Form 9465
This is used to request a new monthly installment plan if the amount shown on your tax return cannot be paid. Download the original form on the IRS website.
How to properly fill form 9465
- Line 1
1a. Enter your full name and the name of your joint partner name. Also, include social security numbers.
Include your current address (number and street). If you have a P.O. box and no home delivery, enter your box number on this line.
1b. If your address is new since you filed your last tax return, check that list.
- Line 5
Enter the total amount indebted as shown on your tax return or notice. The sum you owe could include aggregates from more than a period of one tax year.
- Line 6
If you have any additional balances due that you didn’t report on line 5, enter the amount on this line (even if the amounts are included in an existing installment agreement).
- Line 7
Add the amounts inline 5 and 6 and enter the result on this line.
- Line 8
Even if you can’t pay the full amount you owe now, you should try and pay a considerable sum to limit the penalty and interest charges. If you’re filling this form with your tax return, make the payment with your return.
- Line 9
Subtract the amount inline 8 from line 7 and enter the result. Generally, if the total amount you owe is greater than $25,000 but not more than $50,000, you must either: (1) Complete lines 13a and 13b and agree to make payments by direct debit, or (2) Checkbox 14 to make your payments by payroll deduction and attach a completed, signed Form 2159, Payroll Deduction Agreement.
- Line 11
11a. Enter on this line the amount you can pay each month. Make your disbursements as big as possible to reduce interest and penalty charges. The interest and penalty charges will continue to apply until you pay them in full. If you have a pending installment agreement, this amount should represent your total proposed monthly payment amount for all your liabilities. If no payment amount is listed on line 11a (or 11b), payment will be determined for you by dividing the balance due by 72 months.
11b. If the amount on line 11a is lesser than the amount on line 10 and you’re able to increase your reimbursement to an amount that is equal to or greater than the amount on line 10, enter your revised monthly payment proposal on line 11b.
Note
- If the sum on line 11a is less than the sum on line 10 and you’re unable to increase your payment to the amount on line 10, check the box beneath line 11b, complete and attach Form 433-F.
- If the amount on line 11a is equal to or greater than the amount on line 10 but the amount you owe (line 9) is greater than $25,000 but lesser $50,000, you must complete either line 13 or 14 if you don’t want to complete Form 433-F.
- If you have defaulted on an installment agreement within the last 12 months, the amount you owe is greater than $25,000 but not more than $50,000, and the sum on line 11a (11b, if applicable) is less than the sum on line 10, you must complete Part II on page 2 of Form 9465.
- If the sum on line 9 is more than $50,000, complete and attach Form 433-F.
- Line 12
You can choose the day of each month in which your payment will be due. This can be on or after the 1st of the month, but no later than the 28th of the month.
Finally, complete this part two if any of these three conditions apply:
- If you have previously defaulted on an installment agreement in the past 12 months.
- If you owe more than $25,000 but not more than $50,000.
- The total on line 11a (or 11b, if applicable) is less than line 10. If you owe more than $50,000, complete and attach Form 433-F, Collection Information Statement form.