Free IRS 433-A (OIC) Form in PDF

Free IRS 433-A (OIC) Form in PDF

The IRS 433-A (OIC) form is a crucial document for individuals seeking to negotiate a settlement with the IRS for less than the total amount of taxes owed. This form allows taxpayers to provide detailed information about their financial situation, helping the IRS to determine their ability to pay. Those interested in pursuing this option should ensure the form is filled out accurately and completely to facilitate the negotiation process. Click the button below to begin filling out your IRS 433-A (OIC) form.

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When individuals find themselves unable to pay their tax debt in full, the IRS offers a potential solution in the form of the 433-A (OIC) form, part of the Offer in Compromise (OIC) program. This application allows taxpayers to propose a smaller amount than what they owe, in hopes of settling their debt. It requires detailed financial information to evaluate the taxpayer’s ability to pay. The form encompasses sections on personal information, household income, monthly living expenses, and assets, including bank accounts, properties, and vehicles. Accuracy and transparency in completing this form are pivotal, as they directly influence the IRS's decision on whether to accept the offer. By presenting a clear picture of one’s financial situation, taxpayers pave the way for potentially reducing their tax liabilities, offering a beacon of hope for those overwhelmed by outstanding taxes. Understanding and navigating through the intricacies of this form can be daunting, but its successful completion can lead to significant relief for struggling taxpayers.

Preview - IRS 433-A (OIC) Form

Form 433-A (OIC)

(April 2021)

Department of the Treasury — Internal Revenue Service

Collection Information Statement for Wage Earners and

Self-Employed Individuals

Use this form if you are

An individual who owes income tax on a Form 1040, U.S. Individual Income Tax Return

An individual with a personal liability for Excise Tax

An individual responsible for a Trust Fund Recovery Penalty

An individual who is self-employed or has self-employment income. You are considered to be self-employed if you are in business for yourself, or carry on a trade or business.

An individual who is personally responsible for a partnership liability (only if the partnership is submitting an offer)

An individual who is submitting an offer on behalf of the estate of a deceased person

Note: Include attachments if additional space is needed to respond completely to any question. This form should only be used with the Form 656, Offer in Compromise.

Section 1

 

 

 

 

Personal and Household Information

 

 

 

 

 

Last name

 

First name

 

 

Date of birth (mm/dd/yyyy)

 

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

-

Marital status

 

Home physical address (street, city, state, ZIP code)

Do you

 

 

 

 

 

 

Unmarried

Married

 

 

 

 

 

 

 

 

Own your home

 

 

 

Rent

 

If married, date of marriage (mm/dd/yyyy)

 

 

 

 

 

 

 

 

Other (specify e.g., share rent, live with relative, etc.)

 

 

 

 

 

 

 

 

 

 

County of residence

 

Primary phone

 

 

Home mailing address (if different from above or post office box number)

 

 

 

 

(

)

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Secondary phone

 

 

FAX number

 

 

 

 

 

 

 

 

 

 

(

)

-

 

(

)

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provide information about your spouse.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse's last name

 

Spouse's first name

 

Date of birth (mm/dd/yyyy)

 

 

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

-

Provide information for all other persons in the household or claimed as a dependent.

 

 

 

 

 

 

 

 

 

Name

 

 

 

Age

 

Relationship

 

Claimed as a dependent

Contributes to

 

 

 

 

 

 

 

on your Form 1040

 

household income

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 2

 

 

 

Employment Information for Wage Earners

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Complete this section if you or your spouse are wage earners and receive a Form W-2. If you or your spouse have self-employment income (that is you file a Schedule C, E, F, etc.) instead of, or in addition to wage income, you must also complete Business Information in Sections 4, 5, and 6.

Your employer’s name

Pay period

Weekly

Bi-weekly

Employer’s address (street, city, state, ZIP code)

 

 

 

Monthly

Other

 

 

 

 

 

Do you have an ownership interest in this

If yes, check the business interest that applies

 

business

 

Partner

Sole proprietor

 

Yes

No

Officer (complete Form 433-B (OIC))

 

 

 

 

 

 

Your occupation

How long with this employer

 

 

 

 

 

 

(years)

(months)

 

 

 

 

 

 

 

Spouse’s employer's name

Pay period

Weekly

Bi-weekly

Employer’s address (street, city, state, ZIP code)

 

 

 

Monthly

Other

 

 

 

 

Does your spouse have an ownership

If yes, check the business interest that applies

 

interest in this business

Partner

Sole proprietor

 

Yes

No

Officer (complete Form 433-B (OIC))

 

 

 

 

 

 

Spouse's occupation

How long with this employer

 

 

 

 

 

 

(years)

(months)

 

 

 

 

 

 

 

Catalog Number 55896Q

 

www.irs.gov

 

 

Form 433-A (OIC) (Rev. 4-2021)

Page 2

Section 3

Personal Asset Information

 

 

Use the most current statement for each type of account, such as checking, savings, money market and online accounts, stored value cards (such as a payroll card from an employer), investment, retirement accounts (IRAs, Keogh, 401(k) plans, stocks, bonds, mutual funds, certificates of deposit) and virtual currency (such as Bitcoin, Ripple, Ethereum, etc.), life insurance policies that have a cash value, and safe deposit boxes. Asset value is subject to adjustment by IRS based on individual circumstances. Enter the total amount available for each of the following (if additional space is needed include attachments).

Round to the nearest dollar. Do not enter a negative number. If any line item is a negative number, enter "0".

