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9 Effective Tax Administration — “I owe this amount
and have sufficient assets to pay the full amount,
but due to my exceptional circumstances, requiring
full payment would cause an economic hardship or
would be unfair and inequitable.” You must in-
clude a complete Collection Information Statement,
Form 433-A and/or Form 433B and complete Item 9.
Item 7
I/We offer to pay $ 10,000.00 (must be more than
zero). Complete item 10 to explain where you will
obtain the funds to make this offer.
Check only one of the following:
9 Cash Offer (Offered amount will be paid in 90 days
or less.)
* * * * * * *
9 Short-Term Deferred Payment Offer (Offered amount
paid in MORE than 90 days but within 24 months
from written notice of acceptance of the offer.)
* * * * * * *
9 Deferred Payment Offer (Offered amount will be
paid over the remaining life of the collection
statute.)
$3,000.00 within 90 days * * * from written notice of
acceptance of the offer; and
beginning in the first month after written notice of
acceptance of the offer $200.00 on the 4th day of
each month for a total of 35 months.
In items 9 and 10 of petitioner’s June 28, 2005 offer-in-compro-
mise, petitioner provided the responses indicated to the follow-
ing questions:
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Last modified: November 10, 2007