Form 2000-4 - Settlement Or Compromise Of Tax Liability Form - Arkansas Department Of Finance And Administration Page 5

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Instructions for the Form 2000-4, Settlement or Compromise of Tax Liability
Item #
1. Complete if offer is for individual, partnership, or closely held corporation.
2. Complete if the offer is for a business debt in the form of a Sole proprietorship,
Corporation, LLC, Partnership, or S Corporation.
3. Self explanatory.
4. Complete if the offer is for a Sales tax debt. If this number is not known, please
call 501-682-1895 for assistance.
5. Complete if the offer is for Withholding tax, Income tax, or, if applicable, for other
taxes.
6. Check the appropriate box and list the months/years of debt owed to the
Department. Attach a separate sheet if necessary. A copy of a Sales Tax
Transcript, showing all periods due, will suffice if the type of tax due is Sales tax.
7. Complete if taxpayer filed bankruptcy. If not, list NA.
8. This question must be answered. Please use an additional sheet if necessary.
9. Check either box. If Controversy over Amount of Tax due, an explanation must
be enclosed with the offer.
10. Enter the amount that can be paid with the offer or within 30 days of the offer.
This amount cannot be zero. If this item is not completed, the offer will not be
reviewed.
It will be considered an incomplete offer and will be withdrawn.
Include how the money that will be used to pay the offer was obtained, i.e.,
borrowed money from bank, withdrew savings, etc. The amount must be paid
with certified funds payable to the Department of Finance and Administration.
Explanation of Circumstances.
This page must be completed.
Failure to
complete this will result in the offer not being reviewed. A separate page can be
attached if necessary. This form must be signed and dated. If the offer is for
income tax filed by a taxpayer and spouse, both must sign the offer. If the offer is for
a business, an officer must sign and date the form. If someone other than the
taxpayer prepared the 2000-4 form, please indicate this in the space provided and
attach a Power of Attorney.
5
Rev 08/2008

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