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When individuals find themselves facing financial difficulties, particularly with the Internal Revenue Service (IRS), navigating the path towards resolution can often feel daunting. Among the various forms and procedures that the IRS employs to understand and possibly alleviate a taxpayer's burden, the IRS 433-A (OIC) form stands out as a critical tool for those looking to offer a compromise and settle their tax debts for less than the full amount owed. This form requires detailed information about the taxpayer’s financial situation, including income, expenses, assets, and liabilities, thus enabling the IRS to assess the taxpayer's ability to pay. It's designed for individual taxpayers, providing them with an opportunity to present their case for why settling their tax debt would serve in both parties' best interest. Successfully navigating this process can offer a lifeline to those overwhelmed by tax debt, allowing them to move towards financial recovery. However, it is essential to approach this form with thorough preparation and a clear understanding of its requirements and implications, as the information provided will be scrutinized closely by the IRS to ensure that any offer made reflects the taxpayer's true ability to pay.

IRS 433-A (OIC) Example

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 Specifics

Fact Name Description
Purpose The IRS Form 433-A (OIC) is used by individuals to apply for an Offer in Compromise, allowing them to settle their tax debt for less than the full amount owed.
Eligibility To be eligible to submit Form 433-A (OIC), individuals must have filed all required tax returns and made any required estimated tax payments.
Contents The form requires detailed financial information, including income, expenses, assets, and liabilities, to evaluate the applicant's ability to pay.
Supporting Documents Applicants must also submit supporting documents, such as pay stubs, bank statements, and property valuations, to verify the information provided on the form.
Submission Process Form 433-A (OIC) and all supporting documentation must be submitted to the IRS, along with Form 656, Offer in Compromise, and the application fee, if applicable.
Application Fee and Initial Payment Most applicants are required to pay a non-refundable application fee and an initial payment towards their tax debt as part of the offer submission.
Governing Law The Offer in Compromise program, including the submission of Form 433-A (OIC), is governed by federal tax laws and regulations.
State-Specific Offers Some states have their own Offer in Compromise programs with separate forms and requirements. The governing laws vary by state.

Guide to Writing IRS 433-A (OIC)

Navigating the IRS 433-A (OIC) form can initially seem daunting, but with a clear, step-by-step approach, it becomes manageable. This form plays a crucial role for individuals seeking to make an Offer in Compromise (OIC) to the IRS, potentially allowing them to settle their tax liabilities for less than the full amount owed. To ensure accuracy and improve the chances of your offer being accepted, it's crucial to understand and meticulously fill out this form. Below are the steps needed to complete the IRS 433-A (OIC) form properly.

  1. Start by gathering all necessary financial documents. This includes your most recent tax return, bank statements, pay stubs, and records of expenses. These documents will support the information you'll provide in the form.
  2. Read through the entire form before filling anything out. This will give you a comprehensive overview of what's required and help prevent errors.
  3. Fill out the Basic Information section. This part requires straightforward details like your name, Social Security number, address, and marital status.
  4. Proceed to the Employment Information For Wage Earners section if you are employed. Here, you'll need to provide details about your employment, including the name and address of your employer, your occupation, and how often you get paid.
  5. Self-employed individuals should fill out the Business Information section, detailing the type of business, address, information about any partners, and the gross monthly business income
  6. Document your Asset Information, including cash, investments, available credit, life insurance, real property, vehicles, and personal assets. Be as accurate as possible, providing current market values and any owed amounts.
  7. In the Monthly Income and Expense section, precisely list all forms of income and routine expenses. This part helps the IRS understand your financial situation in detail.
  8. For the Other Information section, respond to various questions regarding your financial history, business affiliations, transfer of assets, and more. Complete honesty is crucial here to avoid potential legal issues.
  9. Review your form carefully. Mistakes or omitted information can lead to delays or rejection of your OIC.
  10. Sign and date the form. By signing, you're certifying that all information provided is complete and accurate to the best of your knowledge.

