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The IRS 433-B form plays a crucial role for businesses and self-employed individuals facing tax debts or seeking to negotiate payment options with the Internal Revenue Service. Designed to provide the IRS with a clear snapshot of a business’s financial situation, this form collects vital information about income, assets, and liabilities. When completing the IRS 433-B, you're not just answering questions; you're presenting a comprehensive overview of your business's financial health, including details on bank accounts, accounts receivable, and property ownership. This form serves as a foundation for the IRS to assess your capability to meet tax obligations and possibly work out an installment agreement or offer in compromise. It's important to ensure that all information is accurate and thorough; omissions can lead to misunderstandings and unfavorable decisions by the IRS. As the complexities of tax liabilities loom, understanding the implications of the IRS 433-B form can empower business owners to navigate their financial obligations more effectively, encouraging proactive communication with the IRS.

IRS 433-B Example

Form 433-B

(February 2019)

Department of the Treasury Internal Revenue Service

Collection Information Statement for Businesses

Note: Complete all entry spaces with the current data available or "N/A" (not applicable). Failure to complete all entry spaces may result in rejection of your request or significant delay in account resolution. Include attachments if additional space is needed to respond completely to any question.

Section 1: Business Information

1a

Business Name

 

 

 

 

 

2a

Employer Identification No. (EIN)

 

 

 

 

1b

 

 

 

 

 

 

 

 

 

 

2b

Type of entity (Check appropriate box below)

 

Business Street Address

 

 

 

 

 

 

Partnership

Corporation

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Limited Liability Company (LLC) classified as a corporation

 

 

Mailing Address

 

 

 

 

 

 

Other LLC - Include number of members

 

 

City

 

 

State

 

ZIP

2c

Date Incorporated/Established

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1c

County

 

 

 

 

 

 

 

 

 

 

mmddyyyy

 

1d

Business

Telephone (

)

 

 

 

 

3a

Number of Employees

 

 

 

 

 

 

 

 

1e

Type of Business

 

 

 

 

 

 

3b

Monthly Gross Payroll

 

 

 

 

 

 

 

 

1f

 

 

 

 

 

 

 

 

 

 

3c

Frequency of Tax Deposits

 

 

 

 

Business Website (web address)

 

 

 

 

 

3d

Is the business enrolled in Electronic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Federal Tax Payment System (EFTPS)

 

Yes

No

4

Does the business engage in e-Commerce (Internet sales) If yes, complete 5a and 5b.

 

 

 

 

 

 

Yes

No

PAYMENT PROCESSOR (e.g., PayPal, Authorize.net, Google Checkout, etc.) Include virtual currency wallet, exchange or digital currency exchange.

Name and Address (Street, City, State, ZIP code)

Payment Processor Account Number

5a

5b

CREDIT CARDS ACCEPTED BY THE BUSINESS

Type of Credit Card

(e.g., Visa, Mastercard, etc.)

Merchant Account Number

Issuing Bank Name and Address (Street, City, State, ZIP code)

6a

Phone

6b

Phone

6c

Phone

Section 2: Business Personnel and Contacts

PARTNERS, OFFICERS, LLC MEMBERS, MAJOR SHAREHOLDERS (Foreign and Domestic), ETC.

7a

Full Name

 

 

 

 

 

 

 

 

Taxpayer Identification Number

 

 

Title

 

 

 

 

 

 

 

 

Home Telephone

(

)

 

 

 

Home Address

 

 

 

 

 

 

 

 

Work/Cell Phone

(

)

 

 

 

City

 

State

 

 

 

ZIP

 

 

Ownership Percentage & Shares or Interest

 

 

Responsible for Depositing Payroll Taxes

Yes

No

 

Annual Salary/Draw

 

 

 

7b

Full Name

 

 

 

 

 

 

 

 

Taxpayer Identification Number

 

 

Title

 

 

 

 

 

 

 

 

Home Telephone

(

)

