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Form 433-F Checklist: Documents to Gather for the IRS

By the Tax Relief Answers editors · Sources checked November 3, 2026 · How we check

The short answer

Form 433-F, Collection Information Statement, is the financial statement the IRS may ask for when it reviews a payment plan request. It asks for your household, bank and investment accounts, digital assets, real estate, vehicles and other assets, credit cards, business information if you are self-employed, wages, other income and monthly living expenses. The list below follows the sections of Form 433-F (Rev. 7-2024) and its instructions, read November 3, 2026. The IRS keeps the form's instructions on pages 3 and 4 of the same PDF.

Household and identity

• Names, address, county of residence and phone numbers for you and your spouse.
• Social Security or Individual Taxpayer Identification Numbers for both.
• The number of people in the household who can be claimed on this year's return, under 65 and 65 and over.
• If self-employed: business name, EIN, type of business and number of employees.

Section A: accounts and lines of credit

• Every personal bank account, including checking, savings, money market, online and mobile accounts such as PayPal, even with a zero balance. Institution name and address, account number, type and current balance.
• Investments: CDs, trusts, IRAs, Keogh and SEP plans, 401(k) and profit sharing plans, mutual funds, stocks, bonds and commodities.
• Digital assets: type of currency, wallet or exchange, the email used to set up the exchange account, where the assets are held, and the amount and value in US dollars.

Sections B to D: property and credit

• Real estate: home, vacation property, timeshares and land, with monthly payment, year and price of purchase or refinance, current value and balance owed.
• Other assets: cars, boats and recreational vehicles (make, model and year; write "lease" for a leased vehicle), whole life insurance with the company name, and items such as collections or antiques.
• Credit cards and lines of credit, even with no balance: type, credit limit, balance and minimum monthly payment.

Sections E to G: business and income

• If self-employed: accounts receivable, including government grants and contracts, and any merchant account for card or digital asset payments.
• Wages: employer name and address, pay frequency, gross pay and taxes per pay period, and time at the job. A copy of a current pay stub can replace this section.
• Non-wage household income per month: alimony, child support, net self-employment income, net rental income, unemployment, pension, interest and dividends, Social Security and other income.
• For self-employment or rental income, a copy of Schedule C or a current year profit and loss statement. The instructions say to leave out depreciation and enter 0 for a loss.

Section H: monthly living expenses

• Food, housekeeping supplies, clothing, personal care and miscellaneous.
• Transportation: fuel, insurance, licenses, parking, maintenance and public transportation.
• Housing and utilities: rent, utilities, phone and internet, and taxes and insurance not already in a mortgage payment.
• Health insurance and out-of-pocket health care costs.
• Child care, estimated tax payments, term life insurance, required and voluntary retirement contributions, union dues, delinquent state and local taxes, student loans and court-ordered payments.
• For bills not paid monthly, the instructions give the conversion: quarterly divided by 3, weekly times 4.3, every two weeks times 2.17, twice a month times 2.

Proof to keep on hand

• The instructions say the IRS may ask for pay statements, bank and investment statements, loan statements and bills for recurring expenses.
• A statement for delinquent state or local taxes and any payment agreement.
• Proof of student loan balances and payments.
• The court order and proof of payment for court-ordered payments.
• A copy of the completed form and your documents; the instructions ask you to keep them.

For food, clothing and health costs, the form says to use the IRS allowable standards unless you spend more. It is signed under penalty of perjury. See also the payment plan checklist.

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