9465 Fs Form – Fill Out and Use This PDF

The 9465 Fs Form is a document that explains how the IRS calculates the excise tax on aviation gasoline. It includes an overview of how to calculate and pay this tax as well as information about filing for refunds when applicable.

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The 9465 Fs form is a document that must be completed by all federal contractors to ensure they are in compliance with the Women's Business Enterprise National Council (WBENC) standards. The WBENC is an organization that certifies women-owned businesses as being at least 51% owned and operated by one or more women who are U.S. citizens, have lived in the United States for three consecutive years before applying, and have controllable interests in the business. The purpose of this blog post will be to help answer questions about this particular form so you can complete it correctly if you have any employees or subcontractors working on your project.

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Question	Answer
Form Name	9465 Fs Form
Form Length	2 pages
Fillable?	Yes
Fillable fields	1
Avg. time to fill out	42 sec
Other names	form 9465 fs, 9465 irs printable form, form 9465 irs, irs installment agreement form 9465

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Form 9465

(Rev. September 2020)

Department of the Treasury

Internal Revenue Service

Installment Agreement Request

▶Go to www.irs.gov/Form9465 for instructions and the latest information.

▶If you are filing this form with your tax return, attach it to the front of the return.

▶See separate instructions.

OMB No. 1545-0074

Tip: If you owe $50,000 or less, you may be able to avoid filing Form 9465 and establish an installment agreement online, even if you haven’t yet received a tax bill. Go to www.irs.gov/OPA to apply for an Online Payment Agreement. If you establish your installment agreement using the Online Payment Agreement application, the user fee that you pay will be lower than it would be with Form 9465.


Part I	Installment Agreement Request
This request is for Form(s) (for example, Form 1040 or Form 941) ▶

Enter tax year(s) or period(s) involved (for example, 2018 and 2019, or January 1, 2019, to June 30, 2019) ▶
1a Your first name and initial		Last name		Your social security number

If a joint return, spouse’s first name and initial

Last name

Spouse’s social security number

Current address (number and street). If you have a P.O. box and no home delivery, enter your box number.

Apt. number

City, town or post office, state, and ZIP code. If a foreign address, also complete the spaces below (see instructions).

	Foreign country name	Foreign province/state/county	Foreign postal code

1b	If this address is new since you filed your last tax return, check here							. . . . . . . . . . ▶
2	Name of your business (must no longer be operating)								Employer identification number (EIN)

3					4

	Your home phone number		Best time for us to call			Your work phone number		Ext.				Best time for us to call
5	Enter the total amount you owe as shown on your tax return(s) (or notice(s))							. . .			5
6	If you have any additional balances due that aren’t reported on line 5, enter the amount here (even if
	the amounts are included in an existing installment agreement)							. . .			6
7	Add lines 5 and 6 and enter the result							. . .			7
8	Enter the amount of any payment you’re making with this request. See instructions . .							. . .			8
9	Amount owed. Subtract line 8 from line 7 and enter the result							. . .			9
10	Divide the amount on line 9 by 72.0 and enter the result							. . .			10
11a	Enter the amount you can pay each month. Make your payment as large as possible to limit interest
	and penalty charges, as these charges will continue to accrue until you pay in full. If you have
	an existing installment agreement, this amount should represent your total proposed monthly
	payment amount for all your liabilities. If no payment amount is listed on line 11a, a payment will
	be determined for you by dividing the balance due on line 9 by 72 months . . . .							. . .			11a $

bIf the amount on line 11a is less than the amount on line 10 and you’re able to increase your payment

to an amount that is equal to or greater than the amount on line 10, enter your revised monthly payment 11b $

• If you can’t increase your payment on line 11b to more than or equal to the amount shown on line 10, check the box. Also, complete and attach Form 433-F, Collection Information Statement . . . . . . . . . . . . . . . . . . .

