Form Sc656 - Offer In Compromise - State Of South Carolina - Department Of Revenue
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1
2SC656
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 9/13/01)
OFFER IN COMPROMISE
3353
Item 1
Sales and Use Tax
Taxpayer Name and Home or Business Address
Quarterly or monthly Period(s)
Other state taxes specify type and period(s)
Mailing Address (if different from above)
Item 5
I/we submit this offer the reasons stated below:
(attach additional sheet if necessary)
Item 2
Social Security Numbers
(a) Primary
Item 6
(b) Secondary
I/we offer to pay $
as full payment of
tax liability listed in Item 4. A payment of 10% of the
Item 3
amount offered is required to be paid with filing of the
SC Employer Identification Number (included in offer)
offer. The payment amount being submitted with this offer
is $
. This payment will be applied to
the outstanding liability. This payment is non-refundable.
Check one of the following boxes.
Item 4
Balance to be paid in
10 or
30 days from the notice
I/we (includes all types of taxpayers) submit this offer to
of acceptance of the offer. If more than one payment will
compromise the tax liabilities including any interest,
be paid during the time frame checked, provide the
penalties and cost for the tax type and period marked
amounts and dates to be paid on the line below.
below: (Please mark and "X" for the type tax and fill-in-the
correct tax periods.)
SC1040A/SC1040/SC1040NR/SC1120 Income Tax
Other proposed payment terms. Enter the specific dates
(mm/dd/yyyy format) and dollar amounts of the payment
Year(s)
terms you propose on the lines below. Attach additional
sheet if necessary.
WH-1605 Employer's Quarterly Tax Return
In addition to the above amount, SCDOR will add interest
Quarterly Period(s)
(compounded daily) from the date we accept the offer
until the date you completely pay the amount offered, as
required by section 12-54-25 of the South Carolina Code
of Laws. Note: If payment is to be made in installments,
SC law requires that tax liens be recorded (code section
12-58-140).
(OVER) PAGE TWO OF THIS FORM MUST BE COMPLETED
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