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In Part 1, identify your unpaid liability. Answer whether all tax returns have been filed and provide the total amount of your unpaid tax liability. If applicable, attach Form EG-13-B or EG-13-I for amounts over $5,000.
Continue in Part 1 by specifying the tax periods related to your liability and the monthly payment amount you wish to propose. Also, indicate the specific dates you prefer for making payments each month.
Move to Part 2 and enter your financial institution's name, address, account number, and type (checking or savings). Ensure all names on the account are listed accurately.
In Part 3, provide your personal information including your social security number and contact details. If applicable, include your spouse’s information as well.
If you are a business, complete Part 4 with your business name, FEIN, address, and responsible person's details.
Finally, read the statement in Part 5 carefully before signing and dating the form to confirm your agreement with the payment plan terms.
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