Cash and Investments (domestic and foreign)

 

Cash

Checking

Savings

Money Market Account/CD

Online Account

Stored Value Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank name

 

 

 

 

 

 

 

 

 

 

 

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1a)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Checking

 

Savings

Money Market Account/CD

Online Account

Stored Value Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank name

 

 

 

 

 

 

 

 

 

 

 

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1b)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total of bank accounts from attachment

(1c)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (1a) through (1c) minus ($1,000) =

(1)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Investment account

 

 

Stocks

 

 

Bonds

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Financial Institution

 

 

 

 

 

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

 

 

 

 

 

 

 

 

 

 

Minus loan balance

 

 

 

 

$

 

 

 

 

 

 

X .8 = $

 

 

 

 

 

 

– $

 

 

 

=

(2a)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Investment account

 

 

Stocks

 

 

Bonds

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Financial Institution

 

 

 

 

 

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

 

 

 

 

 

 

 

 

 

 

Minus loan balance

 

 

 

 

$

 

 

 

 

 

 

X .8 = $

 

 

 

 

 

 

– $

 

 

 

=

(2b)

$

 

 

 

 

 

 

 

 

 

 

 

 

Virtual currency

 

 

Name of virtual currency

 

Email address used to

Location(s) of virtual

 

 

 

 

 

 

 

 

wallet, exchange or digital

set-up with the virtual

currency

 

 

 

Type of virtual currency

 

 

 

 

 

currency exchange (DCE)

currency exchange or DCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value in U.S. dollars as of today

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

X .8 = $

 

 

 

 

 

 

 

 

 

 

 

=

(2c)

$

 

 

 

 

 

 

 

 

 

 

 

Total investment accounts from attachment. [current market value minus loan balance(s)]

(2d)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (2a) through (2d) =

(2) $

Retirement account

401K

IRA

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Financial Institution

 

 

 

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

 

 

 

 

Minus loan balance

 

 

 

$

 

 

X .8 = $

 

 

 

– $

 

=

(3a)

$

 

 

 

 

 

Total of retirement accounts from attachment. [current market value X .8 minus loan balance(s)]

(3b)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (3a) through (3b) =

(3) $

Note: Your reduction from current market value may be greater than 20% due to potential tax consequences/withdrawal penalties.

Cash value of Life Insurance Policies

 

 

 

 

 

 

 

 

 

 

 

 

Name of Insurance Company

Policy number

 

 

 

 

 

 

 

 

 

 

Current cash value

Minus loan balance

 

 

 

$

 

– $

 

=

(4a)

$

 

 

 

 

 

Total cash value of life insurance policies from attachment

Minus loan balance(s)

 

 

 

$

 

– $

 

=

(4b)

$

 

 

 

 

 

 

 

 

 

Add lines (4a) through (4b) =

(4)

$

 

 

 

 

Catalog Number 55896Q

www.irs.gov

 

Form 433-A (OIC) (Rev. 4-2021)

Page 3

Section 3 (Continued)

Personal Asset Information

 

 

Real property (enter information about any house, condo, co-op, time share, etc. that you own or are buying including any assets owned by your spouse if you live in a community property state)

Is your real property currently for sale or do you anticipate selling your real property to fund the offer amount

 

Yes

(listing price)

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property description (indicate if personal residence, rental property, vacant, etc.)

Purchase date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount of mortgage payment

Date of final payment

How title is held (joint tenancy, etc.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location (street, city, state, ZIP code, county, and country)

 

Lender/Contract holder name, address (street, city,

 

 

 

 

 

 

 

 

 

 

 

 

state, ZIP code) and phone

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

Minus loan balance (mortgages, etc.)

 

 

$

 

 

X .8 = $

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

(total value of real estate) =

(5a)

$

 

 

 

 

 

Property description (indicate if personal residence, rental property, vacant, etc.)

Purchase date (mm/dd/yyyy)

 

 

 

 

 

 

 

 

Amount of mortgage payment

Date of final payment

How title is held (joint tenancy, etc.)

 

 

 

 

 

 

 

 

 

 

Location (street, city, state, ZIP code, county, and country)

 

Lender/Contract holder name, address (street, city,

 

 

 

 

 

 

 

 

 

 

 

 

state, ZIP code) and phone

 

 

 

 

 

 

 

 

 

Current market value

 

Minus loan balance (mortgages, etc.)

 

 

$

 

 

X .8 = $

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

(total value of real estate) =

(5b)

$

 

 

 

 

 

 

 

 

Total value of property(s) from attachment [current market value X .8 minus any loan balance(s)]

(5c)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (5a) through (5c) =

(5) $

Vehicles (enter information about any cars, boats, motorcycles, etc. that you own or lease)

Vehicle make & model

Year

 

 

Date purchased

 

Mileage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lease

 

Name of creditor

 

 

 

Date of final payment

 

Monthly lease/loan amount

 

 

 

Loan

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

Minus loan balance

 

 

 

 

$

 

 

 

X .8 = $

 

 

– $

Total value of vehicle (if the vehicle

(6a)

$

 

 

 

 

 

is leased, enter 0 as the total value) =

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtract $3,450 from line (6a)

(6b)

$

 

 

 

 

 

 

 

 

 

(If line (6a) minus $3,450 is a negative number, enter "0")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle make & model

Year

 

 

Date purchased

 

Mileage

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Lease

 

Name of creditor

 

 

 

Date of final payment

 

Monthly lease/loan amount

 

 

 

Loan

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

Minus loan balance

 

 

 

 

$

 

 

 

X .8 = $

 

 

 

– $

 

Total value of vehicle (if the vehicle

(6c)

$

 

 

 

 

 

is leased, enter 0 as the total value) =

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you are filing a joint offer, subtract $3,450 from line (6c)

 

 

 

 

 

 

 

 

 

 

 

(If line (6c) minus $3,450 is a negative number, enter "0")

(6d)

$

 

 

 

 

 

 

 

If you are not filing a joint offer, enter the amount from line (6c)

 

 

 

 

 

 

 

 

 

Total value of vehicles listed from attachment [current market value X .8 minus any loan balance(s)]

(6e)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total lines (6b), (6d), and (6e) =

(6) $

Catalog Number 55896Q

www.irs.gov

Form 433-A (OIC) (Rev. 4-2021)

Page 4

Section 3 (Continued)

Personal Asset Information

Other valuable items (artwork, collections, jewelry, items of value in safe deposit boxes, interest in a company or business that is not publicly traded, etc.)

