Injured Spouse Allocation                                                        OMB No. 1545-0074 
Form  8379
(Rev. November 2023) 
Department of the Treasury       Go to www.irs.gov/Form8379 for instructions and the latest information.                           Attachment   
Internal Revenue Service                                                                                                           Sequence No. 104
Part I  Should You File This Form? You must complete this part.
1     Enter the tax year for which you are filing this form                  . Answer the following questions for that year.
2     Did you (or will you) file a joint return?
        Yes. Go to line 3.
        No. Stop here. Do not file this form. You are not an injured spouse.
3     Did (or will) the IRS use the joint overpayment to pay any of the following legally enforceable past-due debt(s) owed only by your 
      spouse? See instructions.  
      • Federal tax   • State income tax   • State unemployment compensation   • Child support  
      • Spousal support   • Federal nontax debt (such as a student loan) 
        Yes. Go to line 4.
        No. Stop here. Do not file this form. You are not an injured spouse.
       Note: If the past-due amount is for a federal tax liability owed by both you and your spouse, you may qualify for innocent 
       spouse relief for the year to which the joint overpayment was (or will be) applied. SeeInnocent Spouse Relief in the 
       instructions.
4     Are you legally obligated to pay this past-due amount?
        Yes. Stop here. Do not file this form. You are not an injured spouse.
       Note: If the past-due amount is for a federal tax liability owed by both you and your spouse, you may qualify for innocent 
       spouse relief for the year to which the joint overpayment was (or will be) applied. SeeInnocent Spouse Relief in the 
       instructions.
        No.  Go to line 5.
5     Were you a resident of a community property state at any time during the tax year entered on line 1? See instructions.
        Yes. Enter the name(s) of the community property state(s)                                                                                    .
        Skip lines 6 through 9. Go to Part II and complete the rest of this form.
        No.  Go to line 6.
6     Did you make and report payments, such as federal income tax withholding or estimated tax payments?
        Yes. Skip lines 7 through 9 and go to Part II and complete the rest of this form.
        No.  Go to line 7.
7     Did you have earned income, such as wages, salaries, or self-employment income?
        Yes. Go to line 8.
        No.  Skip line 8 and go to line 9.
8     Did (or will) you claim the earned income credit or additional child tax credit?
        Yes. Skip line 9 and go to Part II and complete the rest of this form.
        No.  Go to line 9.
9     Did (or will) you claim a refundable tax credit? See instructions.
        Yes. Go to Part II and complete the rest of this form.
        No. Stop here. Do not file this form. You are not an injured spouse.

Part II Information About the Joint Return for Which This Form Is Filed
10    Enter the following information exactly as it is shown on the tax return for which you are filing this form.  
      The spouse’s name and social security number shown first on that tax return must also be shown first below.
      First name, initial, and last name shown first on the return                 Social security number shown first        If injured spouse, 
                                                                                                                             check here 
      First name, initial, and last name shown second on the return                Social security number shown second       If injured spouse, 
                                                                                                                             check here 
11    Check this box only if you want your refund issued in both names. Otherwise, separate refunds will be issued for each
      spouse, if applicable . .  . . .    .     . .  .             . . . . . . . . . . . . . .                       . . . . . . . .    . .

12    Do you want any injured spouse refund mailed to an address different from the one on your joint return?                         Yes       No
      If “Yes,” enter the address. If a foreign address, see instructions.

      Number and street                                                City, town or post office, state, and ZIP code
For Paperwork Reduction Act Notice, see separate instructions.                       Cat. No. 62474Q                             Form 8379 (Rev. 11-2023) 

Form 8379 (Rev. 11-2023)                                                                                                  Page 2 
Part III    Allocation Between Spouses of Items on the Joint Return. See the separate Form 8379 instructions for Part III.
                             Allocated Items                      (a) Amount shown (b) Allocated to (c) Allocated to 
              (Column (a) must equal columns (b)  +(c))            on joint return injured spouse    other spouse

13 Income:    a.   Income reported on Form(s) W-2 

              b.   All other income

14 Adjustments to income

15 Standard deduction or itemized deductions

16 Nonrefundable credits

17 Refundable credits (do not include any earned income credit)

18 Other taxes

19 Federal income tax withheld

20 Payments
Part IV       Signature. Complete this part only if you are filing Form 8379 by itself and not with your tax return.
Under penalties of perjury, I declare that I have examined this form and any accompanying schedules or statements, and to the best of my knowledge 
and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any 
knowledge.
Keep a copy of  Injured spouse’s signature                                         Date            Phone number
this form for 
your records
              Print/Type preparer’s name     Preparer’s signature                  Date                             PTIN
Paid                                                                                               Check         if 
                                                                                                   self-employed
Preparer 
              Firm’s name                                                               Firm’s EIN 
Use Only
              Firm’s address                                                            Phone no.
                                                                                                    Form 8379 (Rev. 11-2023)