Form Mo-656 - Offer In Compromise Application Page 7
Download a blank fillable Form Mo-656 - Offer In Compromise Application 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 Mo-656 - Offer In Compromise Application 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
12
13Reset Page
Print Form
SECTION 2 PAYOFF INFORMATION
(CONTINUED)
INCLUDE AN EXPLANATION OF WHY YOU ARE REQUESTING AN OFFER IN COMPROMISE.
SECTION 3 EMPLOYMENT INFORMATION (IF SELF EMPLOYED OR OWN A BUSINESS COMPLETE SECTION 6-8.)
NAME OF EMPLOYER (SPOUSE)
PHONE NUMBER
NAME OF EMPLOYER (TAXPAYER)
PHONE NUMBER
ADDRESS
CITY
STATE
ZIP CODE
ADDRESS
CITY
STATE
ZIP CODE
HOW LONG EMPLOYED: ___________ YEARS
___________ MONTHS
HOW LONG EMPLOYED: ___________ YEARS
___________ MONTHS
OCCUPATION
NUMBER OF ALLOWANCES
OCCUPATION
NUMBER OF ALLOWANCES
CLAIMED ON FORM W-4
CLAIMED ON FORM W-4
PAID:
PAID:
WEEKLY
EVERY 2 WEEKS
MONTHLY
TWICE MONTHLY (e.g., 1st & 15th)
WEEKLY
EVERY 2 WEEKS
MONTHLY
TWICE MONTHLY (e.g., 1st & 15th)
NAME OF EMPLOYER (TAXPAYER, SPOUSE) CIRCLE ONE
PHONE NUMBER
HOW LONG EMPLOYED: ___________ YEARS
___________ MONTHS
ADDRESS
CITY
STATE
ZIP CODE
OCCUPATION
NUMBER OF ALLOWANCES CLAIMED ON FORM W-4
SECTION 4 PERSONAL FINANCIAL INFORMATION
BANK ACCOUNTS: INCLUDE IRA’S, OTHER RETIREMENT PLANS, CERTIFICATES OF DEPOSIT, ETC. ATTACH ALL PAGES OF THE MOST RECENT THREE
MONTHS BANK STATEMENTS FOR ALL ACCOUNTS OF EACH PERSON IN THE HOUSEHOLD. ATTACH ADDITIONAL PAGES AS NEEDED. IF YOU OWE
MORE THAN $50,000, SIX MONTHS BANK STATEMENTS ARE REQUIRED.
PROVIDE INFORMATION FOR ALL PERSONS IN THE HOUSEHOLD OR CLAIMED AS A DEPENDENT.
NAME OF INSTITUTION
ADDRESS
TYPE
DATE OPENED ACCOUNT NUMBER
BALANCE
$
0.00
TOTAL OF ALL BANK ACCOUNTS WITH POSITIVE BALANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PERSONAL PROPERTY: INCLUDE AUTOMOBILES, BOATS, ATV’S, MOTORCYCLES, RECREATIONAL VEHICLES, AIRPLANES, MACHINERY, ETC.,
NOT USED IN YOUR BUSINESS. ATTACH ADDITIONAL PAGES AS NEEDED. ATTACH SUPPORTING DOCUMENTATION OF PAYOFF.
CURRENT MARKET
AVAILABLE EQUITY
YEAR, MAKE, MODEL/STYLE, LICENSE NUMBER
LENDER/LIEN HOLDER
CURRENT PAYOFF
VALUE
(CANNOT BE LESS THAN 0)
$
0.00
TOTAL EQUITY OF ALL PERSONAL PROPERTY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MO-656 (5-2012)
7
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial