Form 71-661-23-8-1-000 (Rev 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the Taxpayer section, including your first name, initial, last name, and Social Security Number (SSN). If applicable, fill in your spouse's details as well.
3. Provide your mailing address, ensuring to include the street number and any rural route information. Fill in the city, state, zip code, and county code.
4. Indicate if this is a new address since your last tax return by checking the appropriate box.
5. Complete the Banking Information section by entering the name of your bank or financial institution.
6. Fill out the Employer Information section with your employer's name and address details.
7. In the Payment Information section, enter the tax year for which you are making this request and specify the total amount owed as shown on your return.
8. Indicate any payment you are making with your tax return and specify the amount due each month. Remember that interest will continue until full payment is made.

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