Form Oic 100 - Offer In Compromise Page 3
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, OIC 100, Web-Fill, 2-11
8) Explanation of Circumstances
I am requesting an offer in compromise for the reason(s) listed below:
Note: If you are requesting a compromise based on doubt as to liability, explain why you do
not believe you owe the tax. If you think you have special circumstances affecting your
ability to fully pay the amount due, explain your situation. You may attach additional
sheets if necessary.
* I declare that to the best of my knowledge and belief this statement of assets, liabilities, and other information is true, correct and complete.
Signature
Date
Telephone No.
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