Description of asset(s)

Current market value

 

 

 

 

 

 

 

Minus loan balance

 

 

 

 

 

$

 

 

 

 

 

X .8 = $

 

 

 

 

– $

 

 

 

=

 

 

(7a)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Value of remaining furniture and personal effects (not listed above)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of asset

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

 

 

 

 

 

 

Minus loan balance

 

 

 

 

 

$

 

 

 

 

 

X .8 = $

 

 

 

 

– $

 

 

 

=

 

 

(7b)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total value of valuable items listed from attachment [current market value X .8

 

minus any loan balance(s)]

(7c)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (7a) through (7c) minus IRS deduction of $9,790 =

 

(7)

$

 

 

 

Do not include amount on the lines with a letter beside the number. Round to the nearest whole dollar.

 

 

Box A

 

 

 

 

Do not enter a negative number. If any line item is a negative, enter "0" on that line.

 

 

Available Individual Equity in Assets

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (1) through (7) and enter the amount in Box A =

 

 

 

 

 

NOTE: If you or your spouse are self-employed, Sections 4, 5, and 6 must be completed before continuing with Sections 7 and 8.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 4

 

 

 

 

 

 

 

Self-Employed Information

 

 

 

 

 

If you or your spouse are self-employed (e.g., files Schedule(s) C, E, F, etc.), complete this section.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is your business a sole proprietorship

 

 

 

 

Address of business (if other than personal residence)

 

Yes

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business telephone number

 

 

 

 

Employer Identification Number

 

Business website address

 

 

 

 

Trade name or DBA

(

 

)

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of business

 

 

 

 

Total number of employees

 

Frequency of tax deposits

Average gross monthly

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

payroll $

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you or your spouse have any other

business interests? Include any

 

Business address (street, city, state, ZIP code)

 

 

interest in an LLC, LLP, corporation, partnership, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

(percentage of ownership:

 

) Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business name

 

 

 

 

 

 

 

 

 

 

 

Business telephone number

 

 

Employer Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

 

)

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of business (select one)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partnership

LLC

 

 

 

Corporation

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 5

 

 

 

 

 

 

Business Asset Information (for Self-Employed)

 

 

 

 

 

List business assets such as bank accounts, virtual currency (cryptocurrency), tools, books, machinery, equipment, business vehicles and real property that is owned/leased/rented. If additional space is needed, attach a list of items. Do not include personal assets listed in Section 3.

Round to the nearest whole dollar. Do not enter a negative number. If any line item is a negative number, enter "0".

 

Cash

Checking

Savings

Money Market Account/CD

Online Account

Stored Value Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank name

 

 

 

 

 

 

 

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8a)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash

Checking

Savings

Money Market Account/CD

Online Account

Stored Value Card

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Bank name

 

 

 

 

 

 

 

Account number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(8b)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

Virtual currency

Name of virtual currency

 

Email address used to

Location(s) of virtual

 

 

 

 

 

 

wallet, exchange or digital

set-up with the virtual

currency

 

 

 

Type of virtual currency

 

 

 

currency exchange (DCE)

currency exchange or DCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value in U.S. dollars as of today

 

 

 

 

 

 

 

 

$

 

 

 

X .8 = $

 

 

 

 

 

=

(8c)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total bank accounts from attachment

(8d)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (8a) through (8d) =

(8)

$

Catalog Number 55896Q

 

 

 

 

www.irs.gov

 

 

Form 433-A (OIC) (Rev. 4-2021)

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 5

Section 5 (Continued)

 

Business Asset Information (for Self-Employed)

 

 

 

Description of asset

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

 

 

Minus loan balance

 

Total value (if leased or used

 

 

 

$

 

X .8 = $

 

 

 

– $

 

 

 

in the production of income,

=

(9a)

$

 

 

 

 

 

 

enter 0 as the total value)

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of asset:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current market value

 

 

 

Minus Loan Balance

 

Total value (if leased or used

 

 

 

$

 

X .8 = $

 

 

 

– $

 

 

 

in the production of income,

=

(9b)

$

 

 

 

 

 

 

enter 0 as the total value)

 

 

 

 

 

Total value of assets listed from attachment [current market value X .8 minus any loan balance(s)]

(9c)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Add lines (9a) through (9c) =

(9)

$

 

 

 

 

 

IRS allowed deduction for professional books and tools of trade –

(10)

$

 

 

 

 

 

 

 

Enter the value of line (9) minus line (10). If less than zero enter zero. =

(11)

$

Notes Receivable

 

 

 

 

 

 

 

 

 

 

 

 

Do you have notes receivable

 

Yes

No

 

 

 

 

 

 

If yes, attach current listing that includes name(s) and amount of note(s) receivable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts Receivable

 

 

 

 

 

 

 

 

 

 

 

 

Do you have accounts receivable, including e-payment, factoring

Yes

 

No

 

 

 

companies, and any bartering or online auction accounts

 

 

 

 

If yes, provide a list of your current accounts receivable

 

 

 

 

 

 

 

 

Do not include amounts from the lines with a letter beside the number [for example: (9c)].

Box B

 

 

 

 

 

 

 

 

 

Round to the nearest whole dollar.

Available Business Equity in

 

 

Do not enter a negative number. If any line item is a negative, enter "0" on that line.

Assets

 

 

 

 

 

 

 

 

 

Add lines (8) and (11) and enter the amount in Box B =

$

 

Section 6

 

Business Income and Expense Information (for Self-Employed)

 

 

If you provide a current profit and loss (P&L) statement for the information below, enter the total gross monthly income on line 17 and your monthly expenses on line 29 below. Do not complete lines (12) - (16) and (18) - (28). You may use the amounts claimed for income and expenses on your most recent Schedule C; however, if the amount has changed significantly within the past year, a current P&L should be submitted to substantiate the claim.

Period provided beginning

through

 

 

 

 

 

Round to the nearest whole dollar. Do not enter a negative number. If any line item is a negative number, enter "0".

