IRS Form 433-A
Collection Information Statement (Individuals)
Form 433-A is the IRS Collection Information Statement that wage earners and self-employed individuals use to disclose income, expenses, and assets when requesting an installment agreement, CNC status, or Offer in Compromise.
- Form
- Form 433-A
- Who files
- Wage earners and self-employed individuals requesting installment agreements
- Last reviewed
- 2025
Official IRS PDF - Purpose
- Detailed financial disclosure used by the IRS to evaluate ability to pay.
- Who files
- Wage earners and self-employed individuals requesting installment agreements, currently not collectible status, or OICs.
- When used
- Required for most non-streamlined installment agreements and CNC status requests.
What Form 433-A actually does
Form 433-A, Collection Information Statement for Wage Earners and Self-Employed Individuals, is the primary financial disclosure the IRS uses to evaluate ability to pay. It is required for most non-streamlined installment agreements (over $50,000), Currently Not Collectible (CNC) status requests, and as part of an Offer in Compromise (which uses the slightly different Form 433-A OIC).
The form asks for a complete picture of your financial life: employment income, business income, real estate, vehicles, bank accounts, investments, retirement accounts, monthly living expenses, and other assets and liabilities. The IRS then applies its own Collection Financial Standards — national and local allowable amounts for housing, food, transportation, and out-of-pocket healthcare — to determine your monthly disposable income.
Honesty and completeness matter. The IRS verifies income against W-2s, 1099s, and bank deposits and verifies assets through public records and credit reports. Material misstatements can support fraud penalties and, in serious cases, criminal referral.
How to file Form 433-A, step by step
- 01
Pull 3 months of supporting documents
Gather 3 months of pay stubs, 3 months of bank statements for every account, current mortgage and vehicle loan statements, the most recent property tax bill, health insurance and out-of-pocket medical expense records, and proof of any court-ordered payments.
- 02
Complete Sections 1-4 (personal & employment)
Identifying information, household members, employment, and self-employment business information. Be precise about pay frequency — the IRS converts everything to monthly amounts.
- 03
Complete Section 5 (other financial information)
Disclose lawsuits, anticipated inheritances, transfers of assets in the past 10 years, and trusts. Omissions here are heavily scrutinized.
- 04
Complete Sections 6-7 (assets)
List every bank account, investment, retirement account, real estate property, vehicle, and other asset. The IRS calculates Quick Sale Value (typically 80% of fair market value) less any encumbrances.
- 05
Complete Section 8 (income and expenses)
Report gross monthly income from every source. List actual monthly expenses; the IRS will substitute its Collection Financial Standard when your claimed expense exceeds the allowable amount.
- 06
Sign, date, and submit with supporting documents
Submit to the assigned Revenue Officer or to the address provided in your collection notice. Keep a complete signed copy and proof of mailing.
Mistakes that get Form 433-A rejected
Related IRS forms
Form 433-A — frequently asked questions
Is Form 433-A the same as Form 433-A (OIC)?+
No. Form 433-A is for installment agreements and CNC status. Form 433-A (OIC) is a longer version used only with an Offer in Compromise on Form 656. They are not interchangeable.
What are the IRS Collection Financial Standards?+
Allowable monthly expense amounts the IRS uses in place of actual expenses when actual is higher. They cover food/clothing, housing/utilities (by county), transportation (by region), and out-of-pocket healthcare. Updated annually.
Do I have to submit Form 433-A for every installment agreement?+
No. Streamlined installment agreements ($50,000 or less paid within 72 months for individuals) don't require Form 433-A. It's required for amounts above the streamlined thresholds and for partial-pay installment agreements.
Can I keep my retirement accounts?+
Generally yes — the IRS counts retirement accounts as assets but rarely forces liquidation. They are typically valued at the cash-out amount net of taxes and penalties for RCP purposes.
Need help with Form 433-A?
A CPA can prepare and file Form 433-A correctly the first time — and represent you through whatever follows.
More IRS forms
Form 656
Offer in CompromiseForm 433-B
Collection Information Statement (Businesses)Form 2848
Power of Attorney and Declaration of RepresentativeForm 8821
Tax Information AuthorizationForm 9465
Installment Agreement RequestForm 12153
Request for a Collection Due Process or Equivalent HearingForm 8857
Request for Innocent Spouse ReliefForm 843
Claim for Refund and Request for AbatementForm 4180
Report of Interview with Individual Relative to TFRP
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