Table of Contents
If you are making this request for a joint tax return, show the names and social security numbers (SSNs) in the same order as on your tax return.
If you are requesting an installment agreement for a business tax liability, enter the business name and employer identification number on this line.
Enter the total amount you owe as shown on your tax return(s) (or notice(s)).
If the amount you owe is greater than $50,000, you must complete Form 433-F and mail it with this form. You can download Form 433-F at IRS.gov or order it by calling 1-800-TAX-FORM (1-800-829-3676).
Even if you cannot pay the full amount you owe now, you should pay as much as possible to limit penalty and interest charges. If you are filing this form with your tax return, make the payment with your return. For details on how to pay, see your tax return instructions.
If you are filing this form by itself, such as in response to a notice, attach a check or money order payable to the “United States Treasury.” Do not send cash. Be sure to include:
Your name, address, SSN/EIN, and daytime phone number.
The tax year and tax return (for example,“ 2009 Form 1040”) for which you are making this request.
Enter on line 9 the amount you can pay each month. Make your payments as large as possible to limit interest and penalty charges. The charges will continue until you pay in full. If a payment amount is not shown on line 9, one will be determined for you by dividing the balance due by 72 months.
You can choose the day of each month your payment is due. This can be on or after the 1st of the month, but no later than the 28th of the month. For example, if your rent or mortgage payment is due on the 1st of the month, you may want to make your installment payments on the 15th. When we approve your request, we will tell you the month and day that your first payment is due.
If we have not replied by the date you chose for your first payment, you can send the first payment to the Internal Revenue Service Center at the address shown earlier that applies to you. See the instructions for line 8 above for details on what to write on your payment.
To pay by electronic funds withdrawal from your checking account at a bank or other financial institution (such as mutual fund, brokerage firm, or credit union), fill in lines 11a and 11b. Check with your financial institution to make sure that an electronic funds withdrawal is allowed and to get the correct routing and account numbers.
We may have filed a notice of federal tax lien against your property. If so, you may be able to get the notice of lien withdrawn. To learn more about lien withdrawals and to see if you qualify, visit IRS.gov and enter "lien withdrawal" in the search box.
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