following key principles:
• Partner agrees not to connect the promotion of the above referenced web link(s) with any request for compensation or
donation from the user.
• Partner agrees to refer any taxpayer questions about the FSA Program back to the third-party provider website for
resolution.
• Partner agrees not to engage in criminal, infamous, dishonest, notoriously disgraceful conduct, or other conduct
deemed to have a negative effect on the FSA Program.
1. Sponsor name
2. Street address
3. City
4. State
5. ZIP code
6. Telephone number
7. Email address
By signing and dating this form, you are agreeing to the key principles outlined above.
Website where FSA link will be located
The IRS may terminate this agreement and add you to a volunteer registry, effective immediately for disreputable conduct
that could impact taxpayers’ confidence in the FSA Program operated by you or your coalition members
Sponsor signature
Date
Name
Title
(print)
Privacy Act Notice
The Privacy Act of 1974 requires that when we ask for information we tell you our legal right to ask for the information, why we are asking for it, and how
it will be used. We must also tell you what could happen if we do not receive it, and whether your response is voluntary, required to obtain a benefit, or
mandatory. Our legal right to ask for information is 5 U.S.C. 301. We are asking for this information to assist us in contacting you relative to your interest
and/or participation in the IRS volunteer income tax preparation and outreach programs. The information you provide may be furnished to others who
coordinate activities and staffing at volunteer return preparation sites or outreach activities. The information may also be used to establish effective
controls, send correspondence and recognize volunteers. Your response is voluntary. However, if you do not provide the requested information, the IRS
may not be able to use your assistance in these programs.
13533-A
Catalog Number 66299X
www.irs.gov
Form
(2-2014)
Department of the Treasury - Internal Revenue Service
13533-A
Form
FSA Remote Sponsor Agreement
(February 2014)
We appreciate your willingness and commitment to serve as a sponsor of a Facilitated Self Assistance (FSA) Remote site,
by promoting web link(s) to a third-party provider offering free online tax preparation services to taxpayers.
To maintain program integrity and provide for reasonable protection of information provided by the taxpayers serviced
through the FSA Program, it is essential that partners adhere to the following key principles:
• Partner agrees not to connect the promotion of the above referenced web link(s) with any request for compensation or
donation from the user.
• Partner agrees to refer any taxpayer questions about the FSA Program back to the third-party provider website for
resolution.
• Partner agrees not to engage in criminal, infamous, dishonest, notoriously disgraceful conduct, or other conduct
deemed to have a negative effect on the FSA Program.
1. Sponsor name
2. Street address
3. City
4. State
5. ZIP code
6. Telephone number
7. Email address
By signing and dating this form, you are agreeing to the key principles outlined above.
Website where FSA link will be located
The IRS may terminate this agreement and add you to a volunteer registry, effective immediately for disreputable conduct
that could impact taxpayers’ confidence in the FSA Program operated by you or your coalition members
Sponsor signature
Date
Name
Title
(print)
Privacy Act Notice
The Privacy Act of 1974 requires that when we ask for information we tell you our legal right to ask for the information, why we are asking for it, and how
it will be used. We must also tell you what could happen if we do not receive it, and whether your response is voluntary, required to obtain a benefit, or
mandatory. Our legal right to ask for information is 5 U.S.C. 301. We are asking for this information to assist us in contacting you relative to your interest
and/or participation in the IRS volunteer income tax preparation and outreach programs. The information you provide may be furnished to others who
coordinate activities and staffing at volunteer return preparation sites or outreach activities. The information may also be used to establish effective
controls, send correspondence and recognize volunteers. Your response is voluntary. However, if you do not provide the requested information, the IRS
may not be able to use your assistance in these programs.
13533-A
Catalog Number 66299X
www.irs.gov
Form
(2-2014)