 

 

 

 

Business income (you may average 6-12 months income/receipts to determine your gross monthly income/receipts)

 

 

 

 

 

 

 

 

Gross receipts

 

 

(12)

$

 

 

 

 

 

Gross rental income

 

 

(13)

$

 

 

 

 

 

Interest income

 

 

(14)

$

 

 

 

 

 

Dividends

 

 

(15)

$

 

 

 

 

 

Other income

 

 

(16)

$

 

 

 

 

 

Add lines (12) through (16) =

(17)

$

Business expenses (you may average 6-12 months expenses to determine your average expenses)

 

 

 

 

 

 

 

Materials purchased (e.g., items directly related to the production of a product or service)

 

(18)

$

 

 

 

 

 

Inventory purchased (e.g., goods bought for resale)

 

 

(19)

$

 

 

 

 

 

Gross wages and salaries

 

 

(20)

$

 

 

 

 

 

Rent

 

 

(21)

$

 

 

 

 

Supplies (items used to conduct business and used up within one year, e.g., books, office supplies, professional equipment, etc.)

 

(22)

$

 

 

 

 

 

Utilities/telephones

 

 

(23)

$

 

 

 

 

 

Vehicle costs (gas, oil, repairs, maintenance)

 

 

(24)

$

 

 

 

 

 

Business insurance

 

 

(25)

$

 

 

 

 

Current business taxes (e.g., real estate, excise, franchise, occupational, personal property, sales and employer's portion of

 

(26)

$

employment taxes)

 

 

Secured debts (not credit cards)

 

 

(27)

$

 

 

 

 

 

Other business expenses (include a list)

 

 

(28)

$

 

 

 

 

 

Add lines (18) through (28) =

(29)

$

 

Round to the nearest whole dollar.

Box C

Do not enter a negative number. If any line item is a negative, enter "0" on that line.

Net Business Income

 

Subtract line (29) from line (17) and enter the amount in Box C =

$

 

Catalog Number 55896Q

www.irs.gov

Form 433-A (OIC) (Rev. 4-2021)

Page 6

Section 7

Monthly Household Income and Expense Information

Enter your household's gross monthly income. Gross monthly income includes wages, social security, pension, unemployment, and other income. Examples of other income include but are not limited to: agricultural subsidies, gambling income, oil credits, rent subsidies, Uber & Lyft driver income, and Airbnb rentals etc. The information below is for yourself, your spouse, and anyone else who contributes to your household's income. The entire household includes spouse, non-liable spouse, significant other, children, and others who contribute to the household. This is necessary for the IRS to accurately evaluate your offer.

Monthly Household Income

Note: Entire household income should also include income that is considered not taxable and may not be included on your tax return.

Round to the nearest whole dollar.

Primary taxpayer

 

 

 

 

 

 

 

 

 

 

 

 

Gross wages

Social Security

 

Pension(s)

Other income (e.g. unemployment)

 

 

$

 

+ $

 

+ $

 

 

+ $

 

Total primary

(30)

$

 

 

 

 

 

taxpayer income =

 

 

 

 

 

 

 

 

 

 

 

 

Spouse

 

 

 

 

 

 

 

 

 

 

 

 

Gross wages

Social Security

 

Pension(s)

Other Income (e.g. unemployment)

 

 

$

 

+ $

 

+ $

 

 

+ $

 

Total spouse

(31)

$

 

 

 

 

 

income =

 

 

 

 

 

 

 

 

 

 

 

 

Additional sources of income used to support the household, e.g., non-liable spouse, or anyone else who may

 

 

contribute to the household income, etc. List source(s)

 

 

 

 

(32)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interest, dividends, and royalties

 

 

 

 

 

 

 

 

(33)

$

 

 

 

 

 

 

 

 

Distributions (e.g., income from partnerships, sub-S Corporations, etc.)

 

 

 

 

(34)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

Net rental income

 

 

 

 

 

 

 

 

 

 

(35)

$

 

 

 

 

 

 

 

 

 

 

 

Net business income from Box C

 

 

 

 

 

 

 

 

(36)

$

 

 

 

 

 

 

 

 

 

 

 

Child support received

 

 

 

 

 

 

 

 

(37)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

Alimony received

 

 

 

 

 

 

 

 

 

 

(38)

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Round to the nearest whole dollar.

Box D

 

 

 

 

 

 

 

 

 

Total Household Income

 

 

 

Do not enter a negative number. If any line item is a negative, enter "0" on that line.

 

 

 

$

 

 

 

 

 

Add lines (30) through (38) and enter the amount in Box D =

 

Monthly Household Expenses

Enter your average monthly expenses.

Note: For expenses claimed in boxes (39) and (45) only, you should list the full amount of the allowable standard even if the actual amount you pay is less. For the other boxes input your actual expenses. You may find the allowable standards at http://www.irs.gov/Businesses/Small-Businesses-&-Self-Employed/Collection-Financial-Standards.

 

 

 

 

 

 

 

Round to the nearest whole dollar.

Food, clothing, and miscellaneous (e.g., housekeeping supplies, personal care products , minimum payment on credit card).

 

(39)

$

A reasonable estimate of these expenses may be used

 

Housing and utilities (e.g., rent or mortgage payment and average monthly cost of property taxes, home insurance,

 

 

 

maintenance, dues, fees and utilities including electricity, gas, other fuels, trash collection, water, cable television and internet,

 

 

 

telephone, and cell phone)

 

 

monthly rent payment

 

(40)

$

 

 

 

 

 

 

 

 

Vehicle loan and/or lease payment(s)

 

 

 

 

 

(41)

$

 

 

 

 

 

 

Vehicle operating costs (e.g., average monthly cost of maintenance, repairs, insurance, fuel, registrations, licenses,

 

(42)

$

inspections, parking, tolls, etc.). A reasonable estimate of these expenses may be used

 

Public transportation costs (e.g., average monthly cost of fares for mass transit such as bus, train, ferry, taxi, etc.). A

 

 

 

reasonable estimate of these expenses may be used

 

(43)

$

Health insurance premiums

 

 

 

 

 

(44)

$

 

 

 

 

 

 

Out-of-pocket health care costs (e.g. average monthly cost of prescription drugs, medical services, and medical supplies like

 

(45)

$

eyeglasses, hearing aids, etc.)

