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Department of Human Services Office of Child Support Services 77 Torrance Street Providence RI. 02903 www.ccse.ri.govFC Docket #INJURED SPOUSE RELEASE AFFIDAVIT, do hereby depose and state under oath
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How to fill out injured spouse affidavit

How to fill out injured spouse affidavit
01
To fill out an injured spouse affidavit, follow these steps:
02
Obtain the injured spouse affidavit form.
03
Fill in your personal information, including your name, address, and Social Security number.
04
Indicate your spouse's name, Social Security number, and any joint tax liabilities you may have.
05
Provide details about any separate income, deductions, or payments you made.
06
Attach any supporting documentation, such as income statements or payment receipts.
07
Sign and date the form.
08
Mail the completed form to the appropriate IRS address.
09
Keep a copy of the form and supporting documentation for your records.
Who needs injured spouse affidavit?
01
An injured spouse affidavit is needed by individuals who file joint tax returns with their spouse but want to protect their share of the refund from being offset to satisfy their spouse's debts.
02
This typically occurs when one spouse owes certain types of debts, such as past-due child support, past-due student loans, or delinquent federal taxes.
03
The injured spouse affidavit allows the innocent spouse to claim their share of the joint refund and prevent it from being taken to satisfy the other spouse's obligations.
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