CDP - Collection Due Process - Notice of intent to levy response

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Use this form to Determine how to respond to an IRS Notice of intent to levy, The final version will be emailed to you instantly.

Email *

1A *

What is the Primary Taxpayer's first name and last name OR Business Name? ex) John Smith OR Acme Machinery LLC

1B *

What is the primary Taxpayer's street address? ex) 123 Main Street Apt 123

1C *

What is the City, State, and ZIP Code of the Primary Taxpayer? ex) Baltimore, MD 21234

What is the best Telephone Number to Reach you?

What is the best Time to Reach you?

Time

Is there another taxpayer liable for these debts such as your spouse? List his or her first and last name. ex) Jane Smith

What is the Secondary Taxpayer's street address? ex) 123 Main Street Apt 123

What is the City, State, and ZIP Code of the Secondary Taxpayer? ex) Baltimore, MD 21234

5A *

What tax does your notice of intent to levy deal with? ex) Income, Employment, Excise, etc. or Civil Penalty

5B *

What tax form number does your notice of intent to levy deal with? ex) 1040, 1120, 941, 940, etc

5C *

What Tax Period does the notice deal with? ex) 2018, OR 3/2016

6 *

Basis for the hearing - check one

[ X ] Notice of intent to levy [ ] Notice of Federal tax lien

[ ] Notice of intent to levy [ X ] Notice of Federal tax lien

[ X ] Notice of intent to levy [ X ] Notice of Federal tax lien

Equivalent hearing

We automatically select an equivalent hearing for you just in case your CDP form does not meet the legal requirements for timeliness meeting it was filed within 30 days, you still will be entitled to a equivalent hearing

8 *

Collection Alternatives: Check the most appropriate box for the reason you disagree with the filing of the lien or the levy. See page 4 of this form for examples. You can add more pages if you don't have enough space.If, during your CDP Hearing, you think you would like to discuss a Collection Alternative to the action proposed by the Collection function it is recommended you submit a completed Form 433A (Individual) and/or Form 433B (Business), as appropriate, with this form. See www.irs.gov for copies of the forms. Generally, the Office of Appeals will ask the Collection Function to review, verify and provide their opinion on any new information you submit. We will share their comments with you and give you the opportunity to respond.

8A *

Lien

If you chose subordination, discharge or withdrawal of Lien: Please explain why you would like subordination, discharge or withdrawal of the lien

8C *

My spouse is responsible: Innocent Spouse Relief

[NO] Innocent Spouse Relief (You will need to attach Form 8857, Request for Innocent Spouse Relief, to your request.)

[YES] Innocent Spouse Relief (You will need to attach Form 8857, Request for Innocent Spouse Relief, to your request.)

8D *

Other reasons for the CDP hearing / Explanation of circumstances. This is where you should explain what you would like the irs to consider.

A copy of your responses will be emailed to the address you provided.

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