 

 

 

 

 

Court-ordered payments (e.g., monthly cost of any alimony, child support, etc.)

 

(46)

$

 

 

 

 

 

 

Child/dependent care payments (e.g., daycare, etc.)

 

(47)

$

 

 

 

 

 

 

 

 

Life insurance premiums

 

 

 

 

 

(48)

$

 

 

 

 

 

 

Current monthly taxes (e.g., monthly cost of federal, state, and local tax, personal property tax, etc.)

 

(49)

$

 

 

 

 

 

 

Secured debts/Other (e.g., any loan where you pledged an asset as collateral not previously listed, government guaranteed

 

 

 

student loan, employer required retirement or dues)

List debt(s)/expense(s)

 

(50)

$

 

 

 

 

 

 

 

 

 

Enter the amount of your monthly delinquent state and/or local tax payment(s) . Total tax owed

 

 

(51)

$

 

 

 

 

 

 

 

 

 

 

 

Round to the nearest whole dollar.

 

Box E

 

Do not enter a negative number. If any line item is a negative, enter "0" on that line.

 

Total Household Expenses

 

Add lines (39) through (51) and enter the amount in Box E =

 

$

 

 

 

 

 

Round to the nearest whole dollar.

 

Box F

 

Do not enter a negative number. If any line item is a negative, enter "0" on that line.

 

Remaining Monthly Income

 

Subtract Box E from Box D and enter the amount in Box F =

 

$

 

Catalog Number 55896Q

 

www.irs.gov

 

Form 433-A (OIC) (Rev. 4-2021)

Page 7

Section 8

Calculate Your Minimum Offer Amount

The next steps calculate your minimum offer amount. The amount of time you take to pay your offer in full will affect your minimum offer amount. Paying over a shorter period of time will result in a smaller minimum offer amount.

Note: The multipliers below (12 and 24) and the calculated offer amount (which included the amount(s) allowed for vehicles and bank accounts) do not apply if the IRS determines you have the ability to pay your tax debt in full within the legal period to collect.

Round to the nearest whole dollar.

If you will pay your offer in 5 or fewer payments within 5 months or less, multiply "Remaining Monthly Income" (Box F) by 12 to get "Future Remaining Income" (Box G). Do not enter a number less than $0.

Enter the total from Box F

$

X 12 =

Box G Future Remaining Income

$

If you will pay your offer in 6 to 24 months, multiply "Remaining Monthly Income" (Box F) by 24 to get "Future Remaining Income" (Box H). Do not enter a number less than $0.

Enter the total from Box F

$

X 24 =

Box H Future Remaining Income

$

Determine your minimum offer amount by adding the total available assets from Box A and Box B (if applicable) to the amount in either Box G or Box H.

Enter the amount from Box A plus Box B (if applicable)

$

+

Enter the amount from either Box G or Box H

$

=

Offer Amount

Your offer must be more than zero ($0). Do not leave blank. Use whole dollars only.

$

If you cannot pay the Offer Amount shown above due to special circumstances, explain on the Form 656, Offer in Compromise, Section 3, Reason for Offer, Explanation of Circumstances. You must offer an amount more than $0.

Section 9

Other Information

Additional information IRS needs to consider settlement of your tax debt. If you or your business are currently in a bankruptcy proceeding, you are not eligible to apply for an offer.

Are you a party to or involved in litigation (if yes, answer the following)

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Plaintiff

Location of filing

 

Represented by

 

 

 

 

Docket/Case number

Defendant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount of dispute

Possible completion date (mmddyyyy)

 

Subject of litigation

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you filed bankruptcy in the past 7 years (if yes, answer the following)

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

Date filed (mmddyyyy)

 

Date dismissed (mmddyyyy)

Date discharged (mmddyyyy)

Petition no.

 

Location filed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In the past 10 years, have you lived outside of the U.S. for 6 months or longer (if yes, answer the following)

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Dates lived abroad: From (mmddyyyy)

 

To (mmddyyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you or have you ever been party to any litigation involving the IRS/United States (including any tax litigation)

 

 

 

Yes

No

 

 

 

 

 

 

 

 

If yes and the litigation included tax debt, provide the types of tax and periods involved

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you the beneficiary of a trust, estate, or life insurance policy (if yes, answer the following)

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Place where recorded

 

 

 

 

 

 

 

 

EIN

 

 

 

 

 

Name of the trust, estate, or policy

 

Anticipated amount to be received

When will the amount be received

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you a trustee, fiduciary, or contributor of a trust

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

Name of the trust

 

 

 

 

 

 

 

 

EIN

 

 

 

 

 

 

 

 

 

Do you have a safe deposit box (business or personal) (if yes, answer the following)

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

Location (name, address and box number(s))

 

 

 

Contents

 

 

 

Value

 

 

 

 

 

 

 

 

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

In the past 10 years, have you transferred any assets, including real property, for less than their full value (if yes, answer the following)

Yes

No

List asset(s)

Value at time of transfer

Date transferred (mmddyyyy)

To whom or where was it transferred

 

$

 

 

 

 

 

 

Catalog Number 55896Q

www.irs.gov

 

Form 433-A (OIC) (Rev. 4-2021)

Date (mm/dd/yyyy)
Date (mm/dd/yyyy)

Section 9 (Continued)Other Information

Do you have any assets or own any real property outside the U.S.

If yes, provide description, location, and value

Do you have any funds being held in trust by a third party

If yes, how much $

Where

Section 10

Signatures

Page 8

Yes No

Yes No

Under penalties of perjury, I declare that I have examined this offer, including accompanying documents, and to the best of my knowledge it is true, correct, and complete.

Signature of Taxpayer

Signature of Spouse

Remember to include all applicable attachments listed below.

Copies of the most recent pay stub, earnings statement, etc., from each employer.

Copies of the most recent statement for each investment and retirement account.

Copies of the most recent statement, etc., from all other sources of income such as pensions, Social Security, rental income, interest and dividends (including any received from a related partnership, corporation, LLC, LLP, etc.), court order for child support, alimony, royalties, and rent subsidies.

