The IRS 433-F form, known as the Collection Information Statement, is a document used by the Internal Revenue Service to collect financial information from individuals who owe taxes and are seeking to negotiate payment plans or settle tax debts. This form allows taxpayers to provide detailed information about their financial situation, including income, expenses, assets, and liabilities. It is a critical step in working with the IRS to manage and resolve outstanding tax obligations.
When taxpayers find themselves grappling with outstanding tax debts they can't pay in full, the importance of understanding the IRS 433-F form cannot be understated. This critical document, often referred to as the 'Collection Information Statement,' serves as a bridge between struggling individuals and the IRS's willingness to negotiate payment terms. Essentially, it provides the federal tax authority with a detailed snapshot of an individual's financial situation, laying out income sources, living expenses, and asset ownership in a comprehensive manner. The information gleaned from the form is then used by the IRS to determine eligibility for payment plans or settlements that can offer much-needed relief to taxpayers. However, navigating the complexities of the form can be daunting, as it requires careful attention to detail and a thorough understanding of what is required to accurately portray one's financial standing. It's a crucial step for those seeking to avoid the severe consequences of unpaid taxes, including penalties and interest—which can rapidly accumulate, further complicating one's financial predicament.
Form 433-F
(February 2019)
Department of the Treasury - Internal Revenue Service
Collection Information Statement
Name(s) and Address
Your Social Security Number or Individual Taxpayer Identification Number
Your Spouse’s Social Security Number or Individual Taxpayer Identification Number
If address provided above is different than last return filed,
Your telephone numbers
Spouse’s telephone numbers
please check here
Home:
County of Residence
Work:
Cell:
Enter the number of people in the household who can be claimed on this year’s tax return including you and your spouse. Under 65
65 and Over
If you or your spouse are self employed or have self employment income, provide the following information:
Name of Business
Business EIN
Type of Business
Number of Employees (not counting owner)
A. ACCOUNTS / LINES OF CREDIT
PERSONAL BANK ACCOUNTS Include checking, online, mobile (e.g., PayPal), savings accounts, money market accounts. (Use additional sheets if necessary.)
Name and Address of Institution
Account Number
Type of Account
Current
Balance/Value
Check if
Business Account
INVESTMENTS Include Certificates of Deposit, Trusts, Individual Retirement Accounts (IRAs), Keogh Plans, Simplified Employee Pensions, 401(k) Plans, Profit Sharing Plans, Mutual Funds, Stocks, Bonds, Commodities (Silver, Gold, etc.), and other investments. If applicable, include business accounts. (Use additional sheets if necessary.)
VIRTUAL CURRENCY (CRYPTOCURRENCY) List all virtual currency you own or in which you have a financial interest (e.g., Bitcoin, Ethereum, Litecoin, Ripple, etc.). (Use additional sheets if necessary.)
Type of Virtual Currency
Name of Virtual Currency Wallet,
Exchange or Digital Currency
Exchange (DCE)
Email Address Used to Set-up
With the Virtual Currency
Exchange or DCE
Location(s) of Virtual Currency (Mobile Wallet, Online, and/or External Hardware storage)
Virtual Currency
Amount and Value in US dollars as of today (e.g., 10 Bitcoins $64,600 USD)
B. REAL ESTATE Include home, vacation property, timeshares, vacant land and other real estate. (Use additional sheets if necessary.)
Description/Location/County
Monthly Payment(s)
Financing
Current Value
Balance Owed
Equity
Year Purchased
Purchase Price
Primary Residence
Other
Year Refinanced
Refinance Amount
C. OTHER ASSETS Include cars, boats, recreational vehicles, whole life policies, etc. Include make, model and year of vehicles and name of Life Insurance company in Description. If applicable, include business assets such as tools, equipment, inventory, etc. (Use additional sheets if necessary.)