 

 

 

Home Address

 

 

 

 

 

 

 

 

Work/Cell Phone

(

)

 

 

 

City

 

State

 

 

 

ZIP

 

 

Ownership Percentage & Shares or Interest

 

 

Responsible for Depositing Payroll Taxes

Yes

No

 

Annual Salary/Draw

 

 

 

7c

Full Name

 

 

 

 

 

 

 

 

Taxpayer Identification Number

 

 

Title

 

 

 

 

 

 

 

 

Home Telephone

(

)

 

 

 

Home Address

 

 

 

 

 

 

 

 

Work/Cell Phone

(

)

 

 

 

City

 

State

 

 

 

ZIP

 

 

Ownership Percentage & Shares or Interest

 

 

Responsible for Depositing Payroll Taxes

Yes

No

 

Annual Salary/Draw

 

 

 

7d

Full Name

 

 

 

 

 

 

 

 

Taxpayer Identification Number

 

 

Title

 

 

 

 

 

 

 

 

Home Telephone

(

)

 

 

 

Home Address

 

 

 

 

 

 

 

 

Work/Cell Phone

(

)

 

 

 

City

 

State

 

 

 

ZIP

 

 

Ownership Percentage & Shares or Interest

 

 

Responsible for Depositing Payroll Taxes

Yes

No

 

Annual Salary/Draw

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Catalog Number 16649P

 

 

 

www.irs.gov

 

 

 

Form 433-B (Rev. 2-2019)

Form 433-B (Rev. 2-2019)

Page 2

Section 3: Other Financial Information (Attach copies of all applicable documents)

8

Does the business use a Payroll Service Provider or Reporting Agent (If yes, answer the following)

Yes

No

 

 

 

 

 

 

 

 

 

Name and Address (Street, City, State, ZIP code)

 

 

 

Effective dates (mmddyyyy)

 

 

 

 

 

 

 

 

 

9

Is the business a party to a lawsuit (If yes, answer the following)

 

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location of Filing

 

Represented by

 

Docket/Case No.

 

 

Plaintiff

Defendant

 

 

 

 

 

 

 

Amount of Suit

 

 

Possible Completion Date (mmddyyyy)

Subject of Suit

 

 

 

 

$

 

 

 

 

 

 

 

 

10 Has the business ever filed bankruptcy (If yes, answer the following)

 

 

Yes

No

 

 

 

 

 

 

 

 

Date Filed (mmddyyyy)

Date Dismissed (mmddyyyy)

Date Discharged (mmddyyyy)

Petition No.

District of Filing

 

 

 

 

 

 

 

 

 

 

 

11 Do any related parties (e.g., officers, partners, employees) have outstanding amounts owed to the business (If yes, answer the following)

Yes

No

Name and Address (Street, City, State, ZIP code)

Date of Loan

Current Balance As of

 

Payment Date

Payment Amount

 

 

 

mmddyyyy

 

 

 

 

 

$

 

 

$

 

12 Have any assets been transferred, in the last 10 years, from this business for less than full value (If yes, answer the following)

Yes

No

List Asset

Value at Time of Transfer

 

$

Date Transferred (mmddyyyy)

To Whom or Where Transferred

13 Does this business have other business affiliations (e.g., subsidiary or parent companies) (If yes, answer the following)

Yes

No

Related Business Name and Address (Street, City, State, ZIP code)

Related Business EIN:

14 Any increase/decrease in income anticipated (If yes, answer the following)

 

Yes

No

 

 

 

Explain (Use attachment if needed)

How much will it increase/decrease

When will it increase/decrease

 

$

 

 

15 Is the business a Federal Government Contractor (Include Federal Government contracts in #18, Accounts/Notes Receivable)

Yes

No

Section 4: Business Asset and Liability Information (Foreign and Domestic)

16a

CASH ON HAND Include cash that is not in the bank

 

 

Total Cash on Hand

$

 

 

 

 

 

 

 

Contents

 

 

 

 

16b

Is there a safe on the business premises

Yes

No

 

 

 

 

 

 

BUSINESS BANK ACOUNTS Include online and mobile accounts (e.g., PayPal), money market accounts, savings accounts, checking accounts

 

and stored value cards (e.g., payroll cards, government benefit cards, etc.)