Copies of individual complete bank statements for the three most recent months. If you operate a business, copies of the six most recent complete statements for each business bank account.

Copies of the most recent statement from lender(s) on loans such as mortgages, second mortgages, vehicles, etc., showing monthly payments, loan payoffs, and balances.

List of Accounts Receivable or Notes Receivable, if applicable.

Verification of delinquent State/Local Tax Liability showing total delinquent state/local taxes and amount of monthly payments, if applicable.

Copies of court orders for child support/alimony payments claimed in monthly expense section.

Copies of Trust documents if applicable per Section 9.

Documentation to support any special circumstances described in the “Explanation of Circumstances” on Form 656, if applicable.

Attach a Form 2848, Power of Attorney, if you would like your attorney, CPA, or enrolled agent to represent you and you do not have a current form on file with the IRS. Make sure the current tax year is included.

Completed and signed current Form 656.

Catalog Number 55896Q

www.irs.gov

Form 433-A (OIC) (Rev. 4-2021)

Document Specs

Fact Number Detail
1 The IRS 433-A (OIC) form is used to apply for an Offer in Compromise.
2 This form allows taxpayers to settle their tax debt for less than the full amount owed.
3 Applicants must provide detailed financial information to the IRS, including assets, income, and expenses.
4 The form is part of the IRS's Fresh Start initiative, aimed at helping struggling taxpayers.
5 A non-refundable application fee must typically be submitted with the form, except in certain qualifying situations.
6 Submission of the 433-A (OIC) does not guarantee acceptance of the offer by the IRS.
7 The IRS takes the taxpayer's ability to pay into consideration when evaluating offers.
8 Eligibility criteria and instructions for completing the form are outlined in the Form 656 Booklet.

Instructions on Writing IRS 433-A (OIC)

If you're considering settling your tax debt for less than the full amount you owe, the IRS 433-A (OIC) form, which stands for Offer in Compromise, is a critical document in that process. Filling out this form correctly is essential to present your financial situation accurately to the IRS. This could lead to a compromise that's beneficial for both you and the agency. Below, you'll find a clear, step-by-step guide on how to complete this form to help you navigate through the process smoothly.

  1. Start by gathering all necessary financial documents. This includes bank statements, pay stubs, investment accounts, and property assessments to ensure the information you provide is accurate.
  2. Fill in your basic information, such as name, social security number, address, and contact details in the section labeled "Basic Information."
  3. Detail your employment information. If you're employed, provide your employer's name, address, and your occupation. If unemployed, note this in the specified area.
  4. Document your monthly household income in the "Income" section. Include all sources of income, such as wages, self-employment income, dividends, and pension.
  5. Outline your monthly living expenses in the "Expenses" section. Be accurate about your rent or mortgage, utilities, food, transportation, and any other monthly expenses.
  6. Disclose all assets in the "Asset Information" section. This includes cash, investments, available credit, life insurance, retirement accounts, real estate, vehicles, and personal assets.
  7. Provide details of your self-employment information, if applicable. This should cover business assets, revenue, and expenses.
  8. Complete the "Taxpayer Information" section with details about any ongoing or previous tax issues.
  9. Review the form to ensure accuracy, completeness, and truthfulness of the information provided. Mistakes or inaccuracies can lead to delays or rejection of your offer.
  10. Finally, sign and date the form. If you're filing jointly with a spouse, both must sign. Your signature authorizes the IRS to check your information.

After completing the IRS Form 433-A (OIC), compile it with the required supporting documents and your offer amount. Submit the package to the IRS for consideration. Patience is key, as the review process can take some time. However, by providing a clear and comprehensive snapshot of your financial situation, you increase your chances of reaching a favorable agreement. Remember, this step towards resolving your tax debt is a positive one, and getting the details right on this form is crucial.

Understanding IRS 433-A (OIC)

What is the IRS 433-A (OIC) form?

The IRS 433-A (OIC) form, also known as the Collection Information Statement for Wage Earners and Self-Employed Individuals, is a document used to provide the IRS with detailed information about your financial situation. It's primarily used when someone wishes to make an Offer in Compromise (OIC) to settle a tax debt for less than the full amount owed.

Who needs to fill out the IRS 433-A (OIC) form?

This form is required for individuals who are wage earners or self-employed and are seeking to resolve their tax debts through an Offer in Compromise. If you're considering this route, it's crucial to understand that filling out the form accurately is essential to the success of your offer.

What information is required on the IRS 433-A (OIC) form?

You'll need to provide comprehensive information about your financial situation. This includes details about your employment, income, bank accounts, assets (like your home or car), and living expenses. The goal is to give the IRS a full picture of your ability to pay your tax debt.

How does the IRS use the information provided in the form?

The IRS reviews the information to assess your financial situation and determine your ability to pay the tax debt. The provided details help the IRS calculate an acceptable offer amount that reflects your true ability to pay, aiming for a compromise that is in the best interest of both the taxpayer and the government.

Can filling out the IRS 433-A (OIC) form incorrectly affect my Offer in Compromise?

Yes, providing inaccurate or incomplete information can lead to your offer being rejected. It's important to carefully compile and verify all the information you include in the form to ensure your Offer in Compromise is considered.

Where can I find the IRS 433-A (OIC) form?

The form is available on the IRS website. You can download it directly, fill it out electronically, or print it to fill out by hand. Make sure you're using the most current version of the form to avoid any processing delays.

Is there any assistance available for filling out the IRS 433-A (OIC) form?

Yes, the IRS offers guidelines and instructions for filling out the form. Additionally, you may find it helpful to consult with a tax professional or attorney who specializes in tax resolution to ensure the form is completed accurately and effectively.

What happens after I submit my IRS 433-A (OIC) form?

After submission, the IRS will review your form as part of your Offer in Compromise application. This process can take several months. You may be contacted for additional information or clarification. Ultimately, you'll receive a decision from the IRS on whether your offer has been accepted, which will detail the next steps in resolving your tax debt.