After completing the IRS 433-A (OIC) form, the next steps involve compiling any required supporting documentation and submitting your package to the IRS. Be aware that the IRS thoroughly reviews each offer, which can take time. Meanwhile, stay on top of any current tax obligations to avoid new debts. Remember, successfully navigating this process requires patience, precision, and honest disclosure of all relevant financial details.

Understanding IRS 433-A (OIC)

  1. 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 by individuals to apply for an Offer in Compromise (OIC) with the IRS. An OIC allows taxpayers to settle their tax debt for less than the full amount they owe. It’s part of a program designed for those who are unable to pay their full tax liabilities due to financial hardship, allowing a fresh start. This form provides the IRS with detailed information about the taxpayer’s income, expenses, assets, and liabilities.

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

    This form is specifically designed for wage earners and self-employed individuals seeking an Offer in Compromise. If you're facing financial difficulty and believe you qualify for an OIC, completing this form is a crucial step. The IRS utilizes the information provided to assess your ability to pay your tax debt. It’s important for anyone considering this avenue to understand that not all tax debts are eligible for an OIC, so it’s recommended to review the eligibility criteria first or consult with a tax professional.

  3. What information do you need to complete the form?

    • Personal information: Full name, Social Security Number (SSN), and contact details.
    • Employment details: Information about your employer or your business if self-employed.
    • Financial details: Comprehensive data on your monthly income and expenses, asset information (such as cash, investments, and available credit), and details of your liabilities and debt.

    Accurately filling out this information is critical in helping the IRS understand your financial situation and determine your eligibility for an OIC.

  4. How do you submit the IRS 433-A (OIC) form?

    After completing the form, you should review it carefully to ensure all information is accurate and no section has been left blank. The form, accompanied by all required documentation and the application fee (if applicable), should be submitted to the IRS address provided in the form instructions. Remember, the application process also involves submitting Form 656, Offer in Compromise, along with the 433-A (OIC). The process can be complex, and many individuals opt to seek professional advice to navigate it successfully.

  5. What happens after you submit the form?

    Once your Form 433-A (OIC) and all accompanying paperwork are received, the IRS will review your application. This review process includes verifying the information you’ve provided and assessing your overall financial situation to make a decision on your OIC request. The IRS may request additional information or documentation. If your offer is accepted, you will receive written notification detailing the terms of your agreement and instructions for fulfilling your end of the bargain. If your offer is rejected, you have the option to appeal the decision.

Common mistakes

Filling out the IRS 433-A (OIC) form, which is used for an Offer in Compromise to settle tax debts for less than the full amount owed, can be tricky. People often make mistakes during this process, which can lead to delays or even rejections of their offer. Paying attention to detail and avoiding these common errors can significantly increase the chances of having your offer accepted.

  1. Not reporting all income sources: It's essential to list all sources of income accurately. Missing even a small part-time job can raise questions about the completeness and honesty of your application.

  2. Overlooking or underestimating expenses: Many people either forget to include certain living expenses or underestimate the amount they spend monthly. This can make it appear as though you have more disposable income than you actually do, potentially reducing the likelihood of your offer being accepted.

  3. Failing to include all debts and liabilities: Just like income and expenses, all debts and liabilities must be disclosed. Omitting this information can portray an inaccurate financial situation.

  4. Not providing sufficient documentation: The IRS requires proof for nearly every claim made on the form. Failing to attach the necessary documents or providing incomplete records can lead to processing delays or offer denial.

  5. Miscalculating the offer amount: This critical mistake can stem from not understanding the guidelines or simple mathematical errors. An incorrectly calculated offer might be automatically rejected.

  6. Ignoring the details of asset valuation: When valuing your assets, it's important to be realistic and follow the guidelines provided. Overvaluing or undervaluing assets can cause issues with your application.

