OMB No.
1545-1165
Tax Information Authorization For IRS Use Only
Form 8821 Go to www.irs.gov/Form8821 for instructions and the latest information.
Received by:
Name
(Rev. January 2021) Telephone
Don’t sign this form unless all applicable lines have been completed.
Function
Department of the Treasury
Internal Revenue Service Don’t use Form 8821 to request copies of your tax returns Date
or to authorize someone to represent you. See instructions.
1 Taxpayer information. Taxpayer must sign and date this form on line 6.
Taxpayer name and address Taxpayer identification number(s)
Steve Byl 542-25-7823
6215 Frontage Road Daytime telephone number Plan number (if applicable)
Paragonah, UT 84760 (916) 247-4472
2 Designee(s). If you wish to name more than two designees, attach a list to this form. Check here if a list of additional
Name and address CAF No. 0306-56669R
Tax Guard, LLC PTIN
10355 Westmoor Drive Suite 101 Telephone No. (720) 204-7751
Westminster, CO 80021 Fax No. (720) 204-7751
Check if to be sent copies of notices and communications Check if new: Address Telephone No. Fax No.
Name and address CAF No. 2006-18423R
PTIN
Telephone No. (720) 204-7751
Fax No. (720) 204-7751
Check if to be sent copies of notices and communications Check if new: Address Telephone No. Fax No.
3 Tax information. Each designee is authorized to inspect and/or receive confidential tax information for the type of tax, forms,
periods, and specific matters you list below. See the line 3 instructions.
✔ By checking here, I authorize access to my IRS records via an Intermediate Service Provider.
(a) (b) (c) (d)
Type of Tax Information (Income, Tax Form Number Year(s) or Period(s) Specific Tax Matters
Employment, Payroll, Excise, Estate, Gift, (1040, 941, 720, etc.)
Civil Penalty, Sec. 4980H Payments, etc.)
Withholding/Civil Penalty/ 6672/CIV PEN 1st, 2nd, 3rd, 4th quarters
Excise Tax N/A
2014 through 2024
Income 1040/CIV PEN 2014 through 2024 N/A
N/A
4 Specific use not recorded on the Centralized Authorization File (CAF). If the tax information authorization is for a
specific use not recorded on CAF, check this box. See the instructions. If you check this box, skip line 5 ............................
5 Retention/revocation of prior tax information authorizations. If the line 4 box is checked, skip this line. If the line 4 box
isn’t checked, the IRS will automatically revoke all prior tax information authorizations on file unless you check the line 5 box
and attach a copy of the tax information authorization(s) that you want to retain ..................................................................
To revoke a prior tax information authorization(s) without submitting a new authorization, see the line 5 instructions.
6 Taxpayer signature. If signed by a corporate officer, partner, guardian, partnership representative (or designated
individual, if applicable), executor, receiver, administrator, trustee, or individual other than the taxpayer, I certify that I have
the legal authority to execute this form with respect to the tax matters and tax periods shown on line 3 above.
IF NOT COMPLETED, SIGNED, AND DATED, THIS TAX INFORMATION AUTHORIZATION WILL BE RETURNED.
DON’T SIGN THIS FORM IF IT IS BLANK OR INCOMPLETE.
Signature Date
Steve Byl Individual
Print Name Title (if applicable)
For Privacy Act and Paperwork Reduction Act Notice, see the instructions. Cat. No. 11596P Form 8821 (Rev. 01-2021)
8821 Attachment
Designee
Name: Hansen Rada, CEO (Tax Guard, LLC)
Address: 10355 Westmoor Drive Suite 101
Westminster, CO 80021
CAF Number: 0313-50679R
Telephone Number: (720) 204-7751
Fax Number: (720) 204-7751