Description
Monthly Payment Year Purchased Final Payment (mo/yr) Current Value
/
D. CREDIT CARDS (Visa, MasterCard, American Express, Department Stores, etc.)
Type
Credit Limit
Minimum Monthly Payment
TURN PAGE TO CONTINUE
Catalog Number 62053J
www.irs.gov
Form 433-F (Rev. 2-2019)
Page 2 of 4
E. BUSINESS INFORMATION Complete E1 for Accounts Receivable owed to you or your business. (Use additional sheets if necessary.) Complete E2 if you or your business accepts credit card payments. Include virtual currency wallet, exchange or digital currency exchange.
E1. Accounts Receivable owed to you or your business
Name
Address
Amount Owed
List total amount owed from additional sheets
Total amount of accounts receivable available to pay to IRS now
E2. Name of individual or business on account
Credit Card
(Visa, Master Card, etc.)
Issuing Bank Name and Address
Merchant Account Number
F. EMPLOYMENT INFORMATION If you have more than one employer, include the information on another sheet of paper. (If attaching a copy of current pay stub, you do not need to complete this section.)
Your current Employer (name and address)
How often are you paid (check one)
Weekly
Biweekly
Semi-monthly
Monthly
Gross per pay period
Taxes per pay period (Fed)
(State)
(Local)
How long at current employer
Spouse’s current Employer (name and address)
G. NON-WAGE HOUSEHOLD INCOME List monthly amounts. For Self-Employment and Rental Income, list the monthly amount received after expenses or taxes and attach a copy of your current year profit and loss statement.
Alimony Income
Child Support Income
Net Self Employment Income
Net Rental Income
Unemployment Income
Pension Income
Interest/Dividends Income
Social Security Income
Other:
H. MONTHLY NECESSARY LIVING EXPENSES List monthly amounts. (For expenses paid other than monthly, see instructions.)
1. Food / Personal Care See instructions. If you do not spend more than
4. Medical
Actual Monthly
IRS Allowed
the standard allowable amount for your family size, fill in the Total amount
Health Insurance
Expenses
only.
Out of Pocket Health Care
Food
Total
Housekeeping Supplies
Clothing and Clothing Services
5. Other
Personal Care Products & Services
Miscellaneous
Child / Dependent Care
Estimated Tax Payments
2. Transportation
Term Life Insurance
Retirement (Employer Required)
Gas / Insurance / Licenses /
Retirement (Voluntary)
Parking / Maintenance etc.
Union Dues
Public Transportation
Delinquent State & Local Taxes
(minimum payment)
3. Housing & Utilities
Student Loans (minimum
payment)
Rent
Court Ordered Child Support
Electric, Oil/Gas, Water/Trash
Court Ordered Alimony
Telephone/Cell/Cable/Internet
Other Court Ordered Payments
Real Estate Taxes and Insurance
Other (specify)
(if not included in B above)
Maintenance and Repairs
Under penalty of perjury, I declare to the best of my knowledge and belief this statement of assets, liabilities and other information is true, correct and complete.
Your signature
Spouse’s signature
Date
Page 3 of 4
Instructions for Form 433-F, Collection Information Statement
What is the purpose of Form 433F?
Form 433-F is used to obtain current financial information necessary for determining how a wage earner or self-employed individual can satisfy an outstanding tax liability.
Note: You may be able to establish an Online Payment Agreement on the IRS web site. To apply online, go to https://www.irs.gov, click on “I need to pay my taxes,” and select “Installment Agreement” under the heading “What if I can't pay now?”
If you are requesting an Installment Agreement, you should submit Form 9465, Installment Agreement Request, along with Form 433-F. (A large down payment may streamline the installment agreement process, pay your balance faster and reduce the amount of penalties and interest.
Please retain a copy of your completed form and supporting documentation. After we review your completed form, we may contact you for additional information. For example, we may ask you to send supporting documentation of your current income or substantiation of your stated expenditures.
If any section on this form is too small for the information you need to supply, please use a separate sheet.
Section A – Accounts / Lines of Credit
List all accounts, even if they currently have no balance. However, do not enter bank loans in this section. Include business accounts, if applicable. If you are entering information for a stock or bond, etc. and a question does not apply, enter N/A.
Section B – Real Estate
List all real estate you own or are purchasing including your home. Include insurance and taxes if they are included in your monthly payment. The county/description is needed if different than the address and county you listed above. To determine equity, subtract the amount owed for each piece of real estate from its current market value.
Section C – Other Assets
List all cars, boats and recreational vehicles with their make, model and year. If a vehicle is leased, write “lease” in the “year purchased” column. List whole life insurance policies with the name of the insurance company. List other assets with a description such as “paintings”, “coin collection”, or “antiques”. If applicable, include business assets, such as tools, equipment, inventory, and intangible assets such as domain names, patents, copyrights, etc. To determine equity, subtract the amount owed from its current market value. If you are entering information for an asset and a question does not apply, enter N/A.
Section D – Credit Cards
List all credit cards and lines of credit, even if there is no balance owed.
Section E – Business Information
Complete this section if you or your spouse are self-employed, or have self-employment income. This includes self-employment income from online sales.
E1: List all Accounts Receivable owed to you or your business. Include federal, state and local grants and contracts.
E2: Complete if you or your business accepts credit card payments (e.g., Visa, MasterCard, etc.) and/or virtual currency wallet, exchange or digital currency exchange.
Section F – Employment Information
Complete this section if you or your spouse are wage earners.
If attaching a copy of current pay stub, you do not need to complete this section.
Section G – Non-Wage Household Income
List all non-wage income received monthly.
Net Self-Employment Income is the amount you or your
spouse earns after you pay ordinary and necessary monthly business expenses. This figure should relate to the yearly net profit from Schedule C on your Form 1040 or your current year profit and loss statement. Please attach a copy of Schedule C or your current year profit and loss statement. If net income is a loss, enter “0”.
Net Rental Income is the amount you earn after you pay ordinary and necessary monthly rental expenses. This figure should relate to the amount reported on Schedule E of your Form 1040.
Do not include depreciation expenses. Depreciation is a non-cash expense. Only cash expenses are used to determine ability to pay).
If net rental income is a loss, enter “0”.
Other Income includes distributions from partnerships and subchapter S corporations reported on Schedule K-1, and from limited liability companies reported on Form 1040, Schedule C, D or E. It also includes agricultural subsidies, gambling income, oil credits, and rent subsidies. Enter total distributions from IRAs if not included under Pension Income.
Section H – Monthly Necessary Living Expenses
Enter monthly amounts for expenses. For any expenses not paid monthly, convert as follows:
If a bill is paid …
Calculate the monthly
amount by …
Quarterly
Dividing by 3
Multiplying by 4.3
Biweekly (every two
Multiplying by 2.17
weeks)
Semimonthly (twice
Multiplying by 2
each month)
Page 4 of 4
For expenses claimed in boxes 1 and 4, you should provide the IRS allowable standards, or the actual amount you pay if the amount exceeds the IRS allowable standards. IRS allowable standards can be found by accessing https://www.irs.gov/ businesses/small-businesses-self-employed/collection-financial- standards.
Substantiation may be required for any expenses over the standard once the financial analysis is completed.
The amount claimed for Miscellaneous cannot exceed the standard amount for the number of people in your family. The miscellaneous allowance is for expenses incurred that are not included in any other allowable living expense items. Examples are credit card payments, bank fees and charges, reading material and school supplies.
If you do not have access to the IRS web site, itemize your actual expenses and we will ask you for additional proof, if required. Documentation may include pay statements, bank and investment statements, loan statements and bills for recurring expenses, etc.
Housing and Utilities – Includes expenses for your primary residence. You should only list amounts for utilities, taxes and insurance that are not included in your mortgage or rent payments.
Rent – Do not enter mortgage payment here. Mortgage payment is listed in Section B.
