Page 360 - Individual Forms & Instructions Guide
P. 360

8:31 - 9-Oct-2020
         Page 4 of 6
                          Fileid: … ns/I9465/202010/A/XML/Cycle04/source
         The type and rule above prints on all proofs including departmental reproduction proofs. MUST be removed before printing.
         Where To File                                           For all taxpayers living outside the 50 states, for any tax year
         Attach Form 9465 to the front of your return and send it to   for which the installment agreement is being requested
         the address shown in your tax return booklet. If you have   IF you live in . . .     THEN use this address . . .
         already filed your return or you’re filing this form in
         response to a notice, file Form 9465 by itself with the   A foreign country, American
                                                                 Samoa, the Commonwealth of the
         Internal Revenue Service Center using the address in the   Northern Mariana Islands, Guam,   Department of the Treasury
         table below that applies to you.                        Puerto Rico (or are excluding   Internal Revenue Service
                                                                 income under section 933), the      3651 South I-H 35
                                                                                                          5501AUSC
          For all taxpayers except those filing Form 1040 or 1040-SR with   U.S. Virgin Islands, or use an   Austin, TX 78741
                                                                 APO or FPO address, or file Form
          Schedule(s) C, E, or F for any tax year for which this installment   2555 or 4563, or are a dual-status
          agreement is being requested                           alien
          IF you live in . . .         THEN use this address . . .
          Alaska, Arizona, Colorado,
          Connecticut, Delaware, District of                      For all taxpayers who are bona fide residents of the
          Columbia, Hawaii, Idaho, Illinois,   Department of the Treasury   Commonwealth of the Northern Mariana Islands, Guam,
          Maine, Maryland, Massachusetts,   Internal Revenue Service  Puerto Rico, or the U.S. Virgin Islands, see Pub. 570, Tax
          Montana, Nevada, New                   310 Lowell St.   Guide for Individuals With Income From U.S.
          Hampshire, New Jersey, New                 Stop 830   Possessions.
          Mexico, North Dakota, Oregon,       Andover, MA 01810
          Rhode Island, South Dakota,
          Tennessee, Utah, Vermont,                             Specific Instructions
          Washington, Wisconsin, Wyoming
          Alabama, Florida, Georgia,    Department of the Treasury   Part I
          Kentucky, Louisiana, Mississippi,   Internal Revenue Service
          North Carolina, South Carolina,       P.O. Box 47421   Line 1a
          Texas, Virginia                             Stop 74
                                             Doraville, GA 30362  If you’re making this request for a joint tax return, show the
          Arkansas, California, Indiana,   Department of the Treasury   names and social security numbers (SSNs) in the same
                                                                order as they appear on your tax return.
          Iowa, Kansas, Michigan,         Internal Revenue Service
          Minnesota, Missouri, Nebraska,          Stop P-4 5000   If you have a foreign address, enter the city name on
          New York, Ohio, Oklahoma,    Kansas City, MO 64999-0250  the appropriate line. Don’t enter any other information on
          Pennsylvania, West Virginia                           that line, but also complete the spaces below that line.
                                                                Don’t abbreviate the country name. Follow the country’s
                                                                practice for entering the postal code and the name of the
                                                                province, county, or state.
          For taxpayers filing Form 1040 or 1040-SR with Schedule(s) C,
          E, or F for any tax year for which this installment agreement is   Line 1b
          being requested                                       If the address you provided on line 1a is new since you
          IF you live in . . .         THEN use this address . . .  filed your last tax return, check the box on line 1b.
          Connecticut, Maine,           Department of the Treasury
          Massachusetts, New Hampshire,   Internal Revenue Service  Line 2
          New York, Rhode Island, Vermont         P.O. Box 480  Show the name and employer identification number (EIN)
                                                     Stop 660   of your business (which must no longer be operating).
                                         Holtsville, NY 11742-0480
          Alabama, Arkansas, Georgia,                           Line 5
          Illinois, Indiana, Iowa, Kansas,                      Enter the total amount you owe as shown on your tax
          Kentucky, Louisiana, Michigan,   Department of the Treasury   return(s) or notice(s). The amount you owe could include
          Minnesota, Mississippi, Missouri,   Internal Revenue Service  amounts from more than 1 tax year.
          Nebraska, New Jersey, North              P.O. Box 69
          Dakota, Ohio, Oklahoma,                    Stop 811   Line 6
          Pennsylvania, South Dakota,    Memphis, TN 38101-0069
          Tennessee, Texas, West Virginia,                      If you have additional balances due that are not reflected
          Wisconsin                                             on line 5, list the total here (even if they are included in an
          Alaska, Arizona, California,   Department of the Treasury   existing installment agreement). Any adjustments or other
          Colorado, Hawaii, Idaho,        Internal Revenue Service  charges that are not reported on a tax return or notice
          Montana, Nevada, New Mexico,           P.O. Box 9941  should be listed on this line.
          Oregon, Utah, Washington,                 Stop 5500
          Wyoming                              Ogden, UT 84409  Line 7
          District of Columbia, Delaware,   Department of the Treasury  Add lines 5 and 6 and enter the result.
          Florida, Maryland, North Carolina,   Internal Revenue Service
          South Carolina, Virginia              Stop 4-N31.142
                                       Philadelphia, PA 19255-0030




                                                             -4-               Instructions for Form 9465 (Rev. 10-2020)
   355   356   357   358   359   360   361   362   363   364   365