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Form 9465 Installment Agreement Request

IRS form requesting a monthly payment plan for taxpayers who cannot pay their tax liability in full by the filing deadline.

PDF TemplateUse the instructions below to complete this form

Instructions

You can apply online for balances of $50,000 or less. Propose a monthly payment amount that will pay the balance in full within 72 months. Interest and penalties continue to accrue during the installment period. The IRS may file a tax lien for balances over $25,000. Setup fees range from $31 to $225 depending on the payment method and application type. Direct debit reduces the setup fee. You must remain current on future tax filings to keep the agreement in effect.