Fillable Form 9465 (2020)

What is Form 9465?

Form 9465, Installment Agreement Request, is an IRS form allowing taxpayers to pay taxes in monthly installments. This form is helpful for those who cannot afford to pay their taxes immediately or in a one-time lump sum.

While the 9465 Form is a lifesaver for almost every taxpayer, keep in mind that penalties and interest will accrue for an overdue balance until you pay the tax owed.

You may download a PDF copy of Form 9465 IRS on the IRS website. But you may electronically fill it out on PDFRun for your convenience.

How to fill out Form 9465?

Provide all necessary fields of IRS 9465 Form. Make sure to read everything before you fill them out.

If you owe $50,000 or less, you can establish an installment agreement online by visiting the IRS website and applying for an Online Payment Agreement. Your user fee will be lower than the fee in IRS Form 9465 when you use the Online Payment Agreement.

Part I - Installment Agreement Request

The first part of this section requires you to enter the form you’re requesting and the tax year involved.

Enter the Form you are requesting for an installment agreement.

Enter the tax year or period involved in your installment agreement.

Item 1a

Item 1a is about your and your spouse’s (if applicable) personal information, such as your full name, address, and social security number.

Your first name, initial and last name

Enter your full legal name, beginning with your first name and initial, followed by your last name.

Your social security number

Enter your social security number.

If a joint return, spouse’s first name, initial, and last name

Enter your spouse’s full legal name if it is a joint return.

Spouse’s social security number

Enter your spouse’s social security number.

Current address (number and street). If you have a P.O. Box and no home delivery, enter your home number.

Enter your complete current address, including the house number and street.

Enter your home number if you have a P.O. Box and no home delivery.

Apt. Number

Enter your apartment number.

City, town or post office, state, and ZIP code. If a foreign address, also complete the spaces below.

Enter your city, town or post office, state, and ZIP code. If you have a foreign address, enter it in this section.

Foreign country name

Enter your foreign country.

Foreign province/state/county

Enter your foreign province, state, or county.

Foreign postal code

Enter your foreign postal code.

Item 1b

Check the box if the address you entered above is new since you filed your last tax return. Otherwise, leave it blank.

Item 2

Name of your business

Enter the name of your business. Note that your business must no longer be operating.

Employer Identification Number (EIN)

Enter your employer identification number (EIN).

Item 3

Your home phone number

Enter your home phone number.

Best time for us to call

Enter the best time for IRS to call you.

Item 4

You work phone number

Enter your work phone number.

Ext.

Enter your extension number.

Best time for us to call

Enter the time for IRS to call you.

Item 5

Enter the total amount you owe as shown on your tax return or notice.

Item 6

Enter the amount if you have any additional balance not reported on Item five, even if the amounts are included in an existing installment agreement.

Item 7

Add the amounts of Item five and Item six, and enter the result in this section.

Item 8

Enter the amount of any payment you’re making with this request.

Item 9

Subtract Item eight from Item seven, and enter the amount owed in this section.

Item 10

Divide the amount on Item nine by 72, and enter the result in this section.

Item 11a

Enter the amount you can pay monthly.

Make sure to pay a large amount to avoid incurring interest and penalty charges. These charges will continuously accrue until you pay in full. But if you have an existing installment agreement, this amount should represent your total proposed monthly payment amount for all your liabilities.

If you did not enter any payment amount in this section, your payment will be determined by dividing the balance due under Item nine by 72 months.

Item 11b

Enter your revised monthly payment if the amount on Item 11a is less than the amount on Item 10, and you’re able to increase your payment to an amount equal to or greater than the amount on Item 10.

Check the box if you can’t increase your payment on Item 11b to equal to or more than the amount on Item 10. If you checked this box, complete and attach Form 433-F, Collection Information Statement. Otherwise, leave it blank.

If the amount on Item 11a or 11b, if applicable, is equal to or more than the amount on Item 10, and the amount you owe is above $25,000 but not more than $50,000, no need to complete a Form 433-F. However, you must complete Item 13 or 14. But if the amount on Item nine is greater than $50,000, fill out Form 433-F.

