The IRS 433-F form is a financial disclosure document used by taxpayers to provide the Internal Revenue Service with detailed information about their financial situation. This form is essential for individuals seeking to establish a payment plan or resolve tax liabilities. Understanding its purpose and requirements can significantly impact one's ability to negotiate with the IRS.
The IRS 433-F form is a crucial tool for individuals facing financial difficulties and looking to negotiate their tax obligations with the IRS. This form serves as a financial disclosure statement, providing the IRS with a clear picture of your income, expenses, assets, and liabilities. By filling out the 433-F, you can demonstrate your financial situation, which is essential for various tax relief options, such as installment agreements or offers in compromise. The form requires detailed information about your monthly income, including wages, self-employment earnings, and any other sources of revenue. Additionally, it asks for a breakdown of your monthly expenses, such as housing costs, utilities, and transportation. Understanding how to accurately complete the IRS 433-F can significantly impact your ability to negotiate a manageable payment plan or reduce your tax debt. Whether you’re dealing with back taxes or seeking a more favorable arrangement, the 433-F form is a key step in navigating your options with the IRS.
Form 433-F
Department of the Treasury - Internal Revenue Service
(July 2024)
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.)
DIGITAL ASSETS (CRYPTOCURRENCY) List all digital assets you own or in which you have a financial interest (e.g., Bitcoin, Ethereum, Litecoin, Ripple, etc.). (Use additional sheets if necessary.)
Type of Digital Currency
Name of Digital Assets Wallet,
Exchange or Digital Currency
Exchange (DCE)
Email Address Used to Set-up
With the Digital Currency
Exchange or DCE
Location(s) of Digital Assets (Mobile Wallet, Online, and/or External Hardware storage)
Digital Assets 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. 7-2024)
Page 2
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 digital assets 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)
National
Standards
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
Net Rental Income
Interest/Dividends Income
Child Support Income
Unemployment Income
Social Security Income
Net Self Employment Income
Pension 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
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 digital assets 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
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 important step if you need to provide the IRS with information about your financial situation. This form helps the IRS understand your ability to pay any outstanding tax liabilities. Below are the steps to guide you through the process of completing the form.
The IRS Form 433-F is a financial statement used by individuals to provide the Internal Revenue Service (IRS) with information about their financial situation. This form is often required when a taxpayer seeks to resolve tax debts through options such as an Offer in Compromise or a payment plan.
Taxpayers who owe taxes and wish to negotiate payment options with the IRS may need to complete Form 433-F. This includes individuals applying for an Offer in Compromise, installment agreements, or currently not collectible status.
The form requires detailed information about income, expenses, assets, and liabilities. Key sections include:
Form 433-F can be submitted to the IRS either by mail or electronically, depending on the specific circumstances. If you are working with a tax professional, they can assist in the submission process. It is crucial to ensure that all information is accurate and complete before submission.
Currently, the IRS does not offer an online version of Form 433-F. Taxpayers must download the form, complete it, and then submit it either by mail or through a tax professional.
After submission, the IRS will review the information provided. They may contact you for additional information or clarification. Based on your financial situation, the IRS will determine whether to accept your Offer in Compromise, set up a payment plan, or grant currently not collectible status.
The processing time for Form 433-F can vary. Generally, it may take several weeks for the IRS to review your submission and respond. Factors such as the complexity of your financial situation and the volume of submissions at the IRS can influence the timeline.
If your financial situation changes significantly after you have submitted Form 433-F, it is important to inform the IRS. Changes in income, expenses, or assets may affect your eligibility for various tax relief options. Prompt communication can help ensure that your case is handled appropriately.
Additional resources can be found on the IRS website, which offers guidance on completing Form 433-F and understanding the process. You may also consider consulting a tax professional for personalized assistance and advice.
Filling out the IRS 433-F form can be a daunting task for many individuals. Common mistakes often lead to delays or complications in the processing of the form. One frequent error is providing incomplete information. When individuals fail to fill in all required fields, it can lead to misunderstandings or the need for additional documentation. Ensuring that every section is fully completed is crucial for a smooth submission process.
Another common mistake involves underestimating income. Individuals sometimes misreport their earnings, either intentionally or unintentionally. This can result in the IRS believing that a taxpayer has more disposable income than they actually do. Accurate reporting of income is essential to avoid complications in negotiations for payment plans or offers in compromise.
Additionally, many people overlook their expenses. The IRS requires a detailed account of monthly expenses to assess a taxpayer’s financial situation accurately. Failing to include all necessary expenses can lead to an inflated view of one's financial capability, which may affect the outcome of the request for relief or payment arrangements.
Not documenting assets properly is another mistake that can have serious consequences. Taxpayers often forget to include all assets, such as vehicles, real estate, or savings accounts. If the IRS discovers undisclosed assets, it may result in penalties or a denial of the request made on the form. It is essential to provide a complete picture of one’s financial situation.
