Fillable Form 8857 - Request For Innocent Spouse Relief (Page 7 of 7) in pdf

Form 8857 - Request For Innocent Spouse Relief Page 7

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Form 8857 (Rev. 1-2014)

Page

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 VI

Additional Information

Please provide any other information you want us to consider in determining whether it would be unfair to hold you liable for

the tax.

Part VII

Tell us if you would like a refund

By checking this box and signing this form, you are indicating that you would like a refund if you qualify for relief and if you

already paid the tax. See instructions

Caution

By signing this form, you understand that, by law, we must contact the person on line 5. See instructions for details.

Sign

Under penalties of perjury, I declare that I have examined this form and any accompanying schedules and statements, and to the best of my knowledge and

belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Here

Keep a copy

Your signature

Date

for your

records.

Print/Type preparer’s name

Preparer's signature

Date

PTIN

Paid

Check