Gideon Tax — Installment AgreementsEspañol

Form 9465 — Installment Agreement Request

We e-file this request with the IRS. Before anything is sent, this page checks it against the IRS's Form 9465 rules and tells you here if something must change.

Free to prepare and e-file. The IRS may charge its own setup fee, paid directly to the IRS.

The IRS does not take these requests electronically — they must be mailed on paper:

You owe more than $50,000 on line 9 (paper Form 9465 with Form 433-F).
You want to pay by payroll deduction (paper Form 9465 with Form 2159).

This site files the IRS test system's package (CUv29.0, Form 9465 Rev. December 2026). On that form the monthly payment is line 10, the payment day is line 11 and direct debit is lines 12a to 12c; the old line 10 (line 9 ÷ 72) is not filed, and the rules that a payment must reach it and that a $25,000 to $50,000 balance needs direct debit do not apply. Test SSNs only (4th and 5th digits 00).

Fields marked * are required.

Taxpayer (Part I, lines 1–4)

First name *Last name *

Social Security Number *9 digits, no dashes.This is a joint request (add spouse)This is for a business that is out of operation (line 2)In care of (optional)My address is outside the United StatesStreet address *

Apt / suiteCity *State *ZIP *

My address has changed since I last filed (line 1b)

Give at least one phone number — the IRS requires a home or a work number.

Home phone (line 3)Best time to call at homeWork phone (line 4)

Ext.Best time to call at work

Direct debit (Part I, line 13)

Direct debit is the easiest way to make your payments on time, and it lowers the IRS setup fee.

Withdraw my monthly payment automatically from my checking account13c. I am a low-income taxpayer and cannot make electronic payments through direct debit

Signature

Your 5-digit signature PIN *Any 5 digits you choose except 00000; this signs the form electronically. Nobody chooses it for you.

By signing and submitting this form, I authorize the IRS to contact third parties and to disclose my tax information to third parties in order to process this request and administer the agreement over its duration. I also agree to the terms of this agreement, as provided in the instructions, if it's approved by the IRS. If I chose direct debit, I also give the line 13 authorization above. My PIN (and my spouse's, on a joint request) is my signature.

Taxpayer (Part I, lines 1–4)

Your request (Part I, lines 5–12)

Direct debit (Part I, line 13)

Signature