Common mistakes

When individuals tackle the IRS 433-A (OIC) form, a common mistake made is providing inaccurate financial information. This form demands precise details about the applicant's financial standing, including income, debts, assets, and expenses. However, errors or miscalculations often occur, either by overestimating or underestimating one's financial capabilities. Such inaccuracies can lead to the IRS rejecting the offer in compromise (OIC), as it relies heavily on these financial disclosures to make a decision.

Another prevalent issue is failing to include all necessary documentation. The 433-A (OIC) requires an array of supporting documents, such as bank statements, pay stubs, and proof of expenses. Applicants sometimes overlook or misjudge the importance of these documents, submitting incomplete forms. This oversight can cause delays or outright denials, as the IRS needs thorough documentation to assess the legitimacy of an OIC application.

Ignoring future income and potential changes in financial status is a critical mistake. Individuals often focus on their current financial distress without considering possible changes in their income or expenses. The IRS evaluates the likelihood of future changes affecting the applicant's ability to pay. Therefore, not accounting for potential increases in income or decreases in liabilities can undermine the credibility of the claim, affecting the outcome of the OIC application.

Another error is incorrectly valuing assets. When filling out the 433-A (OIC), it’s imperative to accurately assess and report the value of all assets. Overvaluing assets can lead to a higher offer than necessary, while undervaluing them might flag the application for additional scrutiny or suspicion of fraudulent reporting. This valuation has a direct impact on the perceived ability to pay and thus the success of the OIC.

Underestimating or incorrectly reporting living expenses also poses a significant problem. The IRS allows for certain living expenses to be deducted from one's income to determine the ability to pay. Applicants sometimes fail to claim all allowable expenses or report them inaccurately. This mistake not only inflates the perceived ability to pay but also reduces the chances of the OIC being accepted, as it portrays an inflated financial capability.

Last but not least, procrastination and late submissions of the 433-A (OIC) form significantly lower the chances of acceptance. The IRS operates within specific time frames, and delaying the submission can result in missed opportunities for resolution. Applicants must be mindful of the IRS's deadlines and strive to submit their forms and any requested additional information punctually. Timely responses signify good faith and willingness to comply, elements that the IRS weighs considerably during the OIC evaluation process.

Documents used along the form

When individuals or businesses find themselves unable to pay their tax debt in full, they might consider applying for an Offer in Compromise (OIC) using the IRS Form 433-A. This form is a detailed document that provides the IRS with a comprehensive financial overview of the applicant's ability to pay. However, completing the form 433-A is often just one step in the process. Several other documents and forms usually accompany it to paint a full picture of an applicant's financial situation. Understanding these additional forms can significantly streamline the application process, ensuring clarity and efficiency.

  • Form 656 - This form is essentially the heart of the OIC application. It indicates the taxpayer's offer amount and the rationale behind the proposed sum. The form serves as a formal proposal to settle the tax debt for less than the amount owed, highlighting the taxpayer's earnest desire to resolve the issue in a manner that's financially feasible for them.
  • Form 2848, Power of Attorney and Declaration of Representative - Often, taxpayers seek the guidance of professionals to navigate the complexities of tax debt resolution. This form allows tax professionals to act on behalf of a taxpayer, facilitating direct communication with the IRS. It's a crucial document for those who prefer expert negotiation and representation during the OIC process.
  • Form 4506-T, Request for Transcript of Tax Return - In evaluating an OIC, the IRS might request more information about the applicant's past tax filings. Form 4506-T enables the IRS to access previous tax returns, offering a clearer understanding of the applicant's financial history and compliance with tax laws. It ensures that all evaluations are based on accurate and comprehensive data.
  • Collection Information Statement - For individuals, this is often integrated into Form 433-A (OIC). However, businesses submitting an OIC must complete a separate form, either Form 433-B (OIC) for businesses or the appropriate Collection Information Statement for individuals involved. These documents provide detailed information about the applicant's income, expenses, asset equity, and other aspects of their financial condition, offering a granular view of their capability to settle the tax debt.

Carefully assembling and submitting these forms can significantly impact the outcome of an OIC application. Each document plays a distinct role in conveying to the IRS the applicant's financial reality and their commitment to resolving their tax liability. By thoroughly understanding and properly utilizing these forms, individuals and businesses can more effectively navigate the complexities of resolving tax debt, paving the way toward financial recovery and stability.

Similar forms

The IRS 433-A (OIC) form, a crucial document for those seeking to settle their tax debts for less than the full amount owed, shares similarities with several other important financial disclosure documents. For instance, the 1040 U.S. Individual Income Tax Return form, used by citizens to file their annual income taxes, also requires comprehensive financial information from the taxpayer. Much like the 433-A, it necessitates detailed income and expense information to accurately assess one's financial position, although its primary aim is to calculate the amount of tax owed or refunded, rather than to negotiate debt settlement.

Similarly, the FAFSA (Free Application for Federal Student Aid) form is another document that requires extensive financial information from applicants. This form is designed to determine a student's eligibility for financial aid by assessing their family's financial strength, including income, assets, and liabilities. While the purpose of the FAFSA is to secure educational funding rather than to resolve tax debt, both it and the IRS 433-A form place a strong emphasis on a thorough financial assessment to make fair and beneficial determinations regarding the applicant's financial capabilities.

Bank loan applications, too, mirror the IRS 433-A (OIC) form in their requirement for detailed financial disclosures. When applying for a loan, borrowers must provide their income, expenses, assets, and liabilities to allow the bank to assess their ability to repay the loan. This process shares the objective of the 433-A form to a degree, which is to evaluate the individual's financial situation, albeit for the purpose of securing a loan versus settling a tax debt. Nonetheless, both processes necessitate a comprehensive understanding of the applicant's financial health.

Last but not least, the Chapter 7 Bankruptcy forms, which individuals file to seek relief from their debts, also share a resemblance to the IRS 433-A (OIC). Both require the disclosure of detailed financial information, such as assets, liabilities, income, and expenses, to evaluate the filer's financial standing. The goal in the bankruptcy context is to determine the individual's eligibility for debt discharge, contrasting with the 433-A's objective of negotiating tax debt settlement. However, the core necessity of portraying an accurate financial picture is fundamentally shared between the two.

