Federal Free Printable Form 14431 (Rev. 2-2013) for 2017 Federal Response to Proposed Adjustment(s)

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Response to Proposed Adjustment(s)
Form 14431 (Rev. 2-2013)

Form Tax year ending Department of the Treasury - Internal Revenue Service 14431 (mm/dd/yyyy) Response to Proposed Adjustment(s) (February 2013) Taxpayer name Taxpayer ID Contact person Telephone number Mailing address City State ZIP code Step A – Review the proposed adjustments to your taxes below. Then, go to Step B Tax Year Ended Tax Penalties [ [ ] $[ ] $[ ] [ ] [ ] [ ] ] $[ ] $[ ] $[ ] Step B - Check only one of the two options. Then, go to Step C If you agree with the changes IRS is proposing, return this form with the FULL or PARTIAL payment (if applicable). A. • • • • • • Full Agreement to Proposed Changes I/We agree with the changes as shown above. I/We understand that I/we owe $ in additional tax, penalties, and interest. I/We understand that the law requires IRS to charge interest on taxes that aren't paid in full. I/We understand that certain penalties may also apply. I/We understand that I/we can file for a refund at a later date. If a joint return was filed, BOTH taxpayers must sign. I/We consent to the immediate assessment and collection of any deficiencies (increase in tax and penalties) and accept any overassessment (decrease in tax and penalties) shown above, plus any interest provided by law. I/We understand that by signing this waiver, I/we will not be able to contest these years in the United States Tax Court, unless additional deficiencies are determined for these years. Primary Taxpayer signature Date Title (Taxpayer, Owner, Partner, Officer, etc.) Preferred telephone number Secondary Taxpayer signature Date Title (Taxpayer, Owner, Partner, Officer, etc.) Preferred telephone number (if different from above) (if different from above) If you do not agree with the changes IRS is proposing, return this form with a signed statement explaining your disagreement. Also include copies of any documents, corrected Form(s) 1099-K or missing forms, that support your statement. B. Do Not Agree with Some of the Changes or All of the Changes • I/We enclosed documentation to support the entries on our original or amended tax return. • If a joint return was filed, BOTH taxpayers must sign. Primary Taxpayer signature Date Title (Taxpayer, Owner, Partner, Officer, etc.) Preferred telephone number Secondary Taxpayer signature Date Title (Taxpayer, Owner, Partner, Officer, etc.) Preferred telephone number Catalog Number 60746H www.irs.gov (if different from above) (if different from above) Form 14431 (Rev. 2-2013) Page 2 Step C - Check the applicable payment option Tip! Pay as much as you can now, as penalties and interest will continue to accrue on the unpaid balance. Make your check or money order payable to "United States Treasury". Write the tax year, the tax return form number, your Taxpayer Identification Number (SSN/ EIN) and your phone number on your check or money order. Option 1 • I/We are paying the proposed balance due of $ . • Balance may not include all applicable penalties - refer to the Penalties Section on the attached letter. Option 2 • I/We are making a partial payment of $ at this time. Option 3 • I/We would like to request a payment plan to pay the tax owed. • For additional information, please refer to the enclosed Publication 3498-A "Payment Options" section or at www.irs.gov by searching the key words, "Payment Options". Catalog Number 60746H www.irs.gov Form 14431 (Rev. 2-2013)
Extracted from PDF file 2016-federal-form-14431.pdf, last modified February 2016

More about the Federal Form 14431 Other TY 2016

We last updated the Response to Proposed Adjustment(s) in May 2017, so this is the latest version of Form 14431, fully updated for tax year 2016. You can download or print current or past-year PDFs of Form 14431 directly from TaxFormFinder. You can print other Federal tax forms here.

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Form Sources:

The Internal Revenue Service usually releases income tax forms for the current tax year between October and January, although changes to some forms can come even later. We last updated Federal Form 14431 from the Internal Revenue Service in May 2017.

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Historical Past-Year Versions of Federal Form 14431

We have a total of two past-year versions of Form 14431 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Form 14431

Form 14431 (Rev. 2-2013)

Response to Proposed Adjustment(s) 2015 Form 14431

Form 14431 (Rev. 2-2013)


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