Form Sc8857 - Request For Innocent Spouse Relief
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1SC8857
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(6/26/00)
REQUEST FOR INNOCENT SPOUSE RELIEF
3330
Enter the following information exactly as it is shown on the tax return for which you are filing this request.
DO NOT FILE THIS REQUEST IF YOUR REFUND WAS APPLIED TO A DELINQUENT DEBT WITH AN AGENCY OTHER THAN
THE SOUTH CAROLINA DEPARTMENT OF REVENUE.
Your name
Social Security Number
Current mailing address
City
State
ZIP code
Part I
1 Enter the year(s) for which you are requesting relief from liability of tax . . . . . . . . . . . . . . . . . . . . . . .
Information about the person you incurred the joint liability with.
2
Name
Social Security Number
Current home address (number and street)
City, town or post office, state, and ZIP code
Part II
3 Are you divorced, legally separated or lived apart from the person listed above for a 12 month period prior
to filing this form ?
Yes
No
4 Is the understatement due to erroneous items of your spouse?
Yes
No
5 Have you been granted innocent spouse relief by the IRS? (Attach verification.)
Yes
No
6 State the reason(s) why you are entitled to this relief.
7 Provide any additional information to substantiate your request for innocent spouse relief. You may attach additional sheets for
explanation.
NOTE: The Department may be contacting you to ask additional questions or receive clarification of the information provided. Please
provide a daytime telephone number.
Under penalties of perjury, I declare that I have examined this form and any accompanying schedules or statements and, to the best of my knowledge and belief,
wledge.
they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any kno
Keep a copy of
Innocent spouse's signature
Date
Phone
this form for
(
)
your records
Date
Check if
Preparer's social security number
Preparer's
Paid
signature
self-employed
Preparer's
Firm's name (or yours
E.I. No.
f-employed)
if sel
Use Only
ZIP code
and address
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