Form 2000-4 - Settlement Or Compromise Of Tax Liability Form - Arkansas Department Of Finance And Administration Page 6
ADVERTISEMENT
1
2
3
4
5
6Arkansas Department of Finance and Administration
Offer in Compromise Checklist
If the Offer requests abatement of penalty and interest only or is submitted under
“Controversy over Amount of tax due,” submit items #1 and #11.
If the Offer is submitted under “Insolvency,” submit all items listed below.
Failure to include ALL requested documents will cause your offer to be withdrawn from review.
1. Completed Offer in Compromise Form 2000-4.
2. IRS form 433A and/or 433B. 433A is completed for an individual and 433B is completed for a
business. Please complete both forms if the offer is for a sole proprietor, partnership, single
member LLC and closely held corporation. Ignore the attachments required on the 433
forms; instead, attach the items listed below. Other financial statements may be substituted,
but they must contain sufficient information for financial analysis by the Department.
3. Copy of the last two (2) years Federal and State Income Tax returns, if required to file. If not
required to file, please state reasons why below and include the last two (2) years income
and financial statements. Include this checklist with application.
4. Copy of last three paycheck stubs or other income (i.e., pension, social security, alimony, or
rental) if applicable.
5. Copy of bank statements for the last 6 months (or 12 months if tax due is over $25,000), as
well as any other financial institution statements for which you have check writing authority.
6. Credit report less than 30 days old.
7. IRS information, if applicable, copy of IRS Offer in Compromise and acceptance letter or
other IRS arrangements.
8. Affidavit concerning real and personal property transfers within last two (2) years.
9. Copy of most recent Real Property and Personal Property Tax Assessments.
10. Order of Discharge from Bankruptcy, if applicable, complete copy of petition and schedules,
and Statement of Intent for Chapter 7.
11. Power of Attorney, if applicable.
Additional information may be requested after receipt of the Offer in Compromise
Mail your completed and signed application with the documents listed above to the address listed
on Page 1 of Form 2000-4.
6
Rev 08/2008
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Ar1000nr - Arkansas Individual Income Tax Return Nonresident And Part Year Resident - Ar Department Of Finance And Administration - 2000
Financial
Form Gr-53 & Ar - Exemption Certificate Form - State Of Arkansas - Department Of Finance And Administration - Sales And Use Tax Section - 2008
Financial
Form Ar1000nr - Arkansas Individual Income Tax Return Nonresident And Part Year Resident - Ar Department Of Finance And Administration - 2002
Financial
Form Ar1000nr - Arkansas Individual Income Tax Return - Nonresident And Part Year Resident - Ar Department Of Finance And Administration - 2001
Financial
Form E-416 - Claim For Low-income Electricity Customer Sales Tax Exemption - Arkansas Department Of Finance And Administration
Legal
Form Ar1000 - Arkansas Individual Income Tax Return Full Year Resident - Ar Department Of Finance And Administration - 2001
Financial
Form Ar1000 - Arkansas Individual Income Tax Return Full Year Resident - Ar Department Of Finance And Administration - 2002
Financial
Related Categories
Parent category: Legal