Form De 999 - Request For Offer In Compromise- 2003

DATE

REQUEST FOR

OFFER IN COMPROMISE

EDD ACCOUNT NUMBER: __________________________

You have requested an Offer in Compromise (OIC) for a tax liability owed the

Employment Development Department (EDD). We are enclosing the following

forms with instructions for completion:

________ OIC Application, DE 999A

________ OIC Financial Statement, DE 999B

________ How to prepare OIC Financial Statement Instructions, DE 999C

________ Installment Plan Agreement/Installment Information Sheet, DE 999D

________ Other: _______________________________________________

_______________________________________________

Return the completed forms and all associated documents to the EDD address

listed below. Your application will be processed in the order in which it is received.

Should you have any questions, please contact the Offers in Compromise Unit at

(916) 464-2726.

P.O. Box 826880 • MIC 92S • Sacramento CA 94280-0001

DE 999 (7-03) (INTERNET)

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