433-A
Collection Information Statement for Wage Earners and Self-Employed Individuals (Spanish Version)
Form 433-A (OIC) (sp) is the Spanish version of Form 433-A (OIC), Collection Information Statement for Wage Earners and Self-Employed Individuals. The IRS prints it in Spanish, under the title "Información de Cobro para los Asalariados y Trabajadores por Cuenta Propia", for taxpayers who read Spanish. The form says it should only be used with Form 656, Offer in Compromise, which it names as "Formulario 656, Ofrecimiento de Transacción".
It collects personal and household information, employment, personal assets in the U.S. and abroad, business assets, income and expenses for the self-employed, and monthly household income and expenses. It then walks through a calculation of the minimum offer amount. The sections, questions and notes are in Spanish, and the catalog number and footer "Form 433-A (OIC) (sp) (Rev. 4-2026)" are in English. Where the form sends a business owner to the business statement, it names Form 433-B (sp).
This is the April 2026 revision (Rev. 4-2026), dated "abril de 2026" in its header. The English edition is Form 433-A (OIC). The PDF can be filled out free in the browser on this page and downloaded without an account.
Names, birth dates, SSN or ITIN, marital status, home address, a box for anyone married who lived in AZ, CA, ID, LA, NM, NV, TX, WA or WI in the last ten years, household members, and employers for you and your spouse.
Cash, bank, investment, digital asset, retirement and life insurance accounts, real estate, vehicles and other valuable items, domestic and foreign, totaled in Box A.
Business details and other business interests, then business bank accounts, digital assets, tools, equipment and other business assets, totaled in Box B, plus questions on notes and accounts receivable.
Monthly business income on lines 12 to 16 and expenses on lines 18 to 28, with net business income in Box C.
Monthly household income for you, your spouse and anyone else who contributes, in Box D, monthly household expenses in Box E, and remaining monthly income in Box F.
The minimum offer calculation, questions about incarceration, litigation, bankruptcy, time abroad, trusts, safe deposit boxes and asset transfers, then signatures and a checklist of attachments.
Enter personal and household information. Section 2 is for wage earners who receive a Form W-2. If you or your spouse own part of the employer's business, the form says to also complete and submit Form 433-B (sp).
Many lines multiply the current market value by 0.8 and subtract the loan balance. Round to the nearest whole dollar and enter "0" instead of a negative number.
The form subtracts $1,000 from bank account totals on line 1, $3,450 from the first vehicle on line 6b and, on a joint offer, from the second on line 6d, and an IRS deduction of $11,980 on line 7.
The form says to finish these before Sections 7 and 8. You may average 6 to 12 months of income and expenses, or enter totals from a current profit and loss statement on lines 17 and 29.
For lines 39 and 45, the form says to list the full allowable standard even if you pay less, and current expenses on the other lines. It points to the IRS collection financial standards page, noting it is in English.
Multiply Box F by 12 if you will pay in five or fewer payments within five months or less, or by 24 if you will pay in 6 to 24 months. Add Box A and Box B (if applicable), then sign and date Section 10.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says it should only be used with Form 656, Offer in Compromise, and its checklist ends with a current Form 656, completed and signed.
Enter the offer amount on Form 656, Section 4, Payment Terms. If a special circumstance prevents paying it, the form says to enter what you can pay there and explain the circumstance in Form 656, Section 3, Reason for Offer.
The form says that if you or your business are currently in a bankruptcy proceeding, you are not eligible to apply for an offer.
The checklist includes recent pay stubs, retirement and investment statements, records of digital assets, complete personal bank statements for the three most recent months, the six most recent statements for each business bank account, and loan statements.
Attach Form 2848 if you would like an attorney, CPA or enrolled agent to represent you and no current form is on file, listing all years and forms in the offer and the current tax year.
The form says the 12 and 24 multipliers and the calculated offer amount do not apply if the IRS determines you can pay the tax debt in full within the legal period for collection.
433-A
425 fields, 8 pages
656
114 fields, 8 pages
433-B
267 fields, 6 pages
2848
78 fields, 2 pages
656-B
840 fields, 32 pages
1040
199 fields, 2 pages
The form lists the individuals it is for. Each completes it with Form 656 and sends both to the IRS as part of an offer in compromise.
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Spanish. The sections, questions, notes and checklist are in Spanish. The catalog number and the footer are in English, and the collection financial standards page it cites is marked as being in English.
Yes. Form 433-A (OIC), Collection Information Statement for Wage Earners and Self-Employed Individuals, is the English edition.
No. The form says it should only be used with Form 656, Offer in Compromise.
Add Box A and Box B (if applicable) to Box G (Box F times 12) or Box H (Box F times 24), depending on how quickly you will pay. The form says the offer has to be more than zero ($0).
The form says that paying over a shorter period of time results in a smaller minimum offer amount.
Section 2 says to also complete and submit Form 433-B (sp) if you or your spouse have an ownership interest in the employer's business. The checklist asks for a Form 433-B if either of you has an interest in a business entity you do not solely own.