  7. Incorrectly using the form: The IRS 433-A (OIC) form is designed for individuals. Using this form for business taxes or failing to fill out every required section can result in an incomplete submission.

  8. Forgetting to sign and date the form: This might seem minor, but an unsigned or undated form is considered incomplete and will not be processed until corrected.

  9. Misunderstanding eligibility requirements: Submitting an Offer in Compromise without fully understanding the eligibility criteria can lead to a wasted effort if the IRS deems you not eligible.

Avoiding these mistakes requires careful attention to detail and a thorough understanding of the IRS guidelines concerning the Offer in Compromise program. When in doubt, seeking assistance from a tax professional can provide clarity and improve the chances of a favorable outcome.

Documents used along the form

Filling out the IRS 433-A (OIC) form is a crucial step for individuals seeking to settle tax debts through an Offer in Compromise (OIC) with the Internal Revenue Service. However, to provide a comprehensive picture of their financial situation and convince the IRS that they are not in a position to pay the full debt, individuals often need to submit additional documents and forms alongside the 433-A (OIC). Here is a list of documents frequently associated with the process, each serving a unique but complementary role in assembling a compelling case for an OIC.

  • Form 656: Broadly, this form is the actual Offer in Compromise application where the taxpayer proposes the amount they can pay. It complements the 433-A by attaching a monetary proposal to the financial details provided.
  • Form 2848, Power of Attorney and Declaration of Representative: This document allows taxpayers to appoint an individual, often a lawyer or accountant, to represent them in dealings with the IRS, including the negotiation of an OIC.
  • Form 4506-T, Request for Transcript of Tax Return: A request for a transcript of past tax returns can be necessary to provide the IRS with a taxpayer’s history and insight into their past earnings and filings.
  • Bank Statements: Recent bank statements are typically required to offer a current view of an individual’s financial situation, verifying the information provided on the 433-A form.
  • Proof of Income: This can include recent pay stubs, business income statements, or other documents evidencing current income to support the income figures listed on the 433-A.
  • Property Appraisals: For individuals who own property, recent appraisals can give the IRS a clear picture of the value of significant assets, potentially affecting the offer terms.
  • Vehicle Registration and Valuation: Like property appraisals, documentation concerning vehicles the taxpayer owns, including current valuation and registration, may be required for a complete financial assessment.
  • Credit Report: Occasionally, a current credit report might be requested to assess liabilities and existing debt obligations, complementing the liabilities stated on the 433-A.
  • Monthly Expense Documentation: This can range from utility bills to grocery receipts and is essential for verifying the living expenses claimed on the 433-A form.

Together with the IRS 433-A (OIC) form, these documents offer a holistic view of the taxpayer's financial status, making the case for why an Offer in Compromise is a necessary and viable solution for their situation. It is vital for individuals considering this route to comprehensively gather and accurately present this information, potentially with the assistance of a tax professional, to navigate the complexities of the process successfully.

Similar forms

The IRS Form 1040, U.S. Individual Income Tax Return, is similar to the IRS 433-A (OIC) form in that both require detailed financial information from the taxpayer. The Form 1040 focuses on documenting an individual's annual income and taxes owed, while the 433-A (OIC) form is used to provide a comprehensive snapshot of the taxpayer's financial situation to negotiate a settlement offer for outstanding tax liabilities.

The IRS Form 9465, Installment Agreement Request, shares similarities with the 433-A (OIC) form as both are tools for taxpayers to address unpaid taxes. Form 9465 is used to request a payment plan for taxes owed, requiring the taxpayer to disclose their financial status to determine the monthly payment amount, similar to how the 433-A (OIC) form requires financial disclosure to negotiate a tax debt settlement.

The IRS Form 656, Offer in Compromise, is directly related to the 433-A (OIC) form since it is the actual offer document that accompanies the financial disclosure provided in the 433-A (OIC). Form 656 outlines the terms of the taxpayer’s offer to settle their debt, while the 433-A (OIC) supplies the financial evidence supporting why the offer should be considered by the IRS.

