IRS
Department of the Treasury
Internal Revenue Service
Form 656-A (Rev. 8-2003)
Catalog Number 28300X
Form 656-A
Offer in Compromise
Application Fee
Instructions and
Certification
Use these instructions together with Form 656, Offer in Compromise.
This Offer in Compromise Application Fee package includes:
•
Information you need to know about the application fee before
submitting an offer in compromise,
•
A worksheet that can be used to determine if you qualify for an
exception to the application fee, and
•
One copy of Form 656-A, Income Certification for Offer in Com-
promise Application Fee.
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Note: You can get forms and publications by calling 1-800-829-1040 or 1-800-829-
FORM, or by visiting your local Internal Revenue Service (IRS) office or our
website at .