Transcription of Form 433-A (OIC) Collection Information Statement for …
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Form 433-A (OIC) Collection Information Statement for …
Department of the Treasury Internal Revenue Service Form 433-A (OIC) Collection Information Statement for Wage Earners and (Rev. May 2012). self - employed Individuals Use this form if you are An individual who owes income tax on a Form 1040, An individual who is personally responsible for a Individual income Tax Return partnership liability An individual with a personal liability for Excise Tax An individual who is self - employed or has self -employment income . You are considered to be self - employed if you are in An individual responsible for a Trust Fund Recovery Penalty business for yourself, or carry on a trade or business. Wage earners Complete sections 1, 3, 4 (Box 1), 6, and 7 including signature line on page 7.
Self-Employed Individuals Use this form if you are An individual who owes income tax on a Form 1040, U.S. Individual Income Tax Return An individual with a personal liability for Excise Tax An individual responsible for a Trust Fund Recovery Penalty An individual who is personally responsible for a partnership liability
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