The Schedule C (Form 1040), Profit or Loss from Business, is similar to the IRS 433-A (OIC) in that both require detailed financial information related to the taxpayer's business income and expenses. Schedule C is used by sole proprietors to report their business earnings to the IRS annually, whereas 433-A (OIC) might include comparable information to demonstrate a taxpayer's income sources and financial capacity when negotiating a tax settlement.

The IRS Form 433-B (OIC), Collection Information Statement for Businesses, parallels the 433-A (OIC) form but is specific to businesses. While the 433-A is designed for individual taxpayers, the 433-B collects similar financial information from businesses seeking to compromise their tax liabilities. Both forms assess the ability to pay and are critical in negotiating terms with the IRS.

The IRS Form 433-F, Collection Information Statement, is another form that resembles the 433-A (OIC) in its purpose and content. Used in different scenarios where taxpayers need to disclose their financial situation to the IRS, the 433-F may be required from individuals or businesses not submitting an offer in compromise but still dealing with tax debt issues.

The Bankruptcy Forms, specifically the Schedule I (Current Income of Individual Debtor(s)) and Schedule J (Current Expenditures of Individual Debtor(s)), share a resemblance with the 433-A (OIC) because they all require detailed disclosure of an individual’s financial situation. In bankruptcy proceedings, these forms help evaluate the debtor’s ability to repay their debts, similar to how the 433-A (OIC) assesses a taxpayer's capability to settle tax debts.

The Consumer Financial Protection Bureau’s (CFPB) Mortgage Assistance Application closely relates to the IRS 433-A (OIC) form as both require homeowners to provide detailed financial information when seeking assistance. While the CFPB’s application focuses on mortgage relief options, the 433-A (OIC) is aimed at resolving tax liabilities. Both processes require thorough documentation of income, expenses, and debts to evaluate eligibility for relief.

The Financial Statement for Legal Aid, used by many legal aid organizations to determine a person's eligibility for services, is analogous to the IRS 433-A (OIC) form. Both require detailed financial disclosures to assess the individual's financial status and ability to pay, whether for legal services on a sliding scale or for tax debt settlement purposes.

The U.S. Department of Education’s Free Application for Federal Student Aid (FAFSA) also shares similarities with the IRS 433-A (OIC) form. Although the FAFSA is aimed at determining eligibility for student financial aid, it requires comprehensive financial information from students and their families, mirroring the depth of financial disclosure found in the 433-A (OIC) form for evaluating a taxpayer’s ability to settle a debt with the IRS.

Dos and Don'ts

When confronting the task of filling out the IRS 433-A (Offer in Compromise) form, navigating the complexity of tax documents can be daunting. To ensure clarity and compliance with the Internal Revenue Service (IRS) guidelines, individuals should proceed with precision and thoughtfulness. Here are seven essential dos and don’ts to consider:

  • Do thoroughly review all instructions provided by the IRS for completing the form. The IRS offers detailed guidance that can preempt common errors, ensuring that your submission meets all required standards.
  • Do provide accurate and complete financial information. The integrity of your application depends on the transparency and accuracy of the data you supply about your assets, liabilities, income, and expenses.
  • Do verify all information before submission. This not only includes double-checking figures and facts but also reviewing for completeness—every question that applies to your financial situation should be answered.
  • Do use additional sheets if necessary and clearly label them. If you find that the space provided in the form is insufficient, add extra pages as needed, ensuring they are properly identified and securely attached.
  • Do not leave any fields blank that apply to your situation. Instead of leaving a space empty, if a particular question does not apply, or if the answer is zero, write “N/A” or “0” to indicate this.
  • Do not overlook the necessity of attaching required documentation. Failure to include all necessary documents can delay processing or result in the denial of your Offer in Compromise.
  • Do not hesitate to seek professional advice. The complexities of tax law and IRS procedures can be overwhelming. Consulting with a tax professional or attorney can provide invaluable guidance and increase the likelihood of a favorable outcome.

