Form De 999ca - Multi-Agency Form For Offer In Compromise Page 12
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12SECTION 9. OFFER AMOUNT
Part III. Offer to the Employment Development Department
(offers will be evaluated independently by
each agency)
Amount owed to the EDD:
Period(s) of liability:
$___________________
Account number(s):
The sum of $
is offered in compromise. (The EDD 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 unless and until the offer is accepted by the
Director or a delegated representative and there has been full compliance with the terms of the offer.
All payments made with this offer are submitted voluntarily. In the event an offer is not accepted, the amount will either be
applied to the liability or refunded at the discretion of the individual submitting the offer. Monies paid to the Department
with an offer will not be applied against the liability until the offer has been accepted.
No liability will be compromised until all obligations of each taxpayer under the compromise agreement are completely
performed. All liens will remain in effect until the terms of the compromise agreement are fulfilled, including payment of
the amount offered. The Director may permit the agreed upon amount to be paid in installments under a payment
agreement not to exceed five years in length, when in the Director’s judgment it serves the best interest of the State. It is
further understood, when the Director has made a determination that a partial payment in satisfaction of a tax liability
would not be in the best interest of the State, this decision would not be subject to administrative appeal or judicial review.
In the event of default, it is agreed that the Employment Development Department may terminate the approval of the offer,
retain all amounts previously paid under the offer, and proceed to collect the balance of the original liability.
I have made full financial disclosure, including community property in the financial statement submitted as part of this
application.
I also authorize the disclosure of confidential information to the Franchise Tax Board and the Board of Equalization
records in relation to the Employment Development Department’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:
EDD
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 12 of 12
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