The Form 9465 is used to prepare a request for a monthly installment plan in case a taxpayer can’t pay the full amount shown on their tax return or on a notice that the Internal Revenue Service has sent. Most installment agreements meet the IRS streamlined installment agreement criteria. The maximum term for a streamlined agreement is 72 months.
Form 9465 works for individuals, who owe fees on Form 1040, who are also responsible for a Trust Recovery Penalty and owe unemployment fees related to a sole proprietor business that is no longer in operation.
Complete this sample if you share responsibility payment under the Affordable Care Act. Depending on your financial situation you may send a request to pay longer or you may establish an agreement for an amount that is less than the amount of taxes to pay.
Every blank of 9465 consists of 22 lines. Insert the following information:
After the sample is completed attach it to the front of your return and send to the address shown in your tax booklet.
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