Form 433-A: Collection Information Statement for Wage Earners and Self-Employed Individuals
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JustFill is not affiliated with IRS. This is an independent third-party tool to help you complete Form 433-A. Always download the current blank form from the official source and verify your completed copy before signing or submitting. Official Form 433-A from IRS
Form 433-A is the detailed Collection Information Statement the IRS uses for wage earners and self-employed individuals who owe back taxes — to evaluate ability to pay before granting an installment agreement, offer in compromise, or hardship status. You report income, living expenses, bank accounts, assets and (if self-employed) business details. With JustFill you upload the blank IRS 433-A PDF, the AI maps each field, and you type your financial details before downloading it free.
Form 433-A is the long-form financial statement an IRS revenue officer uses to assess an individual's collection potential. It is more detailed than the 433-F: it gathers personal information, employment, bank and investment accounts, real estate, vehicles and other assets, monthly income and IRS-allowable living expenses, and a full self-employment business section where applicable. The IRS uses it to set an installment amount, evaluate an Offer in Compromise (alongside 433-A (OIC)), or determine currently-not-collectible status. Because every figure affects the outcome, clarity matters. JustFill lets you complete the 433-A online so each section is legible before you submit it.
The official Form 433-A PDF is free to download from the IRS at irs.gov. If a revenue officer asked for one, open the blank PDF in JustFill to type your income, expenses and assets cleanly, then download and submit it.
Get the official Form 433-A PDF from IRSWhat each section of Form 433-A asks for. JustFill’s AI will detect these fields automatically when you upload the PDF — review the breakdown below so you know what to enter.
Your name, SSN, address, and employer/occupation details.
Account types, institutions and current balances.
Property with values, loans and equity.
Wages, business income and other household income.
Housing, utilities, food, transport, health care vs. IRS allowable standards.
Business assets, income and expenses, if applicable.
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Official source: Form 433-A on IRS’s website
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