Please rate Form 3567 02-2024
How to request an installment agreement: online, by mail or by phone.
Eligibility: you may be eligible for an installment agreement if the following conditions apply, listed on page 1.
Do not submit: do not submit this form if you have an existing installment agreement or a current wage garnishment.
Box 2: enter a date no later than the 28th; if you select a date after the 28th, the Franchise Tax Board will withdraw the amount on the 28th of each month.
Joint liability: print the names and social security numbers (SSNs) or FTB identification numbers (ID) in the same order as on your California state income tax return.
If rejected: you may request, in writing, an independent administrative review within 30 days of the date of the rejection.
| Question | Answer |
|---|---|
| Form Name | FTB 3567 |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 31 |
| Avg. time to fill out | 6 min |
| Edition | 02-2024 |
| Where to send | Franchise Tax Board, PO Box 2952, Sacramento CA 95812-2952 |
| Who signs | Signature required on page 3 |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | FTB 3567, FTB3567, 3567 form, Form 3567, FTB Form 3567, California FTB 3567, Installment Agreement Request |
| Official source | FTB 3567 (Rev 02-2024), Franchise Tax Board |
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Please rate Form 3567 02-2024
