Form 14431 - Response To Proposed Adjustment(S)
Download a blank fillable Form 14431 - Response To Proposed Adjustment(S) 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 14431 - Response To Proposed Adjustment(S) 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
2Tax year ending
Department of the Treasury - Internal Revenue Service
14431
Form
(mm/dd/yyyy)
Response to Proposed Adjustment(s)
(February 2013)
Taxpayer name
Taxpayer ID
Contact person
Telephone number
Mailing address
City
State
ZIP code
Step A – Review the proposed adjustments to your taxes below. Then, go to Step B
Tax Year Ended
Tax
Penalties
[
] [
] [
] [
]
[
] $ [
] $ [
] $ [
] $ [
] $ [
]
Step B - Check only one of the two options. Then, go to Step C
If you agree with the changes IRS is proposing, return this form with the FULL or PARTIAL payment (if applicable).
A.
Full Agreement to Proposed Changes
• I/We agree with the changes as shown above.
• I/We understand that I/we owe $
in additional tax, penalties, and interest.
• I/We understand that the law requires IRS to charge interest on taxes that aren't paid in full.
• I/We understand that certain penalties may also apply.
• I/We understand that I/we can file for a refund at a later date.
• If a joint return was filed, BOTH taxpayers must sign.
I/We consent to the immediate assessment and collection of any deficiencies (increase in tax and penalties) and accept any
overassessment (decrease in tax and penalties) shown above, plus any interest provided by law. I/We understand that by signing this
waiver, I/we will not be able to contest these years in the United States Tax Court, unless additional deficiencies are determined for
these years.
Preferred telephone number
Primary Taxpayer signature
Date
Title
(Taxpayer, Owner, Partner, Officer, etc.)
(if different from above)
Preferred telephone number
Secondary Taxpayer signature
Date
Title
(Taxpayer, Owner, Partner, Officer, etc.)
(if different from above)
If you do not agree with the changes IRS is proposing, return this form with a signed statement explaining your disagreement.
Also include copies of any documents, corrected Form(s) 1099-K or missing forms, that support your statement.
B.
Do Not Agree with Some of the Changes or All of the Changes
• I/We enclosed documentation to support the entries on our original or amended tax return.
• If a joint return was filed, BOTH taxpayers must sign.
Preferred telephone number
Primary Taxpayer signature
Date
Title
(Taxpayer, Owner, Partner, Officer, etc.)
(if different from above)
Preferred telephone number
Secondary Taxpayer signature
Date
Title
(Taxpayer, Owner, Partner, Officer, etc.)
(if different from above)
14431
Catalog Number 60746H
Form
(Rev. 2-2013)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial