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Offer in Compromise Form

If you are interested in resolving your back taxes through an offer in compromise, please fill out the form below:

All inquiries will be kept confidential.

Name:
Email Address:
City/State:
Phone (Day):
Phone (Night):
Marital Status:
# of Dependents:
How much do you owe
to the IRS?
Are all your tax returns filed?
If all taxes not filed,
what years are missing?
What is your family's gross monthly income?

How much equity do you have in any of the following assets?

Real Estate:
Vehicles:
Investments:
Retirement Accounts:
Bank Accounts:
Other Assets:
Additional Information:


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