 

 

 

 

 

List safe deposit boxes including location, box number and value of contents. Attach list of contents.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of

Full Name and Address (Street, City, State, ZIP code) of

 

Account Balance

 

Account Number

As of

 

 

 

Account

Bank, Savings & Loan, Credit Union or Financial Institution

 

 

 

mmddyyyy

 

 

 

 

 

 

 

 

17a

$

17b

$

17c

$

17d Total Cash in Banks (Add lines 17a through 17c and amounts from any attachments)

$

Catalog Number 16649P

www.irs.gov

Form 433-B (Rev. 2-2019)

Form 433-B (Rev. 2-2019)

Page 3

ACCOUNTS/NOTES RECEIVABLE Include e-payment accounts receivable and factoring companies, and any bartering or online auction accounts. (List all contracts separately including contracts awarded, but not started). Include Federal, state and local government grants and contracts.

Name & Address (Street, City, State, ZIP code)

Status (e.g., age,

Date Due

Invoice Number or Government

Amount Due

factored, other)

(mmddyyy)

Grant or Contract Number

 

 

 

 

 

 

 

18a

 

 

 

 

Contact Name

 

 

 

 

Phone

 

 

 

$

18b

 

 

 

 

Contact Name

 

 

 

 

Phone

 

 

 

$

18c

 

 

 

 

Contact Name

 

 

 

 

Phone

 

 

 

$

18d

 

 

 

 

Contact Name

 

 

 

 

Phone

 

 

 

$

18e

 

 

 

 

Contact Name

 

 

 

 

Phone

 

 

 

$

18f Outstanding Balance (Add lines 18a through 18e and amounts from any attachments)

$

INVESTMENTS List all investment assets below. Include stocks, bonds, mutual funds, stock options, certificates of deposit, commodities (e.g., gold, silver, copper, etc.) and virtual currency (e.g., Bitcoin, Ripple and Litecoin).

 

Name of Company & Address

 

Used as collateral

Current Value

Loan Balance

Equity

 

(Street, City, State, ZIP code)

 

on loan

 

Value Minus Loan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

Phone

 

 

 

$

$

 

 

$

 

 

19b

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes

No

 

 

 

 

 

 

 

 

Phone

 

 

 

$

$

 

 

$

 

 

19c

Total Investments (Add lines 19a, 19b, and amounts from any attachments)

 

 

 

$

 

 

 

AVAILABLE CREDIT Include all lines of credit and credit cards.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount Owed

Available Credit

 

Full Name & Address (Street, City, State, ZIP code)

 

 

 

Credit Limit

As of

 

 

As of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mmddyyyy

 

mmddyyyy

 

 

 

 

 

 

 

 

 

 

 

 

 

20a

 

 

 

 

 

 

 

 

 

 

 

 

 

Account No.

 

 

 

$

$

 

 

$

 

 

20b

 

 

 

 

 

 

 

 

 

 

 

 

 

Account No.

 

 

 

$

$

 

 

$

 

 

20c

Total Credit Available (Add lines 20a, 20b, and amounts from any attachments)

 

 

 

$

 

 

Catalog Number 16649P

www.irs.gov

Form 433-B (Rev. 2-2019)

Form 433-B (Rev. 2-2019)

 

 

 

 

 

 

 

 

 

 

Page 4

REAL PROPERTY Include all real property and land contracts the business owns/leases/rents.

