Although the IRS Form 433-A (OIC) financial statement is similar to a standard Form 433-A, there are differences and this is the only financial statement accepted by the IRS to evaluate Offers in Compromise (also known as part of the fresh start program).

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 (April, 2020) can be found here.