Form Dtf-4.2 - Compromise Of Spousal Share Of Liability On Joint Tax Return Page 3

ADVERTISEMENT

DTF-4.2 (2/08) Page 3 of 6
13 Automobiles, trucks, boats, planes, and recreational vehicles
License
Fair market
Balance due, if
Make of vehicle
Model
plate number
Year
Cost
value
pledged
14 Securities
(bonds, stocks, mutual funds, etc.)
Number of
Fair market
Balance due, if
Name of company
units
Cost
value
pledged
15 Judgments
Amount of
Balance due
Date
Where
Name of creditor
judgment
of judgment
recorded
recorded
16 Current monthly income and expenses — List your current average monthly income and expenses for your entire household.
Include income from a spouse or anyone who lives with you.
Income
Monthly amount
Expenses
Monthly amount
Wages (gross pay), tips, etc.
Federal, state, and local taxes
withheld from your paycheck
Pensions
Rent or mortgage
Unemployment
Utilities
Social security
Telephone
Government assistance
Food
Alimony received
Car expenses, payments, and
insurance, etc.
Child support received
Medical expenses, including
insurance
Self-employment
Life insurance
Rental income
Clothing
Interest, dividends, capital gains
Public transportation
Partnerships, LLCs, and
Child care expenses
S Corporations
Other income
Other expenses (
(such as
such as real
)
disability payments)
estate taxes and child support
List:
List:
Total
Total
$
$
17 Enter the number of people in your household.
Adults
Children under 21

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 6