 

 

 

 

 

 

 

 

 

Purchase/

 

Current Fair

 

Current Loan

Amount of

Date of Final

Equity

 

 

 

 

 

Lease Date

 

Market Value

 

Monthly

Payment

 

 

 

 

 

 

 

Balance

FMV Minus Loan

 

 

 

 

 

(mmddyyyy)

 

(FMV)

 

Payment

(mmddyyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21a

Property Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

 

$

 

$

 

 

$

 

 

Location (Street, City, State, ZIP code) and County

 

Lender/Lessor/Landlord Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21b

Property Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

 

 

Location (Street, City, State, ZIP code) and County

 

Lender/Lessor/Landlord Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21c

Property Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

 

 

Location (Street, City, State, ZIP code) and County

 

Lender/Lessor/Landlord Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21d

Property Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

 

 

Location (Street, City, State, ZIP code) and County

 

Lender/Lessor/Landlord Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21e Total Equity (Add lines 21a through 21d and amounts from any attachments)

 

 

 

$

 

VEHICLES, LEASED AND PURCHASED Include boats, RVs, motorcycles, all-terrain and off-road vehicles, trailers, mobile homes, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchase/

 

Current Fair

 

Current Loan

Amount of

Date of Final

Equity

 

 

 

 

 

Lease Date

 

Market Value

 

Monthly

Payment

 

 

 

 

 

 

 

Balance

FMV Minus Loan

 

 

 

 

 

(mmddyyyy)

 

(FMV)

 

Payment

(mmddyyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22a

Year

 

Make/Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

 

 

Mileage

 

License/Tag Number

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

22b

Year

 

Make/Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

 

 

Mileage

 

License/Tag Number

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

22c

Year

 

Make/Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

 

 

Mileage

 

License/Tag Number

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

22d

Year

 

Make/Model

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

 

 

Mileage

 

License/Tag Number

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

22e Total Equity (Add lines 22a through 22d and amounts from any attachments)

$

Catalog Number 16649P

www.irs.gov

Form 433-B (Rev. 2-2019)

Form 433-B (Rev. 2-2019)

Page 5

BUSINESS EQUIPMENT AND INTANGIBLE ASSETS Include all machinery, equipment, merchandise inventory, and other assets in 23a through 23d. List intangible assets in 23e through 23g (licenses, patents, logos, domain names, trademarks, copyrights, software, mining claims, goodwill and trade secrets.)

 

Purchase/

 

Current Fair

 

Current Loan

 

Amount of

Date of Final

Equity

 

Lease Date

Market Value

 

 

Monthly

Payment

 

 

Balance

 

FMV Minus Loan

 

(mmddyyyy)

 

(FMV)

 

 

Payment

(mmddyyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23a Asset Description

 

 

 

 

 

 

 

 

 

 

 

$

 

$

 

$

 

 

$

Location of asset (Street, City, State, ZIP

code) and County

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

Phone

23b Asset Description

 

 

 

 

 

 

 

 

 

 

$

 

$

$

 

 

$

Location of asset (Street, City, State, ZIP

code) and County

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

Phone

23c Asset Description

 

 

 

 

 

 

 

 

 

 

$

 

$

$

 

 

$

Location of asset (Street, City, State, ZIP

code) and County

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

Phone

23d Asset Description

 

 

 

 

 

 

 

 

 

 

$

 

$

$

 

 

$

Location of asset (Street, City, State, ZIP

code) and County

Lender/Lessor Name, Address, (Street, City, State, ZIP code) and Phone

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

23e

Intangible Asset Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

23f

Intangible Asset Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

23g

Intangible Asset Description

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$

 

23h

Total Equity (Add lines 23a through 23g and amounts from any attachments)

 

 

$

 

 

 

 

BUSINESS LIABILITIES Include notes and judgements not listed previously on this form.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Liabilities

Secured/

Date Pledged

 

 

Date of Final

 

Payment

 

 

 

Balance Owed

Payment

 

 

 

Unsecured

(mmddyyyy)

 

 

Amount

 

 

 

 

 

 

 

