Free Form 656-PPV (Rev. 2-2007) - Federal

File Size: 34.7 kB
Pages: 1
Date: October 15, 2008
File Format: PDF
State: Federal
Category: Tax Forms
Author: SE:S:C:CP:P:CRA
Word Count: 265 Words, 1,632 Characters
Page Size: Letter (8 1/2" x 11")

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Preview Form 656-PPV (Rev. 2-2007)
Department of the Treasury -- Internal Revenue Service

Form 656-PPV
(February 2007)

Offer in Compromise - Periodic Payment Voucher

If you filed an offer in compromise and the offered amount is to be paid in 24 months or fewer (Short Term Periodic Payment Offer) or monthly installments paid within the statutory period (Deferred Periodic Payment Offer) in accordance with the Tax Increase Prevention and Reconciliation Act of 2005, you must continue to make the payments during the investigation of the offer until you receive a decision letter (accepted, rejected, returned, or withdrawn). Mail this voucher with your check or money order payable to the "United States Treasury." Write your social security number or employer identification number on the check or money order. Do not send cash. You may designate a specific tax liability to apply the payments. If you chose to do this, please write it in the "Apply to" section of the 656-PPV. Enclose your payment with this voucher and mail to: For those offers originally sent to Holtsville, NY, please send payments to: P.O. Box 9011, Holtsville, NY 11742 For those offers originally sent to Memphis, TN, please send payments to: AMC-Stop 880, PO Box 30834, Memphis, TN 38130-0834
(Please Print or Type)

Taxpayer's First Name and Initial

Taxpayer's Last Name

Your Social Security Number (SSN) or Employer Identification Number (EIN)

Taxpayer's Address (number, street, and room or suite no., city, state, ZIP code)

Amount of Your Payment
(Dollars) (Cents)

Offer Number Apply Payment to: (optional) Form Period Catalog Number 31131Y Form 656-PPV (2-2007)