Form 12508 - Questionnaire For Non-Requesting Spouse Page 3
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312. If the tax years in question were filed with a balance due, what arrangements did you have regarding payment of the taxes
due and was your (former) spouse aware of your plan?
12a. Was your (former) spouse aware of any financial problems you were having such as bankruptcy, high credit card debt or
difficulty paying monthly living expenses? If yes, please explain.
14. If the tax year(s) in question were audited, what items, if any, changed? Were the changed items yours or your (former)
spouse's? (For example, unreported income, disallowed deductions, unclaimed credits)
15. If the audit results changed your business income or deductions on your tax return, did your (former) spouse help you in the
business? If so how? If not, did your (former) spouse know about your business affairs? Explain
16. If the items changed by audit were yours, did your (former) spouse benefit from them? Explain
17. Explain any other factors you feel should be considered.
Under penalties of perjury, I declare that I have examined this statement and to the best of my knowledge it is true, correct, and
complete.
SSN
Date
Signature
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Daytime Phone #
12508
Form
(Rev. 4-2005)
Catalog Number 28730P
Department of the Treasury–Internal Revenue Service
Page 3 of 3
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