(mmddyyyy)

 

 

 

 

 

 

 

 

 

 

 

 

 

24a

Description:

Secured

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unsecured

 

$

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

Address

 

 

 

 

 

 

 

 

 

 

 

City/State/ZIP code

 

 

 

Phone

 

 

 

 

 

24b

Description:

Secured

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unsecured

 

$

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

Street

Address

 

 

 

 

 

 

 

 

 

 

 

City/State/ZIP code

 

 

 

Phone

 

 

 

 

24c Total Payments (Add lines 24a and 24b and amounts from any attachments)

$

Catalog Number 16649P

www.irs.gov

Form 433-B (Rev. 2-2019)

Form 433-B (Rev. 2-2019)

 

 

Page 6

Section 5: Monthly Income/Expenses Statement for Business

 

Accounting Method Used:

Cash

Accrual

 

Use the prior 3, 6, 9 or 12 month period to determine your typical business income and expenses.

 

 

Income and Expenses during the period (mmddyyyy)

to (mmddyyyy)

Provide a breakdown below of your average monthly income and expenses, based on the period of time used above.

 

Total Monthly Business Income

 

 

Total Monthly Business Expenses

 

 

 

 

 

 

 

 

Income Source

 

Gross Monthly

 

Expense items

Actual Monthly

25

Gross Receipts from Sales/Services

$

 

36

Materials Purchased 1

$

26

Gross Rental Income

$

 

37

Inventory Purchased 2

$

27

Interest Income

$

 

38

Gross Wages & Salaries

$

28

Dividends

$

 

39

Rent

$

29

Cash Receipts (Not included in lines 25-28)

$

 

40

Supplies 3

$

 

Other Income (Specify below)

 

 

41

Utilities/Telephone 4

$

30

 

$

 

42

Vehicle Gasoline/Oil

$

31

 

$

 

43

Repairs & Maintenance

$

32

 

$

 

44

Insurance

$

33

 

$

 

45

Current Taxes 5

$

34

 

$

 

46

Other Expenses (Specify)

$

35

Total Income (Add lines 25 through 34)

$

 

47

IRS Use Only-Allowable Installment Payments

$

 

 

 

 

48

Total Expenses (Add lines 36 through 47)

$

 

 

 

 

49

Net Income (Line 35 minus Line 48)

$

1Materials Purchased: Materials are items directly related to the production of a product or service.

2 Inventory Purchased: Goods bought for resale.

3Supplies: Supplies are items used to conduct business and are consumed or used up within one year. This could be the cost of books, office supplies, professional equipment, etc.

4Utilities/Telephone: Utilities include gas, electricity, water, oil, other fuels, trash collection, telephone, cell phone and business internet.

5Current Taxes: Real estate, state, and local income tax, excise, franchise, occupational, personal property, sales and the employer's portion of employment taxes.

Certification: Under penalties of perjury, I declare that to the best of my knowledge and belief this statement of assets, liabilities, and other information is true, correct, and complete.

Signature

Title

Date

Print Name of Officer, Partner or LLC Member

After we review the completed Form 433-B, you may be asked to provide verification for the assets, encumbrances, income and expenses reported. Documentation may include previously filed income tax returns, profit and loss statements, bank and investment statements, loan statements, financing statements, bills or statements for recurring expenses, etc.

IRS USE ONLY (Notes)

Privacy Act: The information requested on this Form is covered under Privacy Acts and Paperwork Reduction Notices which have already been provided to the taxpayer.