Inaccurate reporting of liabilities is also a common pitfall. Individuals may neglect to list all debts or may miscalculate the amounts owed. This can mislead the IRS regarding the taxpayer’s financial obligations, potentially resulting in unfavorable decisions regarding payment plans or settlements.
Lastly, failing to sign and date the form is a simple yet critical mistake. A form that is not signed is considered incomplete and will not be processed. It is vital for taxpayers to double-check that they have signed and dated the form before submission to avoid unnecessary delays.
The IRS 433-F form is essential for individuals seeking to resolve their tax debts through payment plans or offers in compromise. However, several other forms and documents may be required to support your application or provide additional information. Below is a list of these forms and documents, along with brief descriptions of their purposes.
Having these forms and documents ready can streamline the process of resolving your tax issues. Ensure that all information provided is accurate and complete to avoid delays in processing your request.
The IRS Form 433-F is similar to Form 433-A, which is also used to collect financial information from taxpayers. Both forms require individuals to provide details about their income, expenses, and assets. However, Form 433-A is typically used for individuals with more complex financial situations, such as those who are self-employed or have business income. This form includes additional sections to capture more detailed financial information.
Form 433-B is another document that shares similarities with Form 433-F. This form is specifically designed for businesses. Like Form 433-F, it collects information about income and expenses. However, Form 433-B focuses on business financials, including business assets and liabilities, making it essential for business owners who are negotiating with the IRS.
Form 9465, the Installment Agreement Request, is related to Form 433-F in that it also requires financial information. Taxpayers use Form 9465 to request a payment plan for their tax debt. While it does not collect as much detailed financial information as Form 433-F, it still requires a summary of income and expenses to determine the taxpayer's ability to pay.
Form 1040, the individual income tax return, is another document that has some overlap with Form 433-F. Both forms require taxpayers to report their income. However, Form 1040 focuses on annual income and tax calculations, while Form 433-F is used to assess a taxpayer's financial situation for collection purposes.
Form 656, the Offer in Compromise, is similar to Form 433-F in that it also requires a detailed financial disclosure. Taxpayers use Form 656 to propose a settlement for less than the total amount owed to the IRS. To support their offer, they must provide financial information, which is often derived from the data gathered in Form 433-F.
Form 12153, the Request for a Collection Due Process or Equivalent Hearing, also parallels Form 433-F. When taxpayers challenge IRS collection actions, they must provide financial information to support their case. While Form 12153 is more focused on the hearing process, it still requires an understanding of the taxpayer's financial situation, similar to Form 433-F.
Form 8821, the Tax Information Authorization, is related to Form 433-F in that it allows a third party to access a taxpayer's financial information. While it does not collect financial data itself, it facilitates communication between the taxpayer and the IRS, which may involve discussions around the financial details submitted in Form 433-F.
Form 2106, the Employee Business Expenses form, shares some similarities with Form 433-F regarding income and expenses. While Form 2106 is specifically for employees to report business-related expenses, it requires documentation of income and deductions, which can provide context for the financial picture outlined in Form 433-F.
Form 8888, the Allocation of Refund, is another document that, while not directly similar, can relate to the financial situation captured in Form 433-F. Taxpayers can use Form 8888 to direct their tax refund to multiple accounts. Understanding a taxpayer's financial situation, as outlined in Form 433-F, can help in deciding how to allocate a refund effectively.
Finally, Form 1040-X, the Amended U.S. Individual Income Tax Return, is relevant as it may require a taxpayer to adjust their financial disclosures. If a taxpayer needs to amend their tax return, they might also need to reassess their financial situation, similar to the information collected in Form 433-F. This form allows taxpayers to correct errors or make changes that could impact their overall financial standing with the IRS.
When filling out the IRS 433-F form, it's important to follow certain guidelines to ensure accuracy and compliance. Here is a list of things you should and shouldn't do:
The IRS 433-F form is an important document used by the Internal Revenue Service to gather financial information from taxpayers. However, several misconceptions surround its purpose and use. Below is a list of five common misconceptions about the IRS 433-F form, along with clarifications.
This is not true. While the form is often used in cases involving significant tax debt, it can also be required for individuals with smaller debts when the IRS is assessing their ability to pay.
Submitting the form does not ensure that a payment plan will be approved. The IRS reviews the information provided and makes decisions based on individual circumstances.
While the form is commonly associated with Offers in Compromise, it is also used for installment agreements and other collection alternatives. It serves as a comprehensive financial disclosure tool.
In reality, supporting documentation is often necessary to substantiate the information provided. This may include bank statements, pay stubs, and other financial records.
The IRS may still reach out for additional information or clarification after receiving the form. Ongoing communication is often part of the process to resolve tax issues.
The IRS 433-F form is a crucial document for individuals dealing with tax liabilities. Here are some key takeaways to consider:
Understanding these key points can streamline the process and help you manage your tax obligations more effectively.
Free IRS 433-F Template in PDF