Form 14653 statement example 2026

1. Click ‘Get Form’ to open the form 14653 statement example in the editor.
2. Begin by entering the names of the taxpayer(s) in the designated field. Ensure that both spouses are included if submitting a joint certification.
3. Input the Tax Identification Numbers (TINs) for each taxpayer. This is crucial for accurate processing.
4. In the certification section, confirm your compliance by checking off the relevant statements regarding your tax returns and FBARs.
5. List the years for which you are providing delinquent or amended returns, along with the corresponding amounts of tax owed and interest for each year.
6. Provide specific reasons for any failures to report income or submit required information returns in the space provided or on an attached page.
7. Finally, ensure all signatures are completed, including those of both taxpayers if applicable, and include dates next to each signature.

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