Form 656-L - Offer In Compromise (Doubt As To Liability) Page 7
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Section 4
Terms (continued)
I authorize the IRS to contact
p) I understand that IRS employees may contact third parties in order to respond to this request, and I authorize the
relevant third parties in order
IRS to make such contacts. Further, in connection with this request, by authorizing the IRS to contact third parties, I
to process my/our offer
understand that I will not receive notice of third parties contacted as is otherwise required by IRC § 7602(c).
Section 5
Explanation of Circumstances
THIS SECTION MUST BE COMPLETED.
Explain why you believe the tax is incorrect. Reminder: if your explanation indicates you cannot afford to pay, do not file a Form 656-L. Refer to page 4
"What if I agree with the tax debt but cannot afford to pay in full?", for additional information. Note: You may attach additional sheets if necessary.
Please include your name and SSN and/or EIN on all additional sheets or supporting documentation.
Section 6
Signature(s)
Taxpayer Attestation: If I submit this offer on a substitute form, I affirm this form is a verbatim duplicate of the official Form 656-L, and I agree
to be bound by all the terms and conditions set forth in the official Form 656-L. Under penalties of perjury, I declare that I have examined this
offer, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete.
►
Signature of Taxpayer/Corporation Name
Daytime Telephone Number
Today's date (mm/dd/yyyy)
(
)
-
The IRS may contact you by telephone about this offer. By checking this box, you authorize the IRS to leave detailed messages concerning your
offer on your voice mail or answering machine.
►
Signature of Spouse/Authorized Corporate Officer
Today's date (mm/dd/yyyy)
The IRS may contact you by telephone about this offer. By checking this box, you authorize the IRS to leave detailed messages concerning your
offer on your voice mail or answering machine.
Section 7
Application Prepared by Someone Other than the Taxpayer
If this application was prepared by someone other than you (the taxpayer), please fill in that person’s name and address below.
Name
Address
Daytime Telephone Number
(Street, City, State, ZIP Code)
(
)
-
Section 8
Paid Preparer Use Only
Signature of Preparer
The IRS may contact you by telephone about this offer. By checking this box, you authorize the IRS to leave detailed messages concerning your
offer on your voice mail or answering machine.
Name of Preparer
Today's date (mm/dd/yyyy)
Preparer's CAF no. or PTIN
Firm's Name, Address, and ZIP Code
Daytime Telephone Number
(
)
-
If you would like to have someone represent you during the offer investigation, include a valid, signed Form
2848
or
8821
with this application, or a copy of a previously filed form.
656-L
Catalog Number 47516R
Form
(Rev. 1-2018)
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