Form De 999ca - Multi-Agency Form For Offer In Compromise Page 10
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12SECTION 9. OFFER AMOUNT
Part I. Offer to the Board of Equalization
(offers will be evaluated independently by each agency)
Amount owed to the Board:
Period(s) of liability:
$___________________
Account number(s):
The sum of $
is offered in compromise. (The Board will instruct you when to mail the offer
amount. DO NOT SEND MONEY NOW.) It is understood that this offer will be considered and acted upon in due course.
It does not relieve the taxpayer(s) of the liability sought to be compromised until the Board accepts the offer and there has
been full compliance with all agreements. The Board may continue collection activities in its discretion.
Other than payments voluntarily submitted with this offer, it is agreed that the Board will retain all payments and credits
made to the account for the periods covered by this offer. In addition, the Board will retain any and all amounts to which
the taxpayer(s) may be entitled under the California law, due through overpayments of tax, penalty or interest, subsequent
to the offer being accepted, not to exceed the liability. (Please indicate below your signature whether voluntary payments
should be retained by the Board or returned if your offer is denied.)
It is further agreed that upon notice to the taxpayer(s) of the acceptance of the offer, the taxpayer(s) shall have no right to
contest in court or otherwise the amount of the liability sought to be compromised. No liability will be compromised until
all obligations of each taxpayer under the compromise agreement are completely performed.
I also authorize the disclosure of confidential information to the Franchise Tax Board and the Employment Development
Department records in relation to the Board of Equalization’s Offer in Compromise.
Under penalty of perjury, I declare that I have examined the information given in this statement and all other documents
included with this offer and to the best of my knowledge and belief, they are true, correct, and complete.
Your signature
Date
If your offer is denied, the agency denying the offer is to:
BOE
Retain any amount deposited to fund the offer and credit the deposit to the current tax liability.
Return the amount deposited.
Source of Funds
If any or all of the amount being offered is from a loan, please provide the following information:
Lender’s Name
Total amount of the loan
$______________________
Describe sources of offered funds other than a loan
DE 999CA (6-06) (INTERNET)
Page 10 of 12
CU
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