Form Tc-405 - Miscellaneous Tax Payment Agreement Request Page 2
Download a blank fillable Form Tc-405 - Miscellaneous Tax Payment Agreement Request in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Tc-405 - Miscellaneous Tax Payment Agreement Request with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Purpose of Form
Form Instructions
Use this form to request a monthly payment plan if you
Enter your name and social security number or the name
cannot pay the full amount you owe on your
and federal identification number (EIN) of your business.
miscellaneous tax return (or on a billing notice we sent
If you are a sole proprietor with employees enter your
you). Generally, you may have up to 24 months to pay if
EIN and social security number.
the tax due is less than $5,000.
Line 4
If you cannot pay the full amount you owe now, pay as
Use this form if you need to request a payment
much as possible to lower the amount of penalty and
agreement for any of the following tax types:
interest you will be assessed.
Cigarette Tax
Tobacco Tax
Municipal Energy
Emergency Services Telecom
Line 5
Municipal Telecom License Fee Insurance Premium
If this request for payment agreement is submitted at the
Self Insurance
Inheritance Tax
same time you are filing your return, attach this form to
Gross Receipts
Radioactive Waste
the front of your return. The instructions for your tax
Beer
Multichannel Audio-Visual
Lubricating Oil
Brine Shrimp
return will tell you how to make the payment.
Sexually Explicit Business
If this form is being filed by itself, such as in response to
Bankruptcy
a billing notice, include a check or money order payable
If you are in bankruptcy do not use this form. Instead, call
to the Utah State Tax Commission.
Do not send cash.
801-297-6219 or if you are out of the Salt Lake area 1-
Be sure the following is shown on your check or money
800-662-4335 extension 6219.
order:
How Does the Agreement Process Work?
1. Business name and EIN or individual name and
You must have filed a return for all prior years or tax
social security number.
periods. List the years for which you have not filed a tax
2. The type of return, tax period or tax year and
return. If you are unable to file a return due to lost
account number (example, “
Cigarette
Tax
,
records you need to estimate your liability. Your payment
April 2009, acct 123456789”).
agreement will not be approved until all returns have
been filed. If you have questions or need a payoff
Line 6
Enter the day of the month you want the payment due.
amount, contact us at 801-297-3566.
This is the day the payment must be received by the Tax
If your request is approved, we will send you a letter to
Commission. Note: If you are mailing your payment,
confirm your monthly payment amount and the number
allow 3 to 5 days for mail delivery.
of required payments. It will also explain how to make
your first payment. You will have the following payment
Signatures
The individual or business owner must sign the request.
options:
Submit to:
1.
Pay by mail with check or money order.
Utah State Tax Commission
2.
Pay in person at one of our offices.
Miscellaneous Tax
3.
Pay by electronic check (direct debit) from your
210 N 1950 W
checking or savings account at
SLC, UT 84134-3500
taxexpress.utah.gov
.
or fax to: 801-297-3502
By approving your request we agree to let you pay the
tax you owe in monthly payments instead of immediately
paying the tax in full. In return you agree to make your
monthly payments on time. You also agree to
meet all of
your future tax liabilities
.
Any refund due you in a future year or tax period will be
applied against the amount you owe.
Important Note
: Failure to make your payments on time
or failure to file and/or pay future returns when due, will
break your payment agreement. If you break the
agreement we can take action to collect the tax you owe
in full and place liens on your real and tangible personal
property. Business owners and officers of corporations,
S-corporations and limited liability companies may be
assessed a penalty equal to 100 percent of the tax due
and liens can be filed against real and personal property.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial