Form 3433 PDF Details

When a taxpayer owes money to the IRS, there are several methods he or she can use to pay the amount owed. One common payment method is Form 3433, which is also known as an installment agreement. An installment agreement allows the taxpayer to pay his or her tax bill in installments over a period of time. In this blog post, we will discuss the basics of Form 3433, including eligibility requirements and how to apply for it. We will also provide some tips on how to make payments under an installment agreement. Stay tuned!

Form NameForm 3433
Form Length2 pages
Fillable fields0
Avg. time to fill out30 sec
Other namesunclaimedproperty, Conservator, subsidiaries, CLAIMANT

Form Preview Example

Michigan Department of Treasury 3433 (Rev. 11-10)

Unclaimed Property Inquiry

Issued under authority of Public Act 29 of 1995.

Read the instructions on page 2 before completing this form.


Property Owner’s Name as it Appears on Unclaimed Property Web Search

Property Owner’s Social Security or Federal Employer Identiication Number




Claimant Name

Relationship to Property Owner

Claimant’s Social Security or Federal Employer Identiication Number (if different)




Current Address (Number and Street or RR#)

Property Number(s)




City, State, ZIP code


Daytime Telephone Number




PART 2: FORMER ADDRESSES. List all former Michigan addresses used by the property owner.

Street Address

City, State, ZIP Code

PART 3: DECEASED PROPERTY OWNER. Refer to instructions for list of required documentation.

1.Did the Decedent have a Will?

2.Did the Decedent have a Trust?

3.Did the Decedent have a Probated Estate?









Is the Trust open?



Is Probated Estate open?

Yes Yes

No No


Under penalties of perjury, I certify that the information provided on this inquiry form is true to the best of my knowledge. Upon payment of this claim, said claimant will indemnify and hold harmless the State of Michigan, oficers and employees from any damages, claims

or losses of any kind resulting in payment of the property being claimed.





, 20
































Return completed form along with a copy of a picture I.D., social security card, and required documentation (see page 2) to:

Ofice Use Only:

Approval: 1.____ 2.____ 3.____ 4.____ 5.____

Unclaimed Property Division

Michigan Department of Treasury

P.O. Box 30756

Lansing, MI 48909

Allow 120 days for processing.

3433, Page 2

Instructions for Form 3433, Unclaimed Property Inquiry


Part 1. Complete applicable ields.

Part 2. List all former Michigan addresses used by the property owner, including P.O. Boxes.

Part 3. If property owner is deceased, answer all questions and provide required documentation.

Part 4. Sign and have your signature notarized by a Notary Public.


Individual Property Owner

Submit copies of the following documents:

Picture ID (driver’s license or identiication card)

Social security card

If your name differs from how it appears on the Unclaimed Property Web site, submit legal documentation supporting the name change (e.g. marriage certiicate, adoption papers, divorce decree, etc.).

Claimant Other Than Property Owner

Parent on Behalf of a Minor

Submit a copy of the minor child’s birth certiicate and social security card.

Guardian, Conservator, Trustee or Legal


Submit a copy of the court documents or other signed legal documents giving you authority to act on the property owner’s behalf. If providing a Durable Power of Attorney, submit a medical provider statement indicating property owner is unable to sign his or her name.

Deceased Property Owner

All questions in Part 3 must be answered in order to process your inquiry. All claims on behalf of deceased owners must include the following documentation (originals will not be


Copy of Death Certificate

Proof of your relationship to decedent (obituary, birth certificate, marriage license)

Documentation required:

1. Did decedent have a Will?

If yes, provide copy of Will.

2. Did decedent have a Trust?

If yes, provide a copy of the Trust.

2b. Is the Trust open?

If yes, the Trustee is entitled to claim the property on behalf of the Trust, the Trustee will need to complete this form.

3. Did decedent have a Probated Estate?

If yes, proceed to 3b to determine what documents are required:

3b. Is the Estate currently open?

If yes, send a current copy (dated within last 12 months) of your Letters of Authority issued by the probate court certifying your appointment.

If no, send a copy of the Opening Petition, a copy of the Final Estate Order listing the heirs and the percentage or amount received from the Estate, and a list of current addresses of all heirs.

Business Property Owner

Submit copies of the following documents:

Business card

Articles of Incorporation or DBA showing ownership of the business and name changes.

List of subsidiaries that entity can claim on behalf of.

Documentation showing authorization for you to act on behalf of the business entity shown as the original property owner.

Closed (But Not Sold) Entities

Final Federal tax return iled including Schedule C

Sold Entities

Buy/sell agreement showing who owned the accounts receivable at the close of sale.

Dissolved Entities

Dissolution papers showing who the shareholders were at the time of the dissolution. If corporation did not ile for dissolution with the State of Michigan, submit the automatic dissolution and a copy of the inal corporate Federal tax return, including Schedule K.

List of current addresses of all shareholders.

You may also be required to complete a formal claim form and provide additional documentation.

Allow 120 days for processing from the date form was mailed.

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1. The Michigan will require particular details to be typed in. Be sure that the next fields are completed:

Dissolution writing process described (part 1)

2. After this selection of blank fields is completed, proceed to type in the applicable information in all these: PART DECEASED PROPERTY OWNER, Did the Decedent have a Will, Did the Decedent have a Trust, Did the Decedent have a Probated, PART CLAIMANT CERTIFICATION, Yes, Yes, Yes, b Is the Trust open, b Is Probated Estate open, Yes, Yes, Under penalties of perjury I, SUBSCRIBED AND SWORN TO BEFORE ME, and SIGNATURES OF CLAIMANTS.

Writing segment 2 of Dissolution

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