Instructions For Form 9465-Fs - Installment Agreement Request Page 2
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3If you do not make your payments on time or do not pay any
For taxpayers filing Form 1040 with Schedule(s) C, E, or F for any tax
year for which this installment agreement is being requested.
balance due on a return you file later, you will be in default on your
agreement and we may take enforcement actions, such as the filing
IF you live in . . .
THEN use this address . . .
of a Notice of Federal Tax Lien or an IRS levy action, to collect the
entire amount you owe. To ensure that your payments are made
Alabama, Arkansas, Georgia, Illinois,
timely, you should consider making them by electronic funds
Indiana, Iowa, Kansas, Kentucky,
Department of the Treasury
withdrawal (see the instructions for lines 11a and 11b, later).
Louisiana, Michigan, Minnesota,
Internal Revenue Service
Mississippi, Missouri, Nebraska, New
Requests to modify or terminate an installment agreement.
P.O. Box 69
Jersey, North Dakota, Ohio,
After an installment agreement is approved, you may submit a
Stop 811
Oklahoma, Pennsylvania, South
request to modify or terminate an installment agreement. This
Memphis, TN 38101 – 0069
Dakota, Tennessee, Texas, West
request will not suspend the statute of limitations on collection.
Virginia, Wisconsin
While the IRS considers your request to modify or terminate the
installment agreement, you must comply with the existing
Department of the Treasury
Alaska, Arizona, California, Colorado,
agreement.
Internal Revenue Service
Hawaii, Idaho, Montana, Nevada,
P.O. Box 9941
An installment agreement may be terminated if you provide
New Mexico, Oregon, Utah,
Stop 5500
materially incomplete or inaccurate information in response
Washington, Wyoming
TIP
Ogden, UT 84409
to an IRS request for a financial update.
Department of the Treasury
For additional information on the IRS collection process, see
Connecticut, Maine, Massachusetts,
Internal Revenue Service
Pub. 594, The IRS Collection Process.
New Hampshire, New York, Rhode
P.O. Box 480
Island, Vermont
Stop 660
Where To File
Holtsville, NY 11742 – 0480
Attach Form 9465-FS to the front of your return and send it to the
Department of the Treasury
address shown in your tax return booklet. If you have already filed
Delaware, Florida, Maryland, District
Internal Revenue Service
your return or you are filing this form in response to a notice, file
of Columbia, North Carolina, South
Stop 4 – N31.142
Form 9465-FS by itself with the Internal Revenue Service Center
Carolina, Virginia
Philadelphia, PA 19255 – 0030
using the address in the table below that applies to you.
A foreign country, American Samoa,
For all taxpayers except those filing Form 1040 with Schedule(s) C, E,
or Puerto Rico (or are excluding
or F for any tax year for which this installment agreement is being
income under Internal Revenue Code
Department of the Treasury
requested.
section 933), or use an APO or FPO
Internal Revenue Service
address, or file Form 2555, 2555-EZ,
3651 South I-H 35, 5501AUSC
IF you live in . . .
THEN use this address . . .
or 4563, or are a dual-status alien or
Austin, TX 78741
nonpermanent resident of Guam or
Department of the Treasury
Alabama, Florida, Georgia, Kentucky,
the Virgin Islands*
Internal Revenue Service
Louisiana, Mississippi, North
P.O. Box 47421
* Permanent residents of Guam or the Virgin Islands cannot use Form
Carolina, South Carolina, Texas,
Stop 74
9465-FS.
Virginia
Doraville, GA 30362
Alaska, Arizona, Colorado,
Connecticut, Delaware, District of
Columbia, Hawaii, Idaho, Illinois,
Department of the Treasury
Specific Instructions
Maine, Maryland, Massachusetts,
Internal Revenue Service
Montana, Nevada, New Hampshire,
310 Lowell St.
New Jersey, New Mexico, North
Stop 830
Part I
Dakota, Oregon, Rhode Island, South
Andover, MA 01810
Dakota, Tennessee, Utah, Vermont,
Line 1a
Washington, Wisconsin, Wyoming
If you are making this request for a joint tax return, show the names
Arkansas, California, Indiana, Iowa,
Department of the Treasury
and social security numbers (SSNs) in the same order as on your
Kansas, Michigan, Minnesota,
Internal Revenue Service
tax return.
Missouri, Nebraska, New York, Ohio,
Stop P-4 5000
Oklahoma, Pennsylvania, West
Kansas City, MO 64999 – 0250
Line 2
Virginia
If you are requesting an installment agreement for a business tax
A foreign country, American Samoa,
liability, enter the business name and employer identification
or Puerto Rico (or are excluding
number on this line.
income under Internal Revenue Code
Department of the Treasury
section 933), or use an APO or FPO
Internal Revenue Service
Line 7
address, or file Form 2555, 2555-EZ,
3651 South I-H 35, 5501AUSC
or 4563, or are a dual-status alien or
Austin, TX 78741
Enter the total amount you owe as shown on your tax return(s) (or
nonpermanent resident of Guam or
notice(s)).
the Virgin Islands*
If the total amount you owe is greater than $25,000 but not
* Permanent residents of Guam or the Virgin Islands cannot use Form
!
more than $50,000, you must complete Part II and agree to
9465-FS.
a Direct Debit Installment Agreement (DDIA) to qualify for
CAUTION
an IA without completing a financial statement. If you do not agree
to a DDIA, you must complete Form 433-F, Collection Information
Statement, and mail it with this form.
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).
If the total amount you owe is not more than $50,000
(including any amounts you owe from prior years), you do
TIP
not need to file Form 9465-FS; you can request an
installment agreement online. For more information see Applying
online for a payment agreement, earlier.
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