Catalog Number 16649P

www.irs.gov

Form 433-B (Rev. 2-2019)

File Breakdown

Fact Name Description
Purpose of Form The IRS Form 433-B is used primarily by businesses to provide the IRS with financial information for tax collection purposes.
Who Must File Typically, businesses owing taxes or facing collection actions must complete this form to negotiate payment plans or settlements.
Form Structure The form collects various financial details including income, expenses, assets, and liabilities to assess the business’s ability to pay its tax debts.
Filing Requirement This form is necessary when a business desires to enter into an installment agreement with the IRS.
State-Specific Forms Many states have their own versions of financial disclosure forms; for instance, California has the FTB Form 3563 for a similar purpose.
Legal Governing Laws Tax Collection Act governs the use of Form 433-B in federal tax matters, while state-specific forms are regulated by state tax laws, like the California Revenue and Taxation Code.
Submission Options Businesses can submit the completed Form 433-B electronically or via mail, depending on the specific instructions provided by the IRS.
Confidentiality Financial information provided on this form is considered confidential and is protected under federal privacy laws.
Updates It’s crucial to check for the most current version of the form and any changes to filing requirements, as they can change annually.

Guide to Using IRS 433-B

Filling out the IRS 433-B form is an important step in addressing tax-related issues for businesses. This form helps provide the IRS with a clear picture of your business's financial situation. Follow the detailed steps below to ensure that you complete it accurately.

  1. Start by entering your business name and Employer Identification Number (EIN) at the top of the form.
  2. Provide the business address, including city, state, and zip code.
  3. Indicate your business structure, such as sole proprietorship, partnership, or corporation.
  4. List the contact information for the person handling tax matters, including their phone number and email address.
  5. In the income section, outline your business's average monthly income from all sources. Include the dates for the reported income.
  6. Detail your monthly expenses in the corresponding section. Be honest and thorough, including everything from rent to salaries.
  7. Include information on any assets the business owns, such as equipment or property. Provide current value estimates.
  8. If applicable, mention any liabilities, including loans and accounts payable, alongside their current amounts.
  9. Review all the information carefully to ensure accuracy. It’s important to submit correct details.
  10. Sign and date the form where indicated to validate the information provided.

Get Answers on IRS 433-B

What is the IRS 433-B form?

The IRS 433-B form is a financial disclosure document that businesses must complete when they owe taxes to the Internal Revenue Service (IRS) and seek to establish a payment plan or negotiate a settlement. This form allows the IRS to better understand the financial situation of the business, including its income, assets, debts, and expenses. Completing this form accurately is essential for the IRS to assess the business's ability to pay its tax liabilities.

Who is required to file the IRS 433-B form?

Any business entity that owes taxes to the IRS and wishes to enter into an agreement for payment needs to complete the IRS 433-B form. This includes corporations, partnerships, and other types of business structures. If a business is facing financial difficulties and is unable to pay its owed taxes in full, this form will help the IRS determine the most appropriate course of action for resolving the tax debt.

What information do I need to provide on the IRS 433-B form?

When filling out the IRS 433-B form, businesses must provide a variety of information that demonstrates their financial status. Key details include:

  1. Assets: A list of all business assets, including bank accounts, real estate, and personal property.
  2. Liabilities: Information on current debts, such as loans and outstanding bills.
  3. Income: A summary of monthly income generated by the business.
  4. Expenses: An itemized list of monthly operating expenses, such as rent, utilities, and payroll.

The accuracy and completeness of this information are critical, as the IRS will rely on it to decide on payment arrangements or settlements.

How can I submit the IRS 433-B form?

Businesses can submit the IRS 433-B form in various ways, depending on the nature of their agreement with the IRS. Common submission methods include:

  • Mail: Complete the form and mail it directly to the IRS at the appropriate address specified in the form instructions.
  • Fax: Depending on your situation, you might be able to fax the completed form to the IRS.
  • In-person: Some businesses opt to visit their local IRS office to submit the form directly, especially if there are specific questions regarding their financial situation.

It’s advisable to keep a copy of the submitted form for your records, as you may need to refer to it during future communication with the IRS.

Common mistakes

Completing the IRS Form 433-B can be overwhelming, and errors are common. One major mistake is providing insufficient information about the business. The form requires detailed data, including assets, liabilities, and income. Leaving out any significant information can delay the process or lead to rejection.