•If the amount on line 11a (or 11b, if applicable) is more than or equal to the amount on line 10 and the amount you owe is over $25,000 but not more than $50,000, then you don’t have to complete Form 433-F. However, if you don’t complete Form 433-F, then you must complete either line 13 or 14.

•If the amount on line 9 is greater than $50,000, complete and attach Form 433-F.

12 Enter the date you want to make your payment each month. Don’t enter a date later than the 28th

12

13If you want to make your payments by direct debit from your checking account, see the instructions and fill in lines 13a and 13b. This is the most convenient way to make your payments and it will ensure that they are made on time.

▶a Routing number

▶b Account number

I authorize the U.S. Treasury and its designated Financial Agent to initiate a monthly ACH debit (electronic withdrawal) entry to the financial institution account indicated for payments of my federal taxes owed, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke payment, I must contact the U.S. Treasury Financial Agent at

1-800-829-1040 no later than 14 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payments of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payments.

cLow-income taxpayers only. If you’re unable to make electronic payments through a debit instrument by providing your banking information on lines 13a and 13b, check this box and your user fee will be reimbursed upon completion of your

installment agreement. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14 If you want to make payments by payroll deduction, check this box and attach a completed Form 2159 . . . . . . .

By signing and submitting this form, I authorize the IRS to contact third parties and to disclose my tax information to third parties in order to process this request and administer the agreement over its duration. I also agree to the terms of this agreement, as provided in the instructions, if it’s approved by the IRS.

Your signature	Date	Spouse’s signature. If a joint return, both must sign.		Date

For Privacy Act and Paperwork Reduction Act Notice, see instructions.		Cat. No. 14842Y	Form 9465 (Rev. 9-2020)

Form 9465 (Rev. 9-2020)

Page 2

Part II Additional Information

Complete this Part only if all three conditions below apply:

1.You defaulted on an installment agreement in the past 12 months;

2.You owe more than $25,000 but not more than $50,000; and

3.The amount on line 11a (or 11b, if applicable) is less than line 10.

Note: If you owe more than $50,000, also complete and attach Form 433-F.

15In which county is your primary residence?

16a Marital status:

Single. Skip question 16b and go to question 17. Married. Go to question 16b.

bDo you share household expenses with your spouse? Yes.

No.

17How many dependents will you be able to claim on this year’s tax return?. . . . . . . . .

18 How many people in your household are 65 or older? . . . . . . . . . . . . . . .

19How often are you paid? Once a week.

Once every 2 weeks.

Once a month.

Twice a month.

17

18

20 What is your net income per pay period (take home pay)? . . . . . . . . . . . . . .

20$

Note: Complete lines 21 and 22 only if you have a spouse and meet certain conditions (see instructions). If you don’t have a spouse, go to line 23.

21How often is your spouse paid? Once a week.

Once every 2 weeks.

Once a month.

Twice a month.

22What is your spouse’s net income per pay period (take home pay)? . . . . . . . . . . .

23 How many vehicles do you own? . . . . . . . . . . . . . . . . . . . . . .

24 How many car payments do you have each month? . . . . . . . . . . . . . . . . . . .

22$

23

24

25a Do you have health insurance? Yes. Go to question 25b.

No. Skip question 25b and go to question 26a.

bAre your health insurance premiums deducted from your paycheck?

Yes. Skip question 25c and go to question 26a.

No. Go to question 25c.

cHow much are your monthly health insurance premiums? . . . . . . . . . . . . . .

26a Do you make court-ordered payments?
Yes. Go to question 26b.	No. Go to question 27.

25c $

bAre your court-ordered payments deducted from your paycheck?

Yes. Go to question 27.

No. Go to question 26c.

c How much are your court-ordered payments each month? . . . . . . . . . . . . .

26c $

27Not including any court-ordered payments for child and dependent support, how much do you pay for child or dependent care each month? . . . . . . . . . . . . . . . . . . .

27

$

Form 9465 (Rev. 9-2020)

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writing irs form 9465 part 1

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part 2 to entering details in irs form 9465

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step 3 to finishing irs form 9465

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