Dtf 5 Form – Fill Out and Use This PDF

The DTF-5 form, officially known as the Statement of Financial Condition, is a crucial document for individuals and businesses in need of tax resolution options such as payment plans or offers in compromise with the Department of Taxation and Finance. Required to provide a comprehensive overview of one's financial stance, it is imperative for each assessed taxpayer—and for each responsible person in a business scenario—to accurately complete and submit this form. With sections covering everything from taxpayer information to detailed asset declarations, ensuring thoroughness and accuracy is essential.

To navigate through the complexity of arranging your financial information and making a compelling case for your payment plan or offer in compromise, it is vital to fill out the DTF-5 form meticulously. Click the button below to get started on securing a more manageable financial future.

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Dtf 5 Form PDF Details

In an era where financial disclosure has become a cornerstone for accessing various tax-related resolutions, the Department of Taxation and Finance's DTF-5 Statement of Financial Condition emerges as a pivotal document. Its primary function is to accompany requests for payment plans, offers in compromise, or other similar proposals, aiming to present a comprehensive snapshot of the taxpayer's financial standing. What sets the DTF-5 form apart is its meticulous requirement for detail across a broad spectrum of financial arenas, demanding clarity on assets, liabilities, income, and even potential future value changes. For individual taxpayers, including those assessed for business-related responsibilities, the form serves as a testament to their current financial health; meanwhile, businesses are obligated to submit a separate DTF-5, emphasizing the form's significance in evaluating financial solvency and integrity. Moreover, the inclusion of a Form DTF-5 is requisite for those seeking an offer in compromise under various categories, underscoring its essential role in facilitating tax resolution processes. With its comprehensive structure aimed at capturing everything from personal taxpayer information to detailed asset and liability accounts, the DTF-5 is a cornerstone document, bridging taxpayer circumstances with equitable tax resolution avenues.

Question	Answer
Form Name	Dtf 5 Form
Form Length	10 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min 30 sec
Other names	dtf print, dtf 5 ny, dtf forms form, dtf

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Department of Taxation and Finance	DTF-5
Department of Taxation and Finance
Statement of Financial Condition	(8/18)

Complete Form DTF-5 and include it with your request for a payment plan, offer in compromise, or other proposal. Form DTF-5 must be completed for each taxpayer assessed, except for joint taxpayers, where both spouses may submit one Form DTF-5. For a business, a Form DTF-5 is required for that business, and for each individual assessed as a responsible person. To make an offer in compromise, you must include a completed Form DTF-5 for each taxpayer who submits either a:

•Form DTF-4.1, Offer in Compromise for Fixed and Final Liabilities, or

•Form DTF-4, Offer in Compromise for Liabilities Not Fixed and Final, and Subject to Administrative Review.

You must answer all questions and provide all required attachments listed on page 10. If a question does not apply, mark an X in the Not applicable box, or enter N/A. If you need additional space, attach sheets and label them accordingly.

•Taxpayer information

Name of taxpayers: individuals or business		Date of birth	Social Security number

		Spouse’s date of birth	Spouse’s Social Security number

		Employer identification number (EIN)

	Home address			Telephone number

Mailing address (if different from above, or if a PO Box number is used)

	Business address			Telephone number

	Mailing address (if different from above, or if a PO Box number is used)

	Employer’s name, address, and telephone number

	Spouse’s employer’s name, address, and telephone number

Do you or your spouse have any business interests? (filed federal schedules C, E, F, etc.)	Yes
If Yes, enter details on page 5.

All other persons in your household or claimed as dependents

Name	Age	Relationship	Social	Can be claimed as		Contributes to
Name	Age	Relationship	Security number	a dependent?		household income?
			Security number	a dependent?		household income?

				Yes	No	Yes	No
				Yes	No	Yes	No
				Yes	No	Yes	No
				Yes	No	Yes	No
				Yes	No	Yes	No

•Taxpayer’s representative information

I have no representative

Name of representative, if any (attach Form POA-1, Power of Attorney, if required)

Telephone number

Address

Attach additional sheets if necessary.

Page 2 of 10 DTF-5 (8/18)

•Assets As of

Date

Enter the balance for each of the following, using the most current value. If any of the following amounts are negative, enter 0.

