IRS Form 433a
 
IRS FormsCollection Information Statement for Wage Earners and Self-Employed Individuals

You can print the PDF or just read through and see what kind of information will be needed. (The PDF does require a reader of some kind. You can download a free copy of adobe acrobat anytime at: http://www.adobe.com )Adobe Acrobat
  1. Print this IRS Form 433-A.
  2. Fill it out completely and leave no area blank. If an area does not apply, write in "N/A". If the subject or area applies and the correct number or dollar amount is zero, write in "0".
  3. Keep in mind that IRS will request and receive a copy of your credit report. They will compare the credit report to your form 433-A for accuracy. If they find any omissions on the form 433-A, your will automatically be seen as a troublesome taxpayer and it will be much more difficult for us to help you.
  4. Sign and date the form 433-A page four. Both taxpayers must sign the form if both taxpayers are liable for the unpaid taxes.
  5. Fax the completed form 433-A to us at 817/263-9541.   
Download 433a (PDF)
 
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