433F

Collection/Information Statement

Agency
IRS
Revision
Rev. 7-2024
Fillable fields
214
Pages
4
Official source
IRS form page
Checked
October 14, 2026
Fill 433F online
Page 1 of form 433F

Form 433-F: Collection Information Statement

Form 433-F is the Collection Information Statement for individuals. The IRS says it uses the form to get current financial information so it can decide how a wage earner or self-employed person can pay an outstanding tax debt. It lists what you own, what you owe, what you earn and what you spend each month.

You usually see this form when the IRS is working out a payment arrangement, reviewing an installment agreement, or considering whether to pause collection. A notice or an IRS employee will tell you whether to complete it.

The instructions are printed on pages 3 and 4 of the form itself. Keep a copy of what you submit, because the IRS may follow up and ask for proof of the figures.

Page 1 of Form 433-F (Rev. 7-2024) showing the title area and the personal information block

What's on Form 433-F

Top of page 1: personal information

Names, address, Social Security or taxpayer ID numbers, phone numbers, county, household size split into under 65 and 65 and over, and business name, EIN and employee count if self-employed.

Section A: accounts and lines of credit

Personal bank accounts, investments such as IRAs and 401(k) plans, and digital assets such as cryptocurrency. List every account, even with a zero balance, but not bank loans.

Section B: real estate

Your home, vacation property, timeshares and land, with purchase and refinance details, monthly payment, current value, balance owed and equity.

Section C: other assets

Cars, boats, recreational vehicles, whole life policies and, for business, tools, equipment and inventory.

Section D: credit cards

Type, credit limit, balance owed and minimum monthly payment for each card.

Section E: business information

E1 lists accounts receivable owed to you or your business. E2 covers credit card merchant accounts and digital asset wallets or exchanges.

Sections F and G: income

F is employment, for you and your spouse, and can be replaced by a current pay stub. G is non-wage monthly income, such as alimony, child support, net rental, pension and Social Security.

Section H: monthly necessary living expenses

Food and personal care, transportation, housing and utilities, medical, and other expenses, each with an actual column and an IRS allowed column.

Signature

You and your spouse sign and date under penalty of perjury.

How to fill out Form 433-F

  1. 1

    Fill in the personal block

    Enter names, address, SSNs or ITINs, phone numbers, county and household counts. Count only people you can claim on this year's return.

    The personal information block of Form 433-F being filled with sample household counts
  2. 2

    Complete Sections A to D

    List all accounts, assets and debts. If a question does not apply to a stock or bond, enter N/A. Equity is the current market value minus the amount owed.

    Section A of Form 433-F with a sample bank account entered in the institution, account number and balance columns
  3. 3

    Add Section E only if it applies

    Complete it if you or your spouse are self-employed. Include grants and contracts in accounts receivable.

    Section E of Form 433-F with a sample accounts receivable entry for a self-employed filer
  4. 4

    Do Section F or attach a pay stub

    If you attach a current pay stub you do not need to complete Section F.

    Section F of Form 433-F, the employment block that a current pay stub can replace, filled with sample employer and pay details
  5. 5

    Enter non-wage income in Section G

    Use monthly amounts. For self-employment and rental income, give the amount after expenses, tied to Schedule C or Schedule E, and enter 0 if it is a loss. Leave out depreciation.

    Section G of Form 433-F with sample monthly rental and self-employment amounts and zeros for income that does not apply
  6. 6

    Convert bills to monthly amounts in Section H

    Divide quarterly bills by 3, multiply weekly by 4.3, multiply biweekly by 2.17, and multiply semimonthly by 2.

    The Section H heading of Form 433-F where each living expense is entered as a monthly amount
  7. 7

    Use the IRS allowable standards

    For boxes 1 and 4, enter the IRS allowable standard or your actual cost if it is higher. The standards are on the IRS collection financial standards page. Fill the form online free on this page, then print and sign.

    Section H boxes 1 and 4 of Form 433-F with sample food, transportation and health amounts

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Where it goes, and what to watch for

Where to send it

The form itself does not give one mailing address. Follow the notice or the IRS employee who asked for it. For a CP522 notice, the IRS says not to mail Form 433-F and to call 800-831-0273 by the date on the notice to review it.

Installment agreement requests

The instructions say that if you request an installment agreement you do not need to send Form 9465 with Form 433-F. They also say you may be able to set up an online payment agreement on irs.gov.

Deadlines

There is no single deadline on the form. Use the date printed on your notice. The IRS says an installment agreement under review can be terminated if you miss that date.

Proof the IRS may ask for

Pay statements, bank and investment statements, loan statements and bills for recurring expenses. Court ordered payments need the order and proof you pay it. Student loans must be federally guaranteed to count.

Common mistakes

Leaving out accounts with no balance, listing bank loans in Section A, claiming above-standard expenses without proof, and entering a non-monthly bill without converting it.

Who needs to fill out Form 433-F?

  • Wage earners with a tax balance

    If you are an employee with an unpaid federal tax bill, the IRS may ask for this statement to see what you can afford to pay.

  • Self-employed individuals

    If you or your spouse are self-employed or have self-employment income, including online sales, you also complete Section E and attach a current profit and loss statement.

  • People asking to delay collection

    The IRS says it may ask for financial information before it approves a temporary delay, to decide whether an account qualifies as currently not collectible.

  • People answering a notice

    A notice such as the CP522 tells you what to do. Read it first, since it may direct you to call rather than mail the form.

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Questions about Form 433F

Is Form 433-F the same as Form 433-A?

No. Both collect financial information. The IRS lists Form 433-A for wage earners and self-employed individuals and Form 433-B for businesses, and it decides which one it needs from you.

Do I send Form 9465 with Form 433-F?

The Form 433-F instructions say you do not need to submit Form 9465 along with it when you request an installment agreement.

Do I have to mail Form 433-F?

Not always. For a CP522 notice the IRS says not to mail it and to call by the notice date instead.

What counts as equity?

Subtract the amount you owe from the current market value of the property or asset.

Does filling it out stop collection?

The form only gives the IRS information. The IRS says it may use that information to decide whether an account is currently not collectible, but the debt still grows with penalties and interest.