IRS Form 433A

Collection Information Statement for Wage Earners and Self-Employed Individuals

Form 433A, Collection Information Statement for Wage Earners and Self-Employed Individuals, is used by the IRS to determine your ability to pay back taxes and for levy and/or garnishment sources.  Learn about IRS installment agreements and IRS hardship.

Form 433A is used when your case is assigned to an IRS Revenue Officer.  The IRS will want more information on your personal finances compared to Form 433F.

Form 433A is for individuals and self-employed businesses.  For all other businesses use Form 433-B, C Corporations, S Corporations, and Partnerships.

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