Each of these documents, while serving different purposes, fundamentally requires a detailed and transparent accounting of an individual's financial situation. Whether for assessing tax liability, student aid eligibility, loan qualifications, or bankruptcy filings, understanding one’s financial obligations and abilities is crucial. The IRS 433-A (OIC) form is a key player in this landscape, offering a means for those burdened by tax debt to seek a fresh start, akin to the opportunities presented by the other forms through their respective processes.

Dos and Don'ts

Filling out the IRS 433-A (OIC) form, which is used for an Offer in Compromise allowing taxpayers to settle their debt for less than the amount owed, requires careful attention. Below are several dos and don'ts to consider during this process.

Do:
  • Provide accurate information. Ensure all data regarding your finances, including assets, income, and expenses, is truthful and verifiable.
  • Review requirements and instructions thoroughly before completing the form. Understanding the details can help avoid mistakes or omissions.
  • Use the most recent form version. The IRS updates their forms periodically, so make sure you are using the latest version to avoid rejections.
  • Consider assistance from a tax professional. If the form or situation seems overwhelming, seeking help can prevent costly errors.
  • Attach necessary documentation. Supporting documents for income, expenses, liabilities, and assets are crucial for substantiating your Offer in Compromise.
  • Keep copies of everything submitted. Having a record of your submission and all attachments can be invaluable if questions arise later.
Don't:
  • Leave sections blank. If a section does not apply, write “N/A” (not applicable) to indicate that it has been considered and determined to be non-applicable.
  • Underestimate your expenses or overestimate your income. Misrepresenting your financial situation can lead to the rejection of your offer or potential legal consequences.
  • Ignore deadlines. Submitting your form and any requested additional information on time is critical to the success of your offer.
  • Forget to sign and date the form. An unsigned or undated form will not be processed and considered incomplete.

Misconceptions

Understanding the complexities surrounding the IRS 433-A (OIC) form, commonly required for an Offer in Compromise (OIC), often leads to confusion. Misconceptions can significantly impact one's approach to resolving tax debt. Here, nine common misunderstandings are addressed, aiming to clarify and inform.

  • Only for the Wealthy: The belief that the IRS 433-A (OIC) form is exclusively for wealthy individuals is a misconception. In reality, it is designed for taxpayers of all financial backgrounds who are unable to pay their full tax liabilities due to financial hardship.
  • Guaranteed Acceptance: Some taxpayers think that filling out and submitting form 433-A (OIC) guarantees the IRS will accept their Offer in Compromise. However, acceptance is based on thorough examination of one's financial situation and is not guaranteed.
  • Quick Resolution: The expectation of a quick resolution after submitting the form is untrue. The review process is comprehensive, often taking months to conclude as the IRS carefully assesses the offer against the taxpayer’s ability to pay.
  • One-Time Submission: Another common misconception is that the form only needs to be submitted once. Depending on the specifics of one’s financial scenario, the IRS may request additional information, necessitating further submissions.
  • Eliminates All Taxes: The belief that an accepted offer in compromise will eliminate all taxes owed is incorrect. While it can significantly reduce the amount, certain taxes, penalties, or interest might remain depending on one’s specific case and the type of tax debt.
  • No Further IRS Action: The assumption that the IRS will halt all collection actions upon submission of the form is misleading. Until an OIC is accepted, the IRS may continue collection activities, including liens and levies.
  • Does Not Affect Credit Score: Many believe submitting an OIC has no effect on their credit score. While the OIC itself does not impact credit scores, the lien filings leading up to the compromise can affect them.
  • Set Amount to Offer: There's a misconception that there is a set or minimum amount that one must offer when submitting form 433-A (OIC). In reality, the amount is determined by applying the IRS's financial analysis formulas to each individual's specific financial situation.
  • Payments Cease Upon Submission: Some taxpayers mistakenly believe they no longer need to make payments on existing installment agreements once they submit the form. Taxpayers are generally required to keep making payments until the OIC is approved.

By dispelling these misconceptions, taxpayers can approach the Offer in Compromise process with a clearer understanding and realistic expectations. Engaging with the process informed can substantially affect one's ability to navigate the steps required and potentially reach a favorable resolution.

Key takeaways

The IRS 433-A (OIC) form, essential for those seeking an Offer in Compromise (OIC) with the Internal Revenue Service, necessitates detailed information about one's financial situation. Understanding its key aspects can significantly enhance the process of negotiating tax debts. Here are eight crucial takeaways for filling out and utilizing the IRS 433-A (OIC) form effectively:

  • Accuracy is paramount: Every piece of information provided on the form must be accurate and verifiable. Inaccuracies can lead to delays or rejection of your OIC application.
  • Comprehensive documentation: Supporting documents for income, expenses, and asset values are mandatory. This documentation helps justify the figures entered in the form.
  • Understandable financial disclosure: The form serves as a detailed disclosure of your financial situation to the IRS. Providing a clear and comprehensive overview is vital for a favorable outcome.
  • Realistic expense reporting: It’s crucial to report living expenses realistically. The IRS has set standards for allowable living expenses, but actual expenses may vary.
  • Income sources: All sources of income must be meticulously reported, including employment, business profits, rent, and any other income types relevant to your situation.
  • Asset valuation: Honest disclosure of assets, including properties, vehicles, bank accounts, and life insurance, is required. Over or underestimating values can affect your OIC.
  • Future income: The form also inquires about potential future income or asset sales. This information helps the IRS determine your ability to satisfy the tax debt over time.
  • Professional advice: Given the complexities of the OIC process and the comprehensive financial analysis required, seeking professional advice can be beneficial. A tax professional can provide guidance on filling out the form accurately and strategizing an effective OIC proposal.

Navigating the Offer in Compromise process and the IRS 433-A (OIC) form can be challenging. However, with careful attention to detail and adherence to these key takeaways, individuals can step confidently through the process. Ultimately, the goal is to reach a manageable resolution to outstanding tax liabilities, paving the way for financial stability.

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