Another frequent error is underestimating the value of assets. Business owners might undervalue their equipment or inventory, which affects the overall financial picture provided to the IRS. Always ensure that valuations are accurate and reflect current market conditions to avoid complications.

Misreporting income is another pitfall. It is essential to report all sources of income accurately. Understating income may seem tempting, but the IRS has ways to verify this information, which could lead to penalties.

Failing to include all business expenses is also a common mistake. This omission can lead to an inflated assessment of the business's ability to pay taxes. Make sure to list all relevant expenses thoroughly to paint a clear picture of the business's financial standing.

Additionally, some individuals forget to sign the form. A missing signature can halt processing, which creates unnecessary delays. It’s wise to double-check that all required signatures are in place before submission.

Calculating payment plans inaccurately is yet another area where mistakes can occur. A wrong calculation can misrepresent the business's ability to pay. Ensure that the figures are double-checked for accuracy and that they comply with IRS guidelines.

Many people neglect to keep copies of the form. Not having records of what was submitted can hinder future interactions with the IRS. Always save a copy of the completed form for personal records and reference.

Missing deadlines can also complicate the matter. Timely submission of Form 433-B is crucial for compliance. Keep track of due dates and plan to submit the form early to avoid rushing at the last minute.

Finally, failing to seek professional help when needed can lead to mistakes that may have been avoided. Consulting with a tax professional may provide insights and assistance in filling out the form correctly. Involving an expert can save time and reduce the risk of errors.

Documents used along the form

The IRS 433-B form serves as an essential tool for businesses negotiating tax liabilities or requesting a payment plan. However, it is often accompanied by other essential forms and documents that can facilitate the process. Understanding these documents helps streamline communication with the IRS and increases the chances of a favorable outcome.

  • Form 941: This is the Employer's Quarterly Federal Tax Return. It reports payroll taxes withheld from employees, provides crucial information regarding total wages paid, and must be filed quarterly. Accurate completion of this form is vital in demonstrating compliance with federal tax obligations.
  • Form 1040 or 1120: Depending on the type of business, these are individual income tax returns and corporate tax returns, respectively. They represent an entity's overall financial health and tax liabilities, offering the IRS context for the business's financial situation.
  • Financial Statements: Comprehensive financial statements such as income statements, balance sheets, and cash flow statements provide a snapshot of the business's financial status. The IRS may request these documents to better understand the capacity for tax payments and the overall viability of the business.
  • Profit and Loss Statement: This document details the revenues and expenses incurred over a specific period. It helps the IRS evaluate operational efficiency and financial stability, relevant factors when negotiating tax payments or penalties.
  • Form 656: This is the Offer in Compromise application. It is used when a business seeks to settle its tax obligations for less than the full amount owed. Along with the IRS 433-B, it provides a comprehensive view of the business and its ability to pay.

By preparing these forms and documents, individuals can ensure that they present a complete and accurate picture of their financial situation to the IRS. This preparation significantly aids in negotiations concerning tax debts, payment plans, or settlements. Keeping these documents organized and accessible is a best practice for any business facing tax challenges.

Similar forms

The IRS 433-B form has similarities to the following documents. Each one serves a purpose in financial disclosure or analysis. Review the list to understand these similarities better.

  • IRS Form 433-A: This form is used by individuals for similar purposes as the 433-B but applies to sole proprietors and individuals. It also collects financial information to assess collections.
  • IRS Form 656: Used to propose an Offer in Compromise, this form requires financial information, much like the 433-B, to support the taxpayer's ability to pay.
  • IRS Form 4506-T: A request for transcript of tax return, this form allows the IRS to access financial data, which is often comparable to what’s reported on the 433-B.
  • IRS Form 1040: This is the standard individual income tax return. Taxpayers report personal income and expenses, including financial details that may be similar to those on the 433-B.
  • Bankruptcy Schedules: In bankruptcy filings, debtors provide detailed financial information, similar to the IRS 433-B, to help the court understand their financial situation.
  • Financial Affidavit: Common in divorce or domestic cases, this document requires individuals to disclose their financial information, paralleling the information in the 433-B.
  • Loan Applications: When applying for loans, individuals and businesses provide financial data. This information is essential for lenders and can be compared to what’s included in the 433-B.

