The IRS Form 433-A is typically requested by IRS Revenue Officers, Settlement Officers (in the context of a Collection Due Process Hearing), and other collections officers when evaluating the amount that may be collectible from a taxpayer, while also serving as a road-map for their future collections efforts such as liens and levies. As it is signed under penalty of perjury, great care should be taken to ensure it is completed accurately.

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This form was uploaded on 12/29/18. The IRS website should be checked for updates.