Pa Form 8857 - Request For Relief From Joint Liability Page 9
Download a blank fillable Pa Form 8857 - Request For Relief From Joint Liability 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 Pa Form 8857 - Request For Relief From Joint Liability 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
2
3
4
5
6
7
8
9
10
11
12PART 3
1a. At the time of signing, were you concerned about any item(s) omitted from or reported on the return(s)?
Yes
No
1b. If yes, which item(s) did you inquire about and what responses did you get?
1c. At that time, describe how much you knew about each of the incorrect item(s).
2. At that time of signing, if you were not concerned about any item(s), when and how did you first become aware
of the incorrect item(s)?
PART 4
We need the information below to determine whether paying the tax liability would leave you unable to meet basic living
expenses. We base this on your current average monthly household income and expenses. Household includes a spouse or
another person living with you.
Average Monthly Household Income and Expenses
Total number of people in household
Total number of dependents in household
Income
Amount
Expenses
Amount
* Wages
Rent or Mortgage
* Pensions
Food
* Unemployment
Utilities
* Social Security
Telephone
* State, Local and Federal Support
Auto Payments
Alimony
Auto Insurance
Child Support
Auto - Gasoline & Repairs
Self-Employment
Medical - Insurance & Other
Rental Income
Life Insurance
Interest and Dividends
Clothing
Other
Child Care
*Net of withholding for taxes
Public Transportation
Other
PART 5
Under penalties of perjury, I declare that I have examined this statement and to the best of my knowledge, it is true,
correct, and complete.
Signature:
Date signed:
Daytime phone number:
Best time to call:
For Privacy Act Information, please refer to Notice 609 or Form 8857.
Form PA 12510
Page 4 of 4
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Pa 12510 - Questionnaire For Relief From Joint Liability For Requesting Spouse - State Of Pennsylvania
Legal
Form 5495 - Request For Discharge From Personal Liability Under Internal Revenue Code Section 6906 - Department Of The Treasury
Legal
Form 5495 - Request For Discharge From Personal Liability Under Interval Revenue Code - Department Of The Reasury
Business
Related Categories
Parent category: Financial