Offer In Compromise Application - Tennessee Department Of Revenue Page 13
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25CS-14B
Page 13
SECTION VIII - INCOME & EXPENSE ANALYSIS
42. Monthly Household Disposable Income
Source
Taxpayer
Spouse
1. Gross Monthly Income
Salary, Wages, Commissions, Tips
$
$
Self-Employment Income
$
$
Pensions, Disability & Social Security
$
$
Dividends & Interest
$
$
Gift or Loan Proceeds
$
$
Rental Income
$
$
Estate, Trust & Royalty Income
$
$
Workers' Compensation & Unemployment
$
$
Alimony & Child Support
$
$
$
$
Other (Specify)
$
$
Other (Specify)
$
$
Other (Specify)
Other (Specify)
$
$
Total Gross Monthly Income: $
$
2. Witholdings
Total Monthly Taxes Witheld: $
$
Individual Net Monthly Incomes
: $
$
("Total Gross Monthly Income" Minus "Total Monthly Taxes Witheld")
Net Monthly Household Disposable Income
:
$
(Combine Individual Net Monthly Incomes)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial