Form 656 - Offer In Compromise (Including Form 433-A (Oic), Form 433-B (Oic)) Page 25
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28APPLICATION CHECKLIST
Review the entire application and verify that it is complete.
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Did you complete all fields and sign all forms?
Forms 433-A (OIC),
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433-B (OIC), and 656
Did you make an offer amount that is equal to the offer amount calculated
on the Form 433-A (OIC) or Form 433-B (OIC)? If not, did you describe
the special circumstances that are leading you to offer less than the
minimum in the “Explanation of Circumstances” Section 3 of Form 656,
and did you provide supporting documentation of the special circum-
stances?
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Did you select a payment option on Form 656?
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If you want to allow the IRS to discuss your offer with another person, did
you complete the “Third-Party Designee” section on the Form 656?
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If someone other than you completed the Form 656, did they sign it?
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Did you sign and attach the Form 433-A (OIC) if applicable?
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Did you sign and attach the Form 433-B (OIC) if applicable?
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Did you sign and attach the Form 656?
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Did you include photocopies of all required supporting documentation?
Supporting documentation
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and additional forms
If you want a third party to represent you during the offer process, did you
include a Form 2848 or Form 8821 unless one is already on file?
□
Payment
Did you include a check or money order made payable to the “United
States Treasury” for the initial payment? (Waived if you meet Low Income
Certification guidelines—see Form 656.)
□
Did you include a separate check or money order made payable to the
“United States Treasury” for the $150 application fee? (Waived if you
meet Low Income Certification guidelines—see Form 656.)
Mail your application package to the
Mail the Form 656, 433-A (OIC) and/or 433-B (OIC), and related financial
appropriate IRS facility
document(s) to the appropriate IRS processing office for your state. You may
wish to send it by Certified Mail so you have a record of the date it was mailed.
If you reside in:
Mail your application to:
AK, AL, AR, AZ, CO, FL, GA, HI, ID, KY, LA, MS, MT, NC,
Memphis IRS Center COIC Unit
NM, NV, OK, OR, SC, TN, TX, UT, WA, WI, WY
P.O. Box 30803, AMC
Memphis, TN 38130-0803
1-866-790-7117
CA, CT, DE, IA, IL, IN, KS, MA, MD, ME, MI, MN, MO, ND,
Brookhaven IRS Center COIC Unit
NE, NH, NJ, NY, OH, PA, RI, SD, VT, VA, WV; DC, PR, or
P.O. Box 9007
a foreign address
Holtsville, NY 11742-9007
1-866-611-6191
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