Form 433-A (OIC) (sp), Collection Information Statement for Wage Earners and Self-Employed Individuals (Spanish Version)

What is Form 433-A (OIC) (sp)?

Who needs to file Form 433-A (OIC) (sp)?

When to file Form 433-A (OIC) (sp)

Documents you need

• Current Form 656, Ofrecimiento de Transacción, completed and signed; the form says it is used only with that form.
• Copies of the most recent pay stubs or income proof from each employer.
• Copies of the most recent statement for each retirement and investment account.
• Copies of all documents and records showing the digital assets you currently hold.
• Copies of recent proof of other income: pensions, Social Security, rental income, interest and dividends (including from a partnership, corporation, LLC or LLP), child support or alimony court orders, royalties, farm subsidies, and similar sources the form lists.
• Complete individual bank statements for the three most recent months; if you operate a business, the six most recent complete statements for each business bank account.
• Form 433-B (Información de Cobro para los Negocios), completed, if you or your spouse have an interest in a business entity of which you are not the sole owner.
• Most recent lender statements for loans such as mortgages, second mortgages and vehicles, showing monthly payments, payoffs and balances.
• List of accounts receivable or notes receivable, if applicable.
• Verification of delinquent state or local tax liability showing the total owed and the monthly delinquent payments, if applicable.
• Copies of the court orders for any child support or alimony payments claimed in the monthly expenses section.
• Copies of trust documents, if applicable under Section 9.
• Documentation supporting any special circumstances described in the "Explicación de circunstancias" on Form 656, if applicable.
• Form 2848, Poder Legal y Declaración del Representante, if you want an attorney, CPA or enrolled agent to represent you and the IRS has no current form on file; list all years and forms related to the offer and include the current tax year.

How to fill out Form 433-A (OIC) (sp)

1. 1

   Enter personal and household information

   In Section 1, enter your name, date of birth (mm/dd/aaaa), Social Security number or ITIN, marital status, home address and whether you own or rent. If married, add the marriage date and check the box if you lived in AZ, CA, ID, LA, NM, NV, TX, WA or WI in the last ten years.

2. 2

   List spouse and household members

   Provide your spouse's name, date of birth and Social Security number, then list everyone else in the household or claimed as dependents, with age, relationship, whether they contribute to household income and whether they are claimed on your Form 1040.

3. 3

   Complete employment information

   In Section 2, give each employer's name and address, pay period, occupation and time with the employer, for you and your spouse. If you hold an ownership interest in the business, check Sí (yes); the form then also requires Form 433-B (sp).

4. 4

   Report cash and investments

   In Section 3, use the latest statement for each account on lines (1a) to (1c) for bank accounts and (2a) to (2d) for investments and digital assets, including those held abroad. Follow the printed subtraction on lines (1) and (2), and enter "0" instead of a negative result.

5. 5

   Report retirement accounts and life insurance

   On lines (3a) and (3b), list retirement accounts using the reduced market value and loan balance the line asks for. On lines (4a) and (4b), list life insurance policies with cash value and any loan balance.

6. 6

   List real estate and vehicles

   On lines (5a) to (5c), describe each property you own, say whether it is for sale and enter the market value, loan balance and lender details. On lines (6a) to (6e), list each owned or leased vehicle with its make, year, mileage, plate and loan or lease payment.

7. 7

   Add other valuables and total Box A

   On lines (7a) to (7c), list valuable items and remaining furniture and personal belongings. Follow the printed deduction on line (7), then add lines (1) through (7), not the lettered lines, and enter the result in Box A.

8. 8

   Complete the self-employment sections

   If you or your spouse are self-employed, fill in Section 4 (business details), Section 5 (business assets, lines (8) to (11), plus notes and accounts receivable) for Box B, and Section 6 (income lines (12) to (17) and expenses (18) to (29)) for Box C. If you supply a current P&L, use only lines 17 and 29 and skip the others.

9. 9

   Calculate household income and expenses

   In Section 7, enter monthly income on lines (30) to (38) for Box D and expenses on lines (39) to (51) for Box E. On lines (39) and (45), enter the full allowed standard even if you pay less. Subtract Box E from Box D for Box F.

10. 10

    Figure the minimum offer amount

    In Section 8, multiply Box F by 12 if you will pay in five payments or fewer within five months or less (Box G), or by 24 if you will pay in six to 24 months (Box H); do not enter less than zero. Add Box A, plus Box B if applicable, to Box G or H, and enter that figure in Section 4, Términos de Pago, of Form 656.

11. 11

    Answer the other information questions

    In Section 9, answer Sí or No on incarceration, litigation, bankruptcy in the last 7 years, living abroad for six months or more in the last 10 years, trusts, safe deposit boxes, asset transfers, foreign assets and funds held in trust by a third party. Provide the follow-up details wherever you answer yes.

12. 12

    Review, sign and download the PDF

    Check the totals in Boxes A through H, sign and date Section 10 (and have your spouse sign if applicable), and tick off the attachments on the checklist. Then download or print the completed PDF from FillingPDF and assemble the package with Form 656.

How to submit Form 433-A (OIC) (sp)

Common mistakes to avoid

• Using Form 433-A (OIC) (sp) on its own: the form states it is to be used only with Form 656.
• Entering a negative number on a line; the form says to round to whole dollars and enter "0" if a line item is negative.
• Leaving the offer amount blank or at zero in Section 8; the offer must be greater than zero, with no blank spaces and whole-dollar values only.
• Completing Sections 7 and 8 before Sections 4, 5 and 6 when you or your spouse are self-employed.
• Entering your actual spending on lines (39) and (45) when it is below the allowed standard; for those two lines the form requires the full allowed standard.
• Adding the lettered lines, such as (1c) or (9c), into the totals when the instructions say not to include them in the Box A or Box B sums.
• Listing personal assets from Section 3 again in Section 5, which is for business assets only.
• Omitting assets, accounts, safe deposit boxes or real estate located in foreign countries or jurisdictions; the form asks for them.
• Leaving non-taxable income out of household income, or deducting non-cash expenses such as depreciation from Schedule C income on line (36) instead of adding them back.
• Submitting an offer while you or your business are in a bankruptcy proceeding; the form says you are not eligible.