Important Note For Form 433-Oic Page 3
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1
2
311. Add amounts in Boxes G through M to obtain your total equity and assets
N
0.00
0.00
12. Enter amount from Item 28
$
If Box O is “0” or less, STOP. Enter
0.00
Enter amount from Item 39 and subtract
– $
amount from Box N on line 7 of
Form 656-P. This is your offer
amount and should represent your
O
Net Difference
=
0.00
maximum ability to pay.
This amount would be available
to pay monthly on your tax liability.
b.
13. a.
If you will pay the offer amount in more
If you will pay the offer amount
than 90 days but less than 2 years:
in 90 days or less:
Enter amount
Enter amount
0.00
0.00
$
$
from Box O
from Box O
x 60
x 48
Multiply by
Multiply by
=
=
P
S
0.00
0.00
Enter amount
Enter amount
+
Q
+
T
0.00
0.00
from Box N
from Box N
=
Add amounts
Add amounts
R
=
U
0.00
0.00
in Box P and
in Box S and
Box Q
Box T
Enter the amount
Enter the amount
from Box R in Item 7
from Box U in Item 7
of Form 656-P.
of Form 656-P.
Note: Your offer
Note: Your offer
amount must equal
amount must equal
or exceed the amount
or exceed the amount
shown in Box U.
shown in Box R.
Form
Please attach a statement to the Form 433-OIC explaining where
433-
you will get the funds to make this offer.
OIC
Statement
19
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