Instructions Draft For Form 9465 - Installment Agreement Request (Page 3 of 5) in pdf

For details on how to pay, see your tax return instructions, visit

For all taxpayers except those filing Form 1040 with Schedule(s) C, E, or F

IRS.gov, or call 1-800-829-1040.

for any tax year for which this installment agreement is being requested.

After we receive each payment, we will send you a notice

IF you live in . . .

THEN use this address . . .

showing the remaining amount you owe, and the due date and

amount of your next payment. But if you choose to have your

Alabama, Florida, Georgia, Kentucky,

Department of the Treasury

payments automatically withdrawn from your checking account, you

Louisiana, Mississippi, North Carolina,

Internal Revenue Service

will not receive a notice. Your bank statement is your record of

South Carolina, Texas, Virginia

P.O. Box 47421

Stop 74

payment. We will also send you an annual statement showing the

Doraville, GA 30362

amount you owed at the beginning of the year, all payments made

DRAFT AS OF

during the year, and the amount you owe at the end of the year.

Alaska, Arizona, Colorado, Connecticut,

Delaware, District of Columbia, Hawaii,

If you do not make your payments on time or do not pay any

Idaho, Illinois, Maine, Maryland,

Department of the Treasury

balance due on a return you file later, you will be in default on your

Massachusetts, Montana, Nevada, New

Internal Revenue Service

agreement and we may take enforcement actions, such as the filing

Hampshire, New Jersey, New Mexico,

310 Lowell St.

of a Notice of Federal Tax Lien or an IRS levy action, to collect the

North Dakota, Oregon, Rhode Island,

Stop 830

entire amount you owe. To ensure that your payments are made

South Dakota, Tennessee, Utah,

Andover, MA 01810

December 5, 2013

timely, you should consider making them by direct debit. See the

Vermont, Washington, Wisconsin,

instructions for lines 13a and 13b.

Wyoming

Requests to modify or terminate an installment agreement.

Arkansas, California, Indiana, Iowa,

Department of the Treasury

After an installment agreement is approved, you may submit a

Kansas, Michigan, Minnesota, Missouri,

Internal Revenue Service

Nebraska, New York, Ohio, Oklahoma,

Stop P-4 5000

request to modify or terminate an installment agreement. You may

Pennsylvania, West Virginia

Kansas City, MO 64999–0250

modify your payment amount or due date by going to IRS.gov and

entering “Online Payment Agreement” in the “Search” box. You may

A foreign country, American Samoa, or

also call 1-800-829-1040 to modify or terminate your agreement.

Puerto Rico (or are excluding income

under Internal Revenue Code section

Department of the Treasury

An installment agreement may be terminated if you provide

933), or use an APO or FPO address, or

Internal Revenue Service

materially incomplete or inaccurate information in response

file Form 2555, 2555-EZ, or 4563, or are

3651 South I-H 35, 5501AUSC

to an IRS request for a financial update.

a dual-status alien or nonpermanent

Austin, TX 78741

CAUTION

resident of Guam or the U.S. Virgin

Islands*

For additional information on the IRS collection process, see

Pub. 594, The IRS Collection Process.

* Permanent residents of Guam or the U.S. Virgin Islands cannot use Form 9465.

A Notice of Federal Tax Lien (NFTL) may be filed to protect

the government’s interests until you pay in full. However, an

For taxpayers filing Form 1040 with Schedule(s) C, E, or F for any tax year

NFTL is generally not filed with a Guaranteed Installment

for which this installment agreement is being requested.

CAUTION

Agreement.

IF you live in . . .

THEN use this address . . .

Where To File

Alabama, Arkansas, Georgia, Illinois,

Indiana, Iowa, Kansas, Kentucky,

Attach Form 9465 to the front of your return and send it to the

Department of the Treasury

Louisiana, Michigan, Minnesota,

address shown in your tax return booklet. If you have already filed

Internal Revenue Service

Mississippi, Missouri, Nebraska, New

P.O. Box 69

your return or you are filing this form in response to a notice, file

Jersey, North Dakota, Ohio, Oklahoma,

Stop 811

Form 9465 by itself with the Internal Revenue Service Center using

Pennsylvania, South Dakota,

Memphis, TN 38101–0069

the address in the table below that applies to you.

Tennessee, Texas, West Virginia,

Wisconsin

Alaska, Arizona, California, Colorado,

Department of the Treasury

Hawaii, Idaho, Montana, Nevada, New

Internal Revenue Service

Mexico, Oregon, Utah, Washington,

P.O. Box 9941

Wyoming

Stop 5500

Ogden, UT 84409

Connecticut, Maine, Massachusetts,

Department of the Treasury

New Hampshire, New York, Rhode

Internal Revenue Service

Island, Vermont

P.O. Box 480

Stop 660

Holtsville, NY 11742–0480

Delaware, District of Columbia, Florida,

Department of the Treasury

Maryland, North Carolina, South

Internal Revenue Service

Carolina, Virginia

Stop 4–N31.142

Philadelphia, PA 19255–0030

A foreign country, American Samoa, or

Puerto Rico (or are excluding income

under Internal Revenue Code section

Department of the Treasury

933), or use an APO or FPO address, or

Internal Revenue Service

file Form 2555, 2555-EZ, or 4563, or are

3651 South I-H 35, 5501AUSC

a dual-status alien or nonpermanent

Austin, TX 78741

resident of Guam or the U.S. Virgin

Islands*

* Permanent residents of Guam or the U.S. Virgin Islands cannot use Form 9465.

-2-

Instructions Draft For Form 9465 - Installment Agreement Request Page 3

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