Offer In Compromise Application - Tennessee Department Of Revenue Page 15
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25CS-14B
Page 15
3. Transportation
The standard household allowances for transportation are as follows:
Expense
Allowance
Public Transportation
$178
Vehicle Loan or Lease Payment
One Car: $497
Two Cars: $994
One Car: $226
Fuel and Operating Costs
Two Cars: $452
Public Transportation
$
Vehicle Loan Payment(s)
$
Vehicle Lease Payment(s)
$
Fuel and Vehicle Operating Costs (including vehicle insurance)
$
Total Monthly Transportation: $
4. Medical and Insurance
The standard household allowances for out-of-pocket medical expenses and prescriptions are as follows on a per
person basis for taxpayers and their dependents:
Age
Allowance
Person under 65
$52
Person 65 or older
$114
Out-of-Pocket Medical Expenses and Prescriptions
$
Health Insurance
$
Life Insurance
$
Other
$
Total Monthly Medical and Insurance: $
5. Priority Payments
Secured Loan With Priority Over State Tax Lien
$
Court-Ordered Payment (e.g. child support)
$
Other
$
Total Monthly Priority Payments: $
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