Transportation – Include the total of maintenance, repairs, insurance, fuel, registrations, licenses, inspections, parking, and tolls for one month.
Public Transportation – Include the total you spend for public transportation if you do not own a vehicle or if you have public transportation costs in addition to vehicle expenses.
Medical – You are allowed expenses for health insurance and out-of-pocket health care costs.
Health insurance – Enter the monthly amount you pay for yourself or your family.
Out-of-Pocket health care expenses – are costs not
covered by health insurance, and include:
•Medical services
•Prescription drugs
•Dental expenses
•Medical supplies, including eyeglasses and contact lenses. Medical procedures of a purely cosmetic nature, such as plastic surgery or elective dental work are generally not allowed.
Child / Dependent Care – Enter the monthly amount you pay for the care of dependents that can be claimed on your Form 1040.
Estimated Tax Payments – Calculate the monthly
amount you pay for estimated taxes by dividing the quarterly amount due on your Form 1040ES by 3.
Life Insurance – Enter the amount you pay for term life insurance only. Whole life insurance has cash value and should be listed in Section C.
Delinquent State & Local Taxes – Enter the minimum
amount you are required to pay monthly. Be prepared to provide a copy of the statement showing the amount you owe and if applicable, any agreement you have for monthly payments.
Student Loans – Minimum payments on student loans for the taxpayer’s post-secondary education may be allowed if they are guaranteed by the federal government. Be prepared to provide proof of loan balance and payments.
Court Ordered Payments – For any court ordered
payments, be prepared to submit a copy of the court order portion showing the amount you are ordered to pay, the signatures, and proof you are making the payments. Acceptable forms of proof are copies of cancelled checks or copies of bank or pay statements.
Other Expenses not listed above – We may allow
other expenses in certain circumstances. For example, if the expenses are necessary for the health and welfare of the taxpayer or family, or for the production of income. Specify the expense and list the minimum monthly payment you are billed.
Filling out the IRS 433-F form is an essential step for individuals looking to establish a payment plan or apply for certain types of tax relief with the Internal Revenue Service (IRS). This form allows the IRS to evaluate one’s financial situation accurately, ensuring that any agreement made is feasible based on the applicant's current financial condition. To successfully navigate this process, it's crucial to provide detailed and accurate information about your finances, including income, expenses, and debts. Below are step-by-step instructions designed to guide you through the process of filling out the form.
After completing the IRS 433-F form, the next step involves submitting it to the IRS through the appropriate channel, which could be by mail or electronically, depending on your specific case or instruction from the IRS. Typically, you will receive a response or request for additional information within a few weeks of submission. It's crucial to respond promptly to any requests from the IRS to avoid delays in processing your form. Proper submission of this form can help facilitate negotiations for payment plans or other relief options, moving you closer to resolving your tax situation.
What is a IRS 433-F form?
The IRS 433-F form, also known as the Collection Information Statement, is a document requested by the Internal Revenue Service (IRS) from individuals or businesses when they need to work out a payment plan or compromise for outstanding taxes. This form helps the IRS understand the taxpayer's financial situation by providing detailed information on their income, expenses, and available assets.
When do I need to fill out a 433-F form?
You may be asked to complete the 433-F form if you owe taxes and can't pay in full, or if you are seeking an alternative payment arrangement, such as an installment agreement or offer in compromise. Additionally, the IRS might require this form if they're considering levying your assets. It's a tool for the IRS to assess what you can realistically pay.
What information do I need to provide on the form?
How do I submit the 433-F form to the IRS?
The filled out 433-F form can be submitted to the IRS through fax, mail, or, in some cases, electronically through the IRS website. The method of submission often depends on the context in which the IRS requested the form. It's important to ensure the form is fully and accurately completed to avoid any processing delays. Always check with the IRS or a tax professional for the most current submission guidelines.
Can filling out the 433-F form reduce my tax debt?
