Form 656-B, Offer in Compromise Booklet - Internal Revenue Service

More documents

Recommendations

Info

Section 10SignaturesPage 8 of 8Under penalties of perjury, I declare that I have examined this offer, including accompanying documents, and to the best of my knowledgeit is true, correct, and complete.Signature of TaxpayerDate (mm/dd/yyyy)Signature of TaxpayerDate (mm/dd/yyyy)Remember to include all applicable attachments listed below.Copies of the most recent pay stub, earnings statement, etc., from each employerCopies of the most recent statement for each investment and retirement accountCopies of the most recent statement, etc., from all other sources of income such as pensions, Social Security, rentalincome, interest and dividends (including any received from a related partnership, corporation, LLC, LLP, etc.), court orderfor child support, alimony, and rent subsidiesCopies of bank statements for the three most recent monthsCopies of the most recent statement from lender(s) on loans such as mortgages, second mortgages, vehicles, etc., showingmonthly payments, loan payoffs, and balancesList of Notes Receivable, if applicableVerification of State/Local Tax Liability, if applicableDocumentation to support any special circumstances described in the "Explanation of Circumstances" on Form 656, ifapplicableAttach a Form 2848, Power of Attorney, if you would like your attorney, CPA, or enrolled agent to represent you and you donot have a current form on file with the IRS.Catalog Number 55896Q www.irs.gov Form 433-A (OIC) (Rev. 1-2014)
Form 433-B (OIC)(Rev. January 2014)Department of the Treasury — Internal Revenue ServiceCollection Information Statement for BusinessesComplete this form if your business is aCorporationPartnershipLimited Liability Company (LLC) classified as a corporationOther multi-owner/multi-member LLCSingle member LLCInclude attachments if additional space is needed to respond completely to any question.If your business is a sole proprietorship (filing Schedule C, D, E, F,etc.), do not use this form. Instead, complete Form 433-A (OIC)Collection Information Statement for Wage Earners and Self-Employed Individuals.Section 1Business InformationBusiness NameEmployer Identification NumberBusiness Address (street, city, state, zip code)County of Business LocationDescription of Business and dba or "Trade Name"Primary Phone( ) -Business website addressSecondary Phone( ) -Mailing Address (if different from above or Post Office Box number)Fax Number( ) -Federal ContractorYes NoFrequency of Tax DepositsTotal Number of EmployeesAverage Gross Monthly Payroll$Does the business outsource its payroll processing and taxreturn preparation for a fee?Yes No If yes, list provider name and address in box below(Street, City, State, ZIP Code)Provide information about all partners, officers, LLC members, major shareholders (foreign and domestic), etc., associated with thebusiness. Include attachments if additional space is needed.Last Name First Name TitlePercent of Ownership and Annual Salary Social Security NumberHome Address (Street, City, State, ZIP Code)Primary Phone( ) -Secondary Phone( ) -Last Name First Name TitlePercent of Ownership and Annual Salary Social Security NumberHome Address (Street, City, State, ZIP Code)Primary Phone( ) -Secondary Phone( ) -Last Name First Name TitlePercent of Ownership and Annual Salary Social Security NumberHome Address (Street, City, State, ZIP Code)Primary Phone( ) -Secondary Phone( ) -Catalog Number 55897B www.irs.gov Form 433-B (OIC) (Rev. 1-2014)
Page 1: Form 656 BookletOffer inCompromiseC
Page 4 and 5: You cannot submit an offer if the I
Page 6 and 7: COMPLETING THE APPLICATION PACKAGES
Page 9 and 10: Form 433-A (OIC)(Rev. January 2014)
Page 11 and 12: Page 3 of 8Section 3 (Continued)Per
Page 13 and 14: Page 5 of 8Section 5 (Continued)Des
Page 15: Page 7 of 8Section 7Monthly Househo
Page 19 and 20: Page 3 of 6Section 2 (Continued)Bus
Page 21: Section 5Calculate Your Minimum Off
Page 24 and 25: Section 3Reason for OfferPage 2 of
Page 26 and 27: Page 4 of 6Section 7Source of Funds
Page 28 and 29: Section 10Paid Preparer Use OnlyPag
Page 32: Form 656-B (Rev. 1-2014) Catalog Nu

Form 656-B, Offer in Compromise Booklet - Internal Revenue Service

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?