Free TC-8857, Request For Innocent Spouse Relief - Utah

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Utah State Tax Commission

Request For Innocent Spouse Relief
Your current name Address

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TC-8857 Rev. 11/08

Do not file this form if you did not file a joint return for the year(s) for which you are requesting relief. Daytime telephone number City Social security number State ZIP code

1 Enter the year(s) for which you are requesting relief from liability of tax 2 Information about the person to whom you were married as of the end of the year(s) on line 1 Social security number Name Address, city, state and ZIP code Daytime telephone number

3 4 5 6 7 8 9 10 11 12

No Did you file a joint return for the year(s) for which you want relief? If, "No," STOP here. You do not qualify for innocent spouse relief. Check box if you have been a victim of domestic abuse and fear filing a claim for innocent spouse relief will result in retaliation. No Are you legally separated from the person shown above? Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No Are you legally divorced from the person shown above? Have you lived apart from the person shown above at all times during the 12-month period prior to filing this form? Is the person shown above dead? Do you have an understatement of tax for Utah resulting from a change made by the IRS (that is, the IRS determined there is a difference between what is shown on the tax return and the tax that should have been shown)?

No Is the understatement of tax due to the erroneous items listed by your spouse? No Do you have an underpayment of tax (that is, tax is properly shown on your return, but not paid)? No Have you filed for innocent spouse relief with the IRS? (attach copies of any correspondence or determinations from the IRS relating to this request)

Other explanations or comments

Under penalties of perjury, I declare I have examined this form and any accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct and complete.
SIGN HERE Paid Preparer Section

Your signature Date Preparer's telephone number City

Date Preparer's SSN or PTIN Preparer's EIN State ZIP code

Preparer's signature Firm name Preparer's address