Cash on hand

Box (A) – Total cash on hand (also enter on page 7, line 1)

(A)

Bank accounts (domestic and foreign)			Not applicable

Name of financial institution	Type*	Account number	Balance

* Type may include: checking, savings,	Box (B) – Total balance (also enter on page 7, line 2)
money market, stored value cards, etc.

(B)

Do you rent a safe deposit box in your name, or in any other name?	Yes
If Yes, give name and address of bank:

Brokerage accounts					Not applicable

Institution or brokerage name	Type*	Account number	Market value	Less:	Net value
Institution or brokerage name	Type*	Account number	Market value	Loans, if any	Net value

* Type may include: stocks, bonds, other	Box (C) – Total net value (also enter on page 7, line 3)
investments, etc.

(C)

Retirement accounts					Not applicable

Institution or custodian name	Type*	Account number	Market value	Less:	Net value
Institution or custodian name	Type*	Account number	Market value	Loans, if any	Net value

* Type may include: 401K, IRA, pension,	Box (D) – Total net value (also enter on page 7, line 4)
profit sharing, etc.

(D)

Cash value of life insurance policies					Not applicable

Institution company name	Type*	Policy number	Cash value	Less:	Net value
Institution company name	Type*	Policy number	Cash value	Loans, if any	Net value
				Loans, if any

* Type may include: term, whole life, etc.

Box (E) – Total net cash value (also enter on page 7, line 5)

(E)

Attach additional sheets if necessary.

					DTF-5 (8/18) Page 3 of 10

Assets (continued) As of
Assets (continued) As of	Date
	Date

Accounts receivable						Not applicable

Name and address		Date recorded	Book value	Less:	Date pledged,	Net value
Name and address		Date recorded	Book value	Loans, if any	if applicable	Net value
				Loans, if any	if applicable

Box (F) – Total net value (also enter on page 7, line 6)

(F)

Inventory					Not applicable

Detailed description	Date recorded	Book value	Less:	Date pledged,	Net value
Detailed description	Date recorded	Book value	Loans, if any	if applicable	Net value
			Loans, if any	if applicable

Box (G) – Total net value (also enter on page 7, line 7)

(G)

Notes receivable					Not applicable

Name and address	Date recorded	Book value	Less:	Date pledged,	Net value
Name and address	Date recorded	Book value	Loans, if any	if applicable	Net value
			Loans, if any	if applicable

Box (H) – Total net value (also enter on page 7, line 8)

(H)

Valuable items, machinery, and equipment

Not applicable

(List any artwork, collections, jewelry, items in safe deposit boxes, tools, furniture, fixtures, etc. that you own fully or partially)

Description

Fair market value

Loan balance, if any

Box (I) – Total fair market value (enter Asset on page 7, line 9)	(I)
	$

Box (J) – Total loan balance, if any (enter Liability on page 7, line 18)

(J)

Attach additional sheets if necessary.

Page 4 of 10 DTF-5 (8/18)

Assets (continued) As of

Date

Real estate

Not applicable

(List any house, condo, co-op, timeshare, land, commercial property, etc. that you own fully or partially, located inside and outside of the country)

Complete address	Description*	Owners	Current fair	Mortgage balance,	Unpaid property
Complete address	Description*	Owners	market value	if any		taxes
			market value	if any		taxes





Box (K) – Total fair market value (enter Asset on page 7, line 10)			(K)
			$
Box (L) – Total mortgage balance (enter Liability on page 7, line 19)				(L)
				$
* Description may include: primary residence,						(M)
vacation home, rental property, etc.	Box (M) – Total unpaid property taxes (enter Liability on page 7, line 20)				$
Foreclosure proceedings:					Not applicable
Are foreclosure proceedings pending on any real estate which you own or have an interest in?				....................................	Yes	No
If Yes, please give locations of the real estate:
Was the New York State Tax Department made a party to the suit?					Yes	No

Vehicles (List any cars, boats, motorcycles, trucks, aircraft, etc. that you own)					Not applicable

Year, make, and model	Plate number or	Mileage	Owners	Fair market value	Loan balance
Year, make, and model	Reg. number	Mileage	Owners	Fair market value	Loan balance
	Reg. number

Box (N) – Total fair market value (enter Asset on page 7, line 11)	(N)
	$

Box (O) – Total loan balance (enter Liability on page 7, line 21)

(O)

Leased vehicles (List any cars, boats, motorcycles, trucks, aircraft, etc. that you lease)

Not applicable

Year, make, and model

Plate number or

Reg. number

Mileage

Lessee name(s)

Date of lease

Term of lease

Attach additional sheets if necessary.