Filling out the 433-F form itself doesn't directly reduce your tax debt, but it can lead to payment arrangements that make managing your debt more feasible. Based on the financial information provided, the IRS can offer payment plans that fit your financial situation or even consider settling your tax debt for less than the amount owed through an offer in compromise.
What happens if I don't provide accurate information on the form?
Providing inaccurate information on the 433-F form can lead to serious consequences, including potential legal action. The IRS relies on the accuracy of the information provided to make fair assessments regarding your payment capabilities. Inaccurate or incomplete information can result in denial of payment plans or other relief options, and may also trigger audits or penalties.
Where can I get help with filling out the 433-F form?
If you need help with completing the 433-F form, consider reaching out to a tax professional, such as a CPA or a tax attorney who understands the complexities of tax laws and IRS procedures. Additionally, the IRS provides resources and assistance through their website and customer service lines. They can offer guidance and ensure that you are filling out the form correctly to reflect your financial situation accurately.
Filling out the IRS 433-F form can often feel like navigating through a maze without a map. This crucial form, needed for setting up payment plans or settling tax debts, is a hotspot for errors. A common mistake is not accurately reporting all sources of income. People sometimes overlook or intentionally omit part-time jobs, business income, or even occasional earnings. This oversight can result in significant discrepancies, causing delays or denials in the negotiation process with the IRS.
Expenses pose another area where errors frequently occur. Some individuals underestimate or forget to include essential monthly expenses such as insurance premiums, medical bills, or educational expenses. This inaccurate depiction of financial health can lead to unrealistic payment plans, eventually straining one's budget even further. Conversely, overestimating expenses in the hope of reducing monthly payment obligations is equally problematic. The IRS has guidelines for allowable living expenses, and figures that don't align with their standards raise red flags.
A lack of supporting documentation is another pitfall. Failing to attach proof of income, tax returns, and necessary expense receipts can stall the negotiation process. The IRS requires evidence to verify the figures reported; thus, ignoring this step can lead to the assumption of inaccuracies in the provided information.
Some individuals mistakenly believe that once they submit the 433-F form, their job is done. However, not staying in touch with the IRS or monitoring the status of the submission is a critical error. The review process can unearth additional questions or request further verification. Ignoring correspondence from the IRS can void the negotiation effort, leaving the taxpayer back at square one.
Underestimating the importance of accuracy in filling out this form is yet another common error. Small mistakes, such as incorrect Social Security numbers or bank account details, can cause significant delays. Ensuring that every piece of information is correct and up-to-date is vital for a smooth process.
Another mistake lies in not considering future changes in financial status when negotiating payment plans. If there's a realistic expectation of increased income or decreased expenses, these should be factored into the negotiation to avoid the need for future adjustments that could complicate matters.
Lastly, attempting to navigate the complexities of the IRS 433-F form without seeking professional advice can be detrimental. While it may seem cost-effective to do it alone, the risks of errors that could result in more significant financial consequences far outweigh the expense of consulting with a tax professional. This expert guidance can ensure the form is completed accurately, increasing the likelihood of favorable terms.
When dealing with the IRS, particularly concerning issues like setting up payment plans or resolving tax debts, the IRS 433-F form, also known as the Collection Information Statement, is a critical document. However, this form often requires support from additional documents and forms to provide a comprehensive view of an individual's financial situation. Understanding these complementary documents can streamline the submission process and enhance the effectiveness of your communication with the IRS.
Collecting and preparing these documents in conjunction with the IRS 433-F form can be daunting, but it's an essential step towards managing your tax situation effectively. It's always advisable to seek professional guidance to ensure that all the paperwork is in order, which can expedite the resolution of any tax matters with the IRS.
IRS 433-A (OIC) - Collection Information Statement for Wage Earners and Self-Employed Individuals: This document, like the 433-F, is used in the collection process to gather financial information, but it specifically targets individuals and self-employed taxpayers seeking an Offer in Compromise. Both forms assess the taxpayer's ability to pay outstanding taxes by examining their income, assets, and expenses.
