IRS Form 433a
 
IRS FormsCollection Information Statement for Wage Earners and Self-Employed Individuals

You can print the PDF or just read through and see what kind of information will be needed. (The PDF does require a reader of some kind. You can download a free copy of adobe acrobat anytime at: http://www.adobe.com )Adobe Acrobat
  1. Print this six-page IRS Form 433-A.
  2. Fill it out completely and leave no area blank. If an area does not apply, write in "N/A". If the subject or area applies and the correct number or dollar amount is zero, write in "0".
  3. Keep in mind that IRS will request and receive a copy of your credit report. They will compare the credit report to your form 433-A for accuracy. If they find any omissions on the form 433-A, your will automatically be seen as a troublesome taxpayer and it will be much more difficult for me to help you.
  4. Sign and date the form 433-A at the bottom of page six. Both taxpayers must sign the form if both taxpayers are liable for the unpaid taxes.
  5. Fax the completed form 433-A to me at 817/263-9541.   
Download 433a (PDF)
 
These forms come directly from http://www.irs.gov you can download them from here or IRS. Make sure when you complete forms for IRS that you complete the right form for what you need. If you have any questions, feel free to give me a call.