				DTF-5 (8/18)		Page 5 of 10

Assets (continued) As of
Assets (continued) As of	Date
	Date

Interest in trust or estate					Not applicable
Are you the grantor, donor, or trustee for any trust?					Yes	No
Are you the beneficiary of any trust or estate?					Yes	No
Do you have any life interest or remainder interest, either vested or contingent, in any trust or estate?					Yes	No
If Yes to any of the above, furnish a copy of the instrument creating the trust or estate. Also, complete the table below.

Name of trust or estate			Annual income you received	Present value of trust or	Value of your
Name of trust or estate			from this source	estate	interest
			from this source	estate	interest


		Box (P) – Total value of your interest (enter Assets on page 7, line 12)			$	(P)
					$
Business interests (from page 1, if you marked Yes)					Not applicable

If you or your spouse have ownership in any business, complete the table below. You must complete this section if you:

•filed federal schedules C, E, F, and other federal business forms filed by an individual in the preceding 3 years.

•received federal schedules K-1 in the preceding 3 years.

•are a shareholder of a business that filed federal Form 1120, U.S. Corporation Income Tax Return, in the preceding 3 years.

Business name

Employer

identification number

Type of

business*

Ownership percentage

Annual cash contributed**

Annual cash

received**

Value of your investment***

Box (Q) – Total value of your investments (enter Assets on page 7, line 13)

(Q)

*List all types of businesses, including sole proprietorships, partnerships, S corporations, C corporations, etc.

**Annual cash contributed or received may include: Shareholder or partner contributions or distributions, etc.

***Value of your investment may include: Your share of net worth or your partner capital account, etc.

Contingent claims or legal actions

Not applicable

(Potentially receivable or collectable, such as pending insurance claims, settlements, etc.)

Name of payer(s)

Date you expect to

receive funds

Dollar amount

Box (R) – Total dollar amount (enter Assets on page 7, line 14)

(R)

•Increase in value

What is the prospect of an increase in value of any of your assets and your present income? Provide a detailed explanation.

Attach additional sheets if necessary.

How to Edit Dtf 5 Form Online for Free

Our best developers have worked collectively to set-up the PDF editor that you'll benefit from. The app makes it simple to complete dtf print documents shortly and efficiently. This is all you need to do.

Step 1: Find the button "Get Form Here" and click it.

Step 2: So you are going to be on your document edit page. You can add, modify, highlight, check, cross, add or delete fields or text.

For each part, fill out the data asked by the program.

Inside the area Social Security number, Can be claimed as a dependent, Contributes to household income, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Yes, Taxpayers representative, and Name of representative if any write down the particulars which the platform asks you to do.

part 2 to completing dtf 5 ny state form

The program will ask you for details to instantly prepare the section Page of DTF, Assets As of, Date, Enter the balance for each of the, Cash on hand, Box A Total cash on hand also, Bank accounts domestic and foreign, Not applicable, Name of financial institution, Type, Account number, Balance, Type may include checking savings, Box B Total balance also enter on, and Do you rent a safe deposit box in.

The Type may include stocks bonds, investments etc, Box C Total net value also enter, Retirement accounts, Institution or custodian name, Type, Account number, Market value, Not applicable, Less Loans if any, Net value, Type may include K IRA pension, profit sharing etc, Box D Total net value also enter, and Cash value of life insurance area may be used to indicate the rights and responsibilities of all sides.

part 4 to entering details in dtf 5 ny state form

Finish by reading the next areas and preparing them correspondingly: Type may include term whole life, Box E Total net cash value also, and Attach additional sheets if.

dtf 5 ny state form Type may include term whole life, Box E Total net cash value also, and Attach additional sheets if fields to complete

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Step 4: Create a copy of any form. It would save you time and enable you to prevent challenges in the future. Also, your details isn't distributed or checked by us.

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