Form Sc8857 - Request For Innocent Spouse Relief

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1350
1350
SC8857
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 5/21/09)
REQUEST FOR INNOCENT SPOUSE RELIEF
3330
Was your state refund applied to a debt such as a Hospital Bill, Child Support, Student Loan, etc.?
Yes
No
If Yes, do not file this form. You need to contact the claimant agency to which the refund was applied.
Social Security Number
Your name
Current mailing address
City
State
ZIP Code
WHO SHOULD FILE THIS REQUEST?
This request should be filed by a spouse requesting consideration as an innocent spouse who has:
(1) received a proposed assessment from the Department of Revenue, or
(2) had a tax refund applied to a delinquent South Carolina tax liability for which an innocent spouse is not liable.
Part I
Tax Year 1
Tax Year 2
Tax Year 3
1 Enter each tax year you want relief. It is important to enter the correct year. For
example, if the state used your 2008 income tax refund to pay a 2006 tax amount you
jointly owed, enter tax year 2006, not tax year 2008.
2 Information about the person with whom you incurred the joint liability.
Name
Social Security Number
Current home address (number and street)
City, town or post office, state, and ZIP Code
Part II
3 Have you been granted innocent spouse relief by the IRS? (Attach verification.)
Yes
No
4 State the reason(s) why you are entitled to this relief.
Note. If you need more room to write your answer for any question, attach more pages. Be sure to write your name and social security
number on the top of all pages you attach.
Part III
5 What is the current marital status between you and the person on line 2?
Married and still living together
MM
DD
YYYY
Married and living apart since
MM
DD
YYYY
Widowed since
Attach a photocopy of the death certificate and will (if one exists).
MM
DD
YYYY
Legally separated since
Attach a photocopy of your entire separation agreement.
MM
DD
YYYY
Divorced since
Attach a photocopy of your entire divorce decree.
MM
DD
YYYY
Note. A divorce decree stating that your former spouse must pay all taxes does not necessarily mean you qualify for relief.
33301029

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