Item 12

Enter the date you want to make your monthly payment. Make sure not to enter a date later than the 28th.

Item 13

This section is to be filled out if you want to make payments by direct debit from your checking account. This is the most convenient payment method as payments are made on time.

Item 13a

Enter your routing number.

Item 13b

Enter your account number.

Item 13c - Low-income taxpayers only

Check the box if you cannot make electronic payments through a debit instrument by providing your banking information on Items 13a and 13b. Your user fee will be reimbursed when your installment agreement is complete. Otherwise, leave it blank.

Item 14

Check this box if you want to make payments by payroll deduction. If you checked this box, you must attach a completed Form 2159, Payroll Deduction Agreement. Otherwise, leave it blank.

Signature

Your Signature

Affix your signature.

Date

Enter the date you signed this form.

Spouse’s signature

Affix your spouse’s signature.

If the agreement is a joint return, you and your spouse must both sign this form.

Date

Enter the date your spouse signed this form.

Part II. Additional Information

Fill out Part II only if all three conditions apply:

• You defaulted on an installment agreement in the past 12 months;
• You owe more than $25,000 but not more than $50,000; and
• The amount on Item 11a (or 11b, if applicable), is less than Item 10

If only one or two conditions apply to you, you don’t need to fill this form out. However, if you owe more than $50,000, you must complete and attach Form 433-F along with this form.

Item 15

Enter the county of your primary residence.

Item 16a - Marital Status

Mark the appropriate box to determine your marital status. You may select:

• Single
• Married

If you marked “Single,” skip question 16b and go to Item 17. But if you marked “Married,” go to Item 16b.

Item 16b

Mark the appropriate box to determine if you share household expenses with your spouse. You may select:

• Yes
• No

Item 17

Enter how many dependents you will be able to claim on this year’s tax return.

Item 18

Enter the number of people in your household who are 65 or older.

Item 19

Mark the appropriate box to determine how often you are paid. You may select:

• Once a week
• Once every two weeks
• Once a month
• Twice a month

Item 20

Enter your net income per pay period or your take-home pay.

Note that you will only answer Items 21 and 22 if you have a spouse and meet certain conditions. If you don’t have a spouse, skip Items 21 and 22 and answer Item 23.

Item 21

Mark the appropriate box to determine how often your spouse is paid. You may select:

• Once a week
• Once every two weeks
• Once a month
• Twice a month

Item 22

Enter your spouse’s net income pay period or take-home pay.

Item 23

Enter the number of vehicles you own.

Item 24

Enter the number of car payments you have each month.

Item 25a

Mark the appropriate box to determine if you have health insurance. You may select:

• Yes
• No

If you marked “Yes,” proceed to Item 25b. If you marked “No,” skip Item 25b and go to Item 26b.

Item 25b

Mark the appropriate box to determine if your insurance premiums are deducted from your paycheck. You may select:

• Yes
• No

If you marked “Yes,” skip Item 25c and go to Item 26a. If you marked “No,” go to Item 25c.

Item 25c

Enter your monthly health insurance premiums.

Item 26a

Mark the appropriate box to determine if you make court-ordered payments. You may select:

• Yes
• No

If you marked “Yes,” proceed to Item 26b. If you marked “No,” proceed to Item 27.

Item 26b

Mark the appropriate box to determine if your court-ordered payments are deducted from your paycheck. You may select:

• Yes
• No

If you marked “Yes,” proceed to Item 27. If you marked “No,” proceed to Item 26c.

Item 26c

Enter the amount of your monthly court-ordered payments.

Item 27

Enter the amount you pay for child or dependent care each month. The amount to be entered here should not include any court-ordered payments for the child and dependent support.

How to file Form 9465?

Filing Form 9465 depends on how much you owe.

If your taxes due are more than $50,000 send Form 9465 through mail to the address shown in your tax return booklet, and you will also need to attach a Form 433-F. But when you file your taxes, attach Form 9465 in front of your tax return.

If you owe less than $10,000, your installment agreement request will be automatically be granted, provided that you did not enter into an installment agreement within the last five years. Your request will also be automatically approved by the IRS if you filed your income tax returns properly.