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Offer in Compromise DTF-4

1. Name of taxpayer(s)/trade or business name(s) Telephone number Social Security number(s) ( )Physical home address Employer identification number (EIN)Mailing address (if different from above, or if a PO Box number) Entity type(s)Business address Name of taxpayer s representative (attach power of attorney; see instructions) Telephone number ( ) Address of taxpayer s representativeDepartment of Taxation and FinanceOffer in CompromiseFor Fixed and Final (3/19)2.

DTF-4.1 (3/19) Page 3 of 4 Use the correct form • Use Form DTF-4.1, Offer in Compromise: For Fixed and Final Liabilities, to submit your request to compromise liabilities, where you do not have any formal protest or appeal rights. You do not have these rights if you: • owe tax, interest, or penalties due to: a math or clerical

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