433-H

Installment Agreement Request and Collection Information Statement (Spanish Version)

Agency
IRS
Revision
Rev. 7-2024
Fillable fields
283
Pages
9
Official source
IRS form page
Checked
October 21, 2026
Fill 433-H online
Page 1 of form 433-H

Form 433-H (sp): Installment Agreement Request, Spanish Version

Form 433-H (sp) is the Spanish version of the IRS Installment Agreement Request and Collection Information Statement. Its Spanish title is "Solicitud de Plan de Pagos a Plazos y Declaración de Ingresos y Gastos". The form and its six pages of instructions are in Spanish. The agency line at the top and the catalog footer are in English.

The instructions say wage earners use it to give the IRS their current financial information and ask to pay over time, so the IRS can decide how best to settle unpaid tax. The top of page 1 says to use it when you earn wages, request an installment agreement, and owe more than $50,000 or cannot pay within 72 months. Part 1 is the payment request. Part 2, Sections A to G, lists accounts, property, debts, income and monthly living expenses.

For $50,000 or less that can be paid within 72 months, the instructions point to Form 9465(SP) instead. You can fill out the PDF free in your browser on this page and download it without an account.

Top of page 1 of Form 433-H (sp): Installment Agreement Request, Spanish Version, as printed by IRS

What's on Form 433-H (sp)

Header: taxpayer and household

Full names and address, SSN or ITIN for you and your spouse, home, work and cell numbers, county of residence, and how many household members are under 65 and 65 or older.

Part 1, lines 1 to 7: the request

The tax form, period and amount owed, other balances, the payment sent now, the proposed monthly payment and the day of the month to pay.

Lines 8 and 9: how to pay

Routing and account numbers with an ACH debit authorization, a line 8c box for those who cannot make debit payments, and a line 9 box for payroll deduction with Form 2159(SP).

Part 2, Sections A to D: what you own and owe

Bank and investment accounts, digital assets such as cryptocurrency, real estate, vehicles and other assets, and credit cards.

Part 2, Sections E to G: income and expenses

Employer and pay details for you and your spouse, monthly non-wage household income, and monthly living expenses for food, transportation, housing, medical care and other items.

Signature and instructions

A penalties of perjury statement with signature lines, then six pages of instructions with the user fee table and the mailing chart.

The labels are in Spanish. The items below give their English meaning.

How to fill out Form 433-H (sp)

  1. 1

    Lines 1 to 5

    Enter the tax form, period and total owed as shown on your returns or notices, then any other balances, even ones already in an installment agreement. Add them, enter any payment sent with the request, and subtract it.

  2. 2

    Lines 6 and 7

    Enter the amount you can pay each month. If line 6 is left blank, the form says the IRS sets a payment from your financial statement. Pick a payment day from the 1st to the 28th.

  3. 3

    Lines 8a to 8c

    For direct debit, the routing number has nine digits starting with 01 to 12 or 21 to 32, and the account number can have up to 17 characters. Leave out the check number. A low-income taxpayer who cannot pay by debit checks line 8c.

  4. 4

    Sections A to D

    List all accounts even with no balance, but not bank loans. Net value is the current fair market value minus the amount owed. Write N/A in a column that does not apply, and "arrendado" (leased) for a leased vehicle.

  5. 5

    Sections E to G

    A copy of a recent pay stub replaces the gross pay and tax lines. Convert bills that are not monthly: divide quarterly amounts by 3, multiply weekly by 4.3, every two weeks by 2.17 and twice a month by 2.

  6. 6

    Sign and date

    You and your spouse sign under penalties of perjury. The statement also authorizes the IRS to contact third parties and accepts the plan terms in the instructions if the plan is approved.

Why fill Form 433-H on indox

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Where it goes, fees and what happens next

Where to send it

Mail it with any attachments to the IRS address for your state in the chart: Andover, MA 01810-9041; Doraville, GA 30362; Kansas City, MO 64121-9236; or Philadelphia, PA 19104 for a foreign country, American Samoa, Puerto Rico and the other cases the chart lists.

Decision time

The instructions say the IRS normally tells you within 30 days whether the request is approved, but it may take longer for tax owed on a return filed after March 31.

User fees

The table lists $178 for a plan paid by check, money order, credit card or payroll deduction and $107 for direct debit. Low-income taxpayers may pay a reduced $43, and the instructions say no fee is charged if they agree to direct debit.

Paying with the request

Attach a check or money order payable to "United States Treasury", not cash, with your name, address, SSN or ITIN, daytime phone, and the tax year and form.

Interest, penalties and refunds

Interest and late payment penalties continue until the balance is paid in full. Future refunds are applied to the amount owed, and the monthly payment is still due.

Missed payments

If payments are late or a later balance goes unpaid, the instructions say the IRS can end the plan and act to collect, for example by filing a Notice of Federal Tax Lien or a levy.

Related forms

Who files Form 433-H (sp)?

  • Wage earners with a large or long balance

    The form is for people who earn wages and ask for an installment agreement when the tax owed is over $50,000 or cannot be paid within 72 months.

  • Spouses

    The form has spaces for the spouse's SSN or ITIN, phone numbers, employer and pay, and a spouse signature line.

  • Balances of $50,000 or less

    If the balance is $50,000 or less and can be paid within 72 months, the instructions point to Form 9465(SP) or the IRS online payment agreement instead.

  • Self-employed people and business owners

    The instructions say not to use this form if you are self-employed or operate a business, and point to Form 433-D(SP) instead.

  • Not for bankruptcy or accepted offers

    If you are in bankruptcy or the IRS accepted your offer in compromise, the form says not to file it and to call 1-800-829-1040 instead.

The instructions say wage earners complete it and mail it to the IRS service center address for their state. The taxpayer signs it, and a spouse signs on the second line.

Official sources and the blank

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Questions about Form 433-H

What language is Form 433-H (sp) in?

Spanish. The form and its six pages of instructions are in Spanish. The agency line at the top and the catalog footer are in English.

Who is this form for?

The form says it is for wage earners requesting an installment agreement whose tax liability is over $50,000 or cannot be paid within 72 months.

What if the balance can be paid within 180 days?

The form says not to use it and to call the number on your most recent notice instead. The instructions say there is no user fee for that kind of plan.

How much is the user fee?

The instructions list $178, or $107 with direct debit, and a reduced $43 fee for low-income taxpayers. A lower fee may apply when the plan is set up online.

How long does the IRS take to answer?

Normally within 30 days of receiving the request, according to the instructions. A request for tax on a return filed after March 31 may take longer.

Can the payments come out of a paycheck?

Yes. Check the box on line 9 and attach a completed Form 2159(SP), Payroll Deduction Agreement, which the employer also completes and signs.