Form 656 - Offer In Compromise Page 4
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Section 8 -
(Continued)
IRS may not consider my offer if I refuse to waive the statutory period of assessment or if I provide only a limited
waiver. I also understand that the statutory period for collecting my tax debt will be suspended during the time my
offer is pending with the IRS, for 30 days after any rejection of my offer by the IRS, and during the time that any
rejection of my offer is being considered by the Appeals Office.
I understand the IRS may file
l) The IRS may file a Notice of Federal Tax Lien during the offer investigation. Generally, the IRS files a Notice of
a Notice of Federal Tax Lien
Federal Tax Lien to protect the Government's interest on offers that will be paid over time. This tax lien will be
on my property.
released when the payment terms of the accepted offer have been satisfied.
I authorize the IRS to contact
m) By authorizing the IRS to contact third parties including credit bureaus, I understand that I will not be notified of
relevant third parties in order
which third parties the IRS contacts as part of the offer application process, as stated in section 7602(c) of the
to process my offer
Internal Revenue Code.
I am submitting an offer as
n) I understand if the liability sought to be compromised is the joint and individual liability of myself and my
an individual for a joint
co-obligor(s) and I am submitting this offer to compromise my individual liability only, then if this offer is accepted,
liability
it does not release or discharge my co-obligor(s) from liability. The United States still reserves all rights of
collection against the co-obligor(s).
Section 9
Signatures
Under penalties of perjury, I declare that I have examined this offer, including accompanying schedules and statements, and to the best of
my knowledge and belief, it is true, correct and complete.
Date
Signature of Taxpayer
(mm/dd/yyyy)
Signature of Taxpayer
Date
(mm/dd/yyyy)
Paid Preparer Use Only
Section 10
Signature of Preparer
Name of Paid Preparer
Date (mm/dd/yyyy)
Preparer's CAF no. or PTIN
Firm's Name, Address, and ZIP Code
Include a valid, signed Form 2848 or 8821 with this application, if one is not on file.
Third Party Designee
Section 11
Do you want to allow another person to discuss this offer with the IRS?
Yes
No
If yes, provide designee's name
Telephone Number
(
)
IRS Use Only
I accept the waiver of the statutory period of limitations on assessment for the Internal Revenue Service, as described in Section 8 (k).
Signature of Authorized Internal Revenue Service Official
Title
Date (mm/dd/yyyy)
Privacy Act Statement
We ask for the information on this form to carry out the internal revenue laws of the United States. Our authority to request this information is Section
7801 of the Internal Revenue Code.
Our purpose for requesting the information is to determine if it is in the best interests of the IRS to accept an offer. You are not required to make an
offer; however, if you choose to do so, you must provide all of the taxpayer information requested. Failure to provide all of the information may prevent
us from processing your request.
If you are a paid preparer and you prepared the Form 656 for the taxpayer submitting an offer, we request that you complete and sign Section 10 on
Form 656, and provide identifying information. Providing this information is voluntary. This information will be used to administer and enforce the
internal revenue laws of the United States and may be used to regulate practice before the Internal Revenue Service for those persons subject to
Treasury Department Circular No. 230, Regulations Governing the Practice of Attorneys, Certified Public Accountants, Enrolled Agents, Enrolled
Actuaries, and Appraisers before the Internal Revenue Service. Information on this form may be disclosed to the Department of Justice for civil and
criminal litigation.
We may also disclose this information to cities, states and the District of Columbia for use in administering their tax laws and to combat terrorism.
Providing false or fraudulent information on this form may subject you to criminal prosecution and penalties.
656
Catalog Number 16728N
Form
(Rev. 3-2011)
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