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COLLECTION INFORMATION STATEMENT FOR BUSINESSES ARIZONA DEPARTMENT OF REVENUE 1600 West Monroe Phoenix, AZ 85007 (602) 7167787 www.azdor.gov Complete all entry spaces with the most current data available.
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How to fill out a collection information statement:

01
Start by gathering all necessary documents and information. This includes your personal identification information, such as your name, address, social security number, and date of birth. You may also need to provide information about your income, assets, and expenses.
02
Carefully review the instructions provided with the collection information statement form. These instructions will guide you on how to accurately and thoroughly complete the form.
03
Begin filling out the form by entering your personal information in the designated sections. Double-check the accuracy of the information to avoid any potential errors.
04
Proceed with the financial information section, where you will be required to provide details about your income, assets, and expenses. Be sure to include all relevant information and provide supporting documentation if necessary. This may include pay stubs, bank statements, and tax returns.
05
If you are unsure about any specific section of the form or have questions, seek clarification from the appropriate authorities or consult with a legal professional. It's essential to fill out the form accurately and truthfully.
06
Review the completed collection information statement form thoroughly before submitting it. Verify that all the information provided is correct and complete. Any errors or omissions could potentially delay the processing of your case.

Who needs a collection information statement?

01
Individuals who owe a substantial amount of money to a creditor may be required to fill out a collection information statement. This statement helps the creditor assess the debtor's ability to repay the debt.
02
Individuals who are facing a collections lawsuit or judgment may need to submit a collection information statement. This allows the court or judgment creditor to determine the debtor's financial situation and determine an appropriate course of action.
03
Individuals who are in the process of negotiating a payment plan or settlement arrangement with a creditor may also be asked to provide a collection information statement. This assists the creditor in evaluating the debtor's financial condition and determining an appropriate repayment plan.
It's important to note that the specific circumstances and requirements for a collection information statement may vary depending on the jurisdiction and the individual creditor. Therefore, it's advisable to consult with an attorney or financial advisor for personalized guidance.
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The collection information statement is used to gather detailed financial information from individuals or businesses who owe taxes to the IRS.
Individuals or businesses who owe taxes to the IRS may be required to file a collection information statement.
To fill out a collection information statement, individuals or businesses must provide detailed financial information such as income, assets, and expenses.
The purpose of the collection information statement is to help the IRS determine a taxpayer's ability to pay their tax debt.
The collection information statement must include information such as income, assets, expenses, and liabilities.
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