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Printable Form 433-A (OIC) Broken Arrow Oklahoma: What You Should Know
To request an offer in compromise, the taxpayer must file a paper copy of Form 433-A showing: An itemized list of qualifying income, deductions and credits for each qualifying child, and a schedule indicating amounts due under each of the above. What are the requirements to complete Form 433-A and Form 433-F? (The individual must submit the form and notarized statement containing the required information) Requirements Applicants must provide a completed Form 433-H (see below) and a written statement as required to be filed with the Federal Form 433. It must contain: The applicant's Social Security Number and Date of Birth, and the applicant's complete full name, address and employer, or if employed, the name, name, street and number where the employee's income is reported. The applicant must provide an applicant's name and social security number and the federal tax identification number (Tax Identification Number) and date of birth of each dependent. A description of the taxpayer's income during the 10 most recent tax years and also how the taxpayer paid taxes for the following tax years. The applicant's statement must state whether any person the debtor owes income tax to can claim the special refundable credit allowed by section 36B of the Code, if any of the following apply to the taxpayer. Income Taxes paid, Income Taxes withheld, Total income for the income year, and If not in excess of 5,000, if any individual or partnership, or not in excess of 10,000 (including the applicant's own salary or wages for the fiscal year), and For the most recent tax year, the amount of the applicant's income subject to federal income tax and the amount of the applicant's Federal Income Tax withholding deductions. When the claimant pays taxes for this or any prior year under section 35 (taxes for the income year for which Form 433-A is required), the claimant must be able to verify the taxpayer's federal income tax return. A taxpayer who does not provide complete information cannot qualify for an offer in compromise. The claimant will obtain a tax identification number for information purposes only. The claimant must certify that the application is true and correct to the best of his or her knowledge and belief without any material omissions.
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