Filling out the IRS 433-A (OIC) form is a step that requires careful attention to detail and an understanding of your financial picture. By adhering to these guidelines, individuals can navigate the process more smoothly and with confidence in the accuracy and completeness of their submission.

Misconceptions

When it comes to resolving tax debts, the IRS Form 433-A (OIC) - an Offer in Compromise - is often misunderstood. Several myths surround its function and application, leading to confusion for taxpayers looking for relief. Here are six misconceptions about this form and the truths behind them:

  • Everyone qualifies for an Offer in Compromise (OIC): Not every taxpayer is eligible for an OIC. The IRS considers the taxpayer's ability to pay, income, expenses, and asset equity when evaluating an offer. Only those who genuinely cannot pay their full tax liability are considered.

  • Filing an OIC stops all collections: While filing an OIC does temporarily halt collections, the IRS may still file a Notice of Federal Tax Lien to protect its interests. The halt on collections lasts until a decision is made on the offer, it is rejected, or the taxpayer fails to meet any terms of the OIC.

  • The process is quick: The review process for an OIC can be lengthy, often taking several months to a year. The complexity of your tax situation and the IRS's current backlog play significant roles in the timeline.

  • You can settle for "pennies on the dollar": While the IRS may compromise on some tax liabilities, the idea that all settlements are a fraction of what is owed is misleading. The amount accepted is based on what the IRS considers collectible from the taxpayer's current and future financial potential.

  • An OIC is the only option for tax relief: An Offer in Compromise is just one of several options available for those struggling with tax debts. Alternative solutions might include installment agreements, temporary delays of collection, or even currently not collectible status, depending on individual circumstances.

  • Paying a professional guarantees OIC approval: While tax professionals can provide valuable assistance in preparing and submitting an OIC, paying for such services does not guarantee the IRS will accept your offer. The decision hinges on the specifics of your financial situation and your ability to pay.

Understanding the realities of the IRS Form 433-A (OIC) can aid taxpayers in making informed decisions about managing their tax debts. It's important to evaluate all available options and, if needed, seek professional advice to navigate the process effectively.

Key takeaways

Understanding how to accurately complete and utilize the IRS 433-A (OIC) form is crucial when seeking an offer in compromise. This agreement allows taxpayers to settle their tax debts for less than the amount owed, making precision and transparency key. Below are six important takeaways that individuals should keep in mind:

  • Complete all sections thoroughly: The IRS 433-A (OIC) form requires detailed financial information. This includes income, expenses, assets, and liabilities. Providing comprehensive and accurate details is essential for the IRS to assess the offer properly.
  • Ensure accuracy of financial information: The data submitted on the form must reflect the taxpayer's current financial situation. Errors or omissions can lead to delays or rejection of the offer in compromise.
  • Understand eligibility criteria: Before submitting the form, verify eligibility for an offer in compromise. This includes being current with all filing and payment requirements and not in an open bankruptcy proceeding.
  • Include required documentation: Supporting documents are necessary to substantiate the financial information provided on the form. Failure to include these documents can result in the offer being returned.
  • Pay the application fee and initial payment: Except for qualifying low-income taxpayers or certain individual cases based on the tax debt type, an application fee and initial payment towards the offered amount must accompany the completed form.
  • Be patient and follow up: The review process for an offer in compromise can be lengthy. Maintain communication with the IRS and provide additional information if requested to facilitate the assessment of your offer.

Submitting an IRS 433-A (OIC) form is a step toward resolving tax debt under manageable terms. Individuals should approach this process with care, ensuring all information is current and accurate to increase the likelihood of acceptance. Remember, seeking advice from a tax professional can provide valuable guidance through this complex process.

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