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Summary: Form 9465 can be e-filed with an e-filed Form 1040 or 1040-SR.
Contact information for both parties. Location/state whose laws apply to the agreement. Terms and conditions of the business relationship. Terms of payment. Start date of the agreement. End date of the agreement.
Use Form 9465 to request a monthly installment agreement (payment plan) if you can't pay the full amount you owe shown on your tax return (or on a notice we sent you).In certain circumstances, you can have longer to pay or you can establish an agreement for an amount that is less than the amount of tax you owe.
Attach Form 9465 to the front of your return and send it to the address shown in your tax return booklet. If you have already filed your return or you're filing this form in response to a notice, file Form 9465 by itself with the Internal Revenue Service Center using the address in the table below that applies to you.
You can access Form 9465 from the IRS website or by calling 1-800-829-1040.