Collection Information Statement

What it does

Form 433-F lists your income, expenses, bank accounts and assets. IRS collection staff use a statement like this to understand what you can afford to pay.

When people use it

• An IRS employee asks you for financial information during collection.
• You are requesting a payment plan or hardship status that needs financial detail.

Before you file

• Gather recent pay stubs, bank statements and bills for the expenses you list.
• Check the current IRS collection financial standards, since the IRS may limit some expense categories.

What to watch for

• The statement is signed under penalties of perjury, so every figure should be accurate and supportable.
• The IRS decides which expenses it allows. Listing an expense does not guarantee it will be accepted.