IRS 433-B (OIC) - Collection Information Statement for Businesses: This form serves a similar purpose to the 433-F, but is designed for businesses seeking an Offer in Compromise. It helps the IRS determine the business’s ability to pay its tax liabilities, collecting details on the business's income, expenses, and asset values, similar to how the 433-F assesses an individual's or household's financial situation.
IRS Form 9465 - Installment Agreement Request: Taxpayers use this form to request a monthly payment plan if they cannot pay their tax debt in full. The similarity with the 433-F lies in its purpose of addressing tax liabilities by providing the IRS with necessary financial information. While the 433-F details the taxpayer's financial situation to assess their ability to pay, the Form 9465 proposes a specific payment plan based on the taxpayer's stated financial situation.
Form 656 - Offer in Compromise: This document, part of the Offer in Compromise program, allows taxpayers to settle their tax debt for less than the full amount owed. It is similar to the 433-F in that both forms are crucial steps in the negotiation process with the IRS, where the taxpayer's financial information plays a pivotal role. The 433-F often complements Form 656 by providing a detailed snapshot of the taxpayer's financial health, which helps the IRS decide whether to accept the offer.
Filling out IRS Form 433-F, known as the Collection Information Statement, is crucial for individuals working out payment plans or settling tax debts with the IRS. Here are essential dos and don'ts to guide you through the process seamlessly.
Things You Should Do
Things You Shouldn't Do
Navigating the complexities of tax issues can be daunting, especially when it comes to forms like the IRS 433-F. This document is crucial for individuals who are setting up a payment plan or offer in compromise with the IRS. However, there are several misconceptions that can confuse taxpayers. Let’s dispel some common myths.
Understanding and demystifying these misconceptions about IRS Form 433-F is the first step towards addressing your tax debt responsibly and efficiently. Always ensure that you have the most current and accurate financial information ready when dealing with the IRS, and consider seeking advice from a tax professional if you have doubts or questions.
When dealing with the IRS 433-F form, there are several key takeaways you should keep in mind to navigate the process smoothly. This form is fundamental for individuals working out payment plans or other arrangements with the IRS regarding their taxes. Understanding these points can make a significant difference in managing your tax obligations effectively.
Gather all relevant financial documents before you start: Before filling out form 433-F, make sure you have all necessary financial information at hand. This includes details about your income, expenses, and any assets or debts you have. Being prepared will make the process more efficient and help ensure accuracy.
Accuracy is crucial: The IRS uses the information you provide on form 433-F to make important decisions about your tax situation. Make sure all the details you enter are precise and truthful. Inaccurate information can lead to complications or unfavorable outcomes.
Understand the purpose of the form: The IRS 433-F is used to collect financial information from individuals to determine how they can settle their tax debt. This may include setting up a payment plan that considers your ability to pay. Knowing why you’re completing it can help you provide the most relevant information.
Consider all your expenses: When listing your monthly expenses, include everything from housing and utilities to food, transportation, and health care costs. The IRS allows for a certain amount of living expenses, but it's based on national and local standards. Understanding these allowances can help you accurately represent your financial situation.
Don't forget about assets and debts: In addition to your income and expenses, form 433-F asks for detailed information about your assets (like savings accounts or property) and debts. This comprehensive view of your finances helps the IRS determine your ability to pay back the owed amount.
Seek assistance if needed: If you find the form confusing or are unsure about how to accurately represent your financial situation, don't hesitate to seek help. Tax professionals or IRS representatives can offer guidance and ensure you're filling out the form correctly, potentially easing the resolution of your tax issues.
By keeping these pointers in mind, you can approach the IRS 433-F form with confidence. Remember, this form plays a vital role in your financial relationship with the IRS, affecting arrangements for settling your tax debt. Taking the time to fill it out accurately and thoroughly can lead to a more favorable outcome for your situation.
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