Dos and Don'ts

When filling out the IRS 433-B form, it’s important to handle the process correctly. Here are some things you should and shouldn’t do:

  • Do: Provide accurate information about your business. This includes revenue, expenses, and assets.
  • Do: Be honest about your financial situation. Transparency is crucial for building trust with the IRS.
  • Do: Keep a copy of the completed form for your records. It’s wise to have documentation in case questions arise later.
  • Do: Seek guidance if you’re unsure about any part of the form. A tax professional can offer valuable help.
  • Don't: Leave any fields blank unless they do not apply to your situation. Incomplete forms can delay processing.
  • Don't: Exaggerate your financial hardships. Providing false information can lead to penalties.
  • Don't: Miss the deadline for submission. Timely filing is essential to avoid additional problems.
  • Don't: Provide outdated financial information. Always use the most current data available.

Misconceptions

Understanding the IRS Form 433-B can be challenging for many. Here are ten common misconceptions, explained for clarity.

  1. This form is only for businesses. While Form 433-B is often associated with businesses, it can also be used by self-employed individuals and sole proprietors when dealing with the IRS regarding tax debts.
  2. Form 433-B only applies to large businesses. This form is applicable to small businesses as well. Any business seeking an installment agreement or currently facing tax issues may need to complete this form, regardless of its size.
  3. Filling out Form 433-B guarantees tax relief. Completing the form does not automatically result in relief from tax liabilities. The IRS reviews each case before granting any type of agreement or relief.
  4. The form does not require detailed financial information. In fact, the form asks for specific financial details about your business, including income, expenses, assets, and liabilities. Accurate information is crucial.
  5. Form 433-B is a one-time submission. This is incorrect. You may need to update and resubmit the form if your financial situation changes significantly or if the IRS requests additional information.
  6. Submitting Form 433-B will stop IRS collection actions immediately. While the IRS may hold off on certain actions during the review process, filing the form does not guarantee an immediate halt to all collection efforts.
  7. You cannot appeal a decision made regarding this form. You can appeal decisions related to your financial disclosure, including claims for reconsideration. Understanding your rights is vital.
  8. This form can be filled out quickly without much thought. The information required is extensive, and taking the time to provide accurate and thorough information is essential for a successful outcome.
  9. Once the form is submitted, you cannot communicate with the IRS. Communication is still possible and often necessary. You may need to provide more information or clarify points after submitting.
  10. It's unnecessary to seek help with this form. Many people find it beneficial to consult with a tax professional or legal expert to ensure the form is completed correctly, helping to improve the chances of a favorable outcome.

Being informed about these misconceptions can help you navigate the complexities of tax filings with greater confidence. Always stay proactive about your financial obligations and seek professional guidance when needed.

Key takeaways

  • The IRS 433-B form is primarily used by businesses to provide financial information to the IRS during a tax issue.

  • This form is necessary for determining the taxpayer's ability to pay debts, as the IRS uses it to assess financial status.

  • It requires detailed information, including business income, expenses, assets, and liabilities, ensuring a comprehensive financial overview.

  • Completing the form accurately is critical; inaccuracies can lead to delays or complications in resolving tax issues.

  • The IRS may use this information when evaluating offers in compromise or setting up payment plans.

  • Documentation supporting the financial details reported on the form should be kept readily available, as the IRS may request it.

  • Businesses are advised to revisit the form regularly to ensure that the information reflects any financial changes.

  • Seek assistance from a tax professional if you encounter difficulties, as they can help navigate the complexities of the form.