CDP - Collection Due Process - Notice of intent to levy response
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 address *
1A *
What is the Primary Taxpayer's first name and last name OR Business Name? ex) John Smith OR Acme Machinery LLC
Your answer
1B *
What is the primary Taxpayer's street address? ex) 123 Main Street Apt 123
Your answer
1C *
What is the City, State, and ZIP Code of the Primary Taxpayer? ex) Baltimore, MD 21234
Your answer
2A
What is the best Telephone Number to Reach you?
Your answer
2B
What is the best Telephone Number to Reach you?
Your answer
2B
What is the best Time to Reach you?
Time
:
3A
Is there another taxpayer liable for these debts such as your spouse? List his or her first and last name. ex) Jane Smith
Your answer
3B
What is the Secondary Taxpayer's street address? ex) 123 Main Street Apt 123
Your answer
3C
What is the City, State, and ZIP Code of the Secondary Taxpayer? ex) Baltimore, MD 21234
Your answer
5A *
What tax does your notice of intent to levy deal with? ex) Income, Employment, Excise, etc. or Civil Penalty
Your answer
5B *
What tax form number does your notice of intent to levy deal with? ex) 1040, 1120, 941, 940, etc
Your answer
5C *
What Tax Period does the notice deal with? ex) 2018, OR 3/2016
Your answer
6 *
Basis for the hearing - check one
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
8B
If you chose subordination, discharge or withdrawal of Lien: Please explain why you would like subordination, discharge or withdrawal of the lien
Your answer
8C *
My spouse is responsible: Innocent Spouse Relief
8D *
Other reasons for the CDP hearing / Explanation of circumstances. This is where you should explain what you would like the irs to consider.
Your answer
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