The IRS Form 433-B is the financial statement typically requested by Revenue Officers or Settlement Officers when evaluating the collectability potential of a business taxpayer, which also provides a collections road-map for the IRS for potential liens and levy sources. If you are an individual who owns a business, a Form 433-A will be requested as well. Because this document is signed under penalty of perjury, great care should be taken to ensure it is accurately and completely filled.

Click on the image above to download the PDF form.

This form was uploaded 12/29/2018. The IRS website should be checked for updates.

A revised version (February, 2019) can be found here.