Form Tc-8857 - Request For Innocent Spouse Relief

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Utah State Tax Commission
Request For Innocent Spouse Relief
TC-8857 Rev. 11/08
Get forms online - tax.utah.gov
Do not file this form if you did not file a joint return for the year(s) for which you are requesting relief.
Your current name
Daytime telephone number
Social security number
ZIP code
Address
City
State
1 Enter the year(s) for which you are requesting relief from liability of tax
2 Information about the person to whom you were married as of the end of the year(s) on line 1
Name
Social security number
Address, city, state and ZIP code
Daytime telephone number
3
Yes
No
Did you file a joint return for the year(s) for which you want relief? If, "No," STOP here. You do not qualify for innocent
spouse relief.
4
Check box if you have been a victim of domestic abuse and fear filing a claim for innocent spouse relief will result in retaliation.
5
No
Yes
Are you legally separated from the person shown above?
6
No
Are you legally divorced from the person shown above?
Yes
7
No
Yes
Have you lived apart from the person shown above at all times during the 12-month period prior to filing this form?
8
No
Yes
Is the person shown above dead?
9
Do you have an understatement of tax for Utah resulting from a change made by the IRS (that is, the IRS determined
Yes
No
there is a difference between what is shown on the tax return and the tax that should have been shown)?
10
Yes
No
Is the understatement of tax due to the erroneous items listed by your spouse?
11
Yes
No
Do you have an underpayment of tax (that is, tax is properly shown on your return, but not paid)?
12
Yes
No
Have you filed for innocent spouse relief with the IRS? (attach copies of any correspondence or determinations from
the IRS relating to this request)
Other explanations or comments
Under penalties of perjury, I declare 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.
Your signature
Date
SIGN
HERE
Preparer's signature
Preparer's SSN or PTIN
Date
Preparer’s telephone number
Preparer’s EIN
Firm name
Preparer's address
City
State
ZIP code

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