Department of the Treasury - Internal Revenue Service
Form 12153 
(July 2022)           Request for a Collection Due Process or Equivalent Hearing
Use this form to request a Collection Due Process (CDP) or Equivalent Hearing (EH)                 IRS Use Only
with the IRS Independent Office of Appeals (Appeals) if you have received a letter 
offering an appeal under IRC 6320/6330 (CDP notice).
Complete this form and send it to the address for requesting a hearing (not the 
payment address) shown on your CDP notice. Include a copy of your CDP 
notice to ensure proper handling of your request. For further information on 
these hearings, please see the instructions for this form.
Call the phone number on the CDP notice or 1-800-829-1040 if you are not sure about the correct 
address or if you want to fax your hearing request.
Si desea ver el formulario y las instrucciones en español, visite http://www.irs.gov/pub/irs-pdf/f12153sp.pdf.

1. Basis for hearing request (both boxes can be checked if you have received lien and levy notices)
     Filed Notice of Federal Tax Lien               Notice of Proposed or Actual Levy
2. Equivalent Hearing (see the instructions for more information on Equivalent Hearings)
If my request does not meet the requirements for a timely CDP hearing, I would like a hearing 
that is equivalent to a CDP hearing

3. Taxpayer name (Taxpayer 1)

Taxpayer Identification Number

Current address

                      City                                        State                    ZIP code
4. Best telephone number and time to call during normal business hours
 Home                      Work       Cell
Telephone number                      Time                                                 a.m.       p.m.

5. Taxpayer name (Taxpayer 2)

Taxpayer Identification Number

Current address
(if different from 
address above)        City                                        State                    ZIP code

6. Best telephone number and time to call during normal business hours
 Home                      Work       Cell
Telephone number                      Time                                                 a.m.       p.m.

7. Tax information as shown on your lien or levy notice (include a copy of the notice(s)). You do not have 
to complete section 7 if you include a copy of the notice(s) you are appealing

      Type of Tax  
                                      Tax Form Number  
     (Income, Employment,                                                     Tax Period or Periods
                                      (1040, 941, 720, etc.)
 Excise, etc. or Civil Penalty)

Catalog Number 26685D                 www.irs.gov                                          Form 12153 (Rev. 7-2022)

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8. Reason you are requesting a hearing. Your request will not be honored if you don’t provide a 
reason for the dispute. Make the best selection(s) from the choices below or use as much space as 
you need to explain the reason for your request. You may include more pages if you don’t have 
enough space (see instructions)
   I am not liable for the tax the IRS is trying to collect
   I claim innocent spouse relief (see instructions)
   My taxes were discharged in bankruptcy
   I've made payments that were not applied to my taxes
   I want the Notice of Federal Tax Lien withdrawn
   I am currently unable to pay due to financial hardship (see paragraph 9)
   I am unable to pay in full and would like a collection alternative (see paragraph 9)

   Other issues(s) and/or comment(s)

9. Proposed collection alternative (see instructions). If you are currently unable to pay or seek 
a collection alternative such as an Installment Agreement or Offer in Compromise, prepare a 
financial statement, Form 433-A (individuals) or Form 433-B (businesses), with your request, 
unless you meet a financial statement exception (see below). Submitting this information 
with your Form 12153 is not required, but early submission of the form will help you obtain 
the quickest resolution of your case
   Installment Agreement                      Offer in Compromise                 Currently Unable to Pay
   Other (explain)

Financial Statement Exceptions (no financial statements need to be submitted if either of these two 
situations apply.)

Installment Agreement: To see if you can automatically obtain an installment 
agreement without providing a financial statement and without an appeal, visit 
https://www.irs.gov/payments/online-payment-agreement-application or scan this 
QR code:

Offer in Compromise: Only if based on Doubt as to Liability. 

10. Signatures        I understand the CDP hearing and any subsequent judicial review will suspend the statutory period 
                      of limitations for collection action. I also understand either my representative or I (but not both) must 
                      sign and date this request before Appeals can accept it. If you are signing as an officer of a 
                      company, add your title (president, secretary, etc.) behind your signature.
SIGN HERE             Taxpayer 1's signature                                      Date

                      Taxpayer 2's signature (if a joint request, both must sign) Date

Representative's signature (include an executed Form 2848 if signing for the taxpayer(s) unless a Form 2848 is already on file)

Representative's name                               Telephone number              Date

IRS Use Only
IRS employee (print)                                Telephone number              Received date

Catalog Number 26685D                         www.irs.gov                                        Form 12153 (Rev. 7-2022)

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                      Important Things to Know for a CDP or Equivalent Hearing

Your timely request for a CDP hearing will prohibit levy action in most cases. A timely request for a CDP hearing will also suspend the 
10-year period IRS has, by law, to collect your taxes. Both the prohibition on levy and the suspension of the 10-year period will last until 
the determination Appeals makes about your disagreement is final. The amount of time the suspension is in effect will be added to the 
time remaining in the 10-year period. For example, if the 10-year period is suspended for six months, the time left in the period the IRS 
has to collect taxes will be extended by six months. You can go to court to appeal the CDP determination Appeals makes about your 
disagreement.
If you want a hearing with Appeals after the deadline for requesting a timely CDP hearing has passed, you must check the box in item 
2. In this case you will receive an equivalent hearing, which is the same as a CDP hearing except it does not prohibit levy or 
suspend the 10-year period for collecting your taxes; also, you cannot go to court to contest Appeals' decision about your 
disagreement. You must request an equivalent hearing within the following timeframe:
   •  Lien Notice—one year plus five business days from the filing date of the Federal Tax Lien.
   •  Levy Notice—one year from the date of the CDP levy notice.
Keep a copy of your hearing request and proof of the date you sent it.
Your request for a CDP levy hearing, whether timely or equivalent, does not prohibit the IRS from filing a notice of federal tax lien.
You will have to explain your reason for requesting a hearing when you make your request. Below are examples of reasons for 
requesting a hearing.
“I am not liable for (I don't owe) all or part of the taxes.” You can generally raise a disagreement about the amount you owe if you 
did not receive a deficiency notice for the liability or if you have not had another prior opportunity for Appeals or a court to consider your 
disagreement with the amount you owe. A deficiency notice is a notice explaining why you owe taxes—it gives you the right to 
challenge in court, within a specific time frame, the additional tax the IRS says you owe. 

             Penalty appeal—Appeals may remove all or part of the penalties if you have a reasonable cause for not paying or 
             not filing on time. For what is reasonable cause to remove penalties, see Notice 746, Information About Your 
             Notice, Penalty and Interest, at https://www.irs.gov/pub/irs-pdf/n746.pdf, or by scanning this QR code.

Innocent Spouse Relief - You believe that your spouse or former spouse is the only one responsible for all or a part 
of the tax liability. Learn more about this request at https://www.irs.gov/businesses/small-businesses-self-employed/
innocent-spouse-relief, or by scanning this QR code. You must complete Form 8857, Request for Innocent Spouse 
Relief, for an Innocent Spouse request to be considered.

             Prior bankruptcy: You may have received a prior bankruptcy discharge and your taxes were not excepted from the 
             discharge. Note that even if your taxes were discharged, your pre-bankruptcy property may remain subject to a tax 
             lien if the property was excluded from the bankruptcy or if a notice of the lien was filed before the bankruptcy. Learn 
             more about bankruptcy at https://www.irs.gov/businesses/small-businesses-self-employed/declaring-bankruptcy, or 
             by scanning this QR code.

"I've made payments that were not applied to my taxes." You may disagree with the amount the IRS says you have or have not 
paid.
If You Want to Propose a Lien Resolution – For the filing of a Notice of Federal Tax Lien (NFTL) against your property, choose 
a lien resolution and submit appropriate documentation with this form.
Withdrawal: When you request a withdrawal of the NFTL, you are asking the IRS to remove the NFTL information from public records 
because you believe the NFTL should not have been filed.
Subordination: When you request a subordination, you are asking the IRS to make a Federal Tax Lien secondary to a non-IRS lien.
Release: You can get a Federal Tax Lien released if you pay your taxes in full or complete the terms of an accepted Offer-in-
Compromise.
Discharge: When you request a discharge, you are asking the IRS to remove a Federal Tax Lien from a specific property.
Learn more about the NFTL, what may be the right alternative to your issue, and what documentation to include with 
your Form 12153 at https://www.irs.gov/businesses/small-businesses-self-employed/understanding-a-federal-tax-lien, 
or by scanning this QR Code:

Catalog Number 26685D                                        www.irs.gov                        Form 12153 (Rev. 7-2022)

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If You Want to Propose a Collection Alternative — Common collection alternatives include:
               •  Full payment— Pay your taxes by personal or cashier's check, money order, or other approved method. To 
                      learn more about payments, visit https://www.irs.gov/payments.

•  Installment Agreement or Short-Term Payment Plan—Pay your taxes fully or partially through monthly or deferred payments.
•  Offer in Compromise—You offer to make one or more payments to settle your tax liability for less than the full 
   amount you owe. To learn more about this resolution, visit https://www.irs.gov/payments/offer-in-compromise or 
   by scanning this QR code:

•  Currently Unable to Pay—You may not be able to pay due to job loss, illness, reasonable expenses that exceed income, etc. 
Appeals may consider freezing collection action until your circumstances improve. Interest and applicable penalties will continue to 
accrue on your liability.
               If you want to discuss with Appeals a collection alternative listed in Item 9 of the Form 12153, submit a completed 
               Form 433-A (individual) and/or Form 433-B (business), as appropriate, with this form. Submitting this information 
               with your Form 12153 is not required but will help you obtain the quickest resolution of your case. Locate copies of 
               these forms at https://www.irs.gov/businesses/small-businesses-self-employed/collection-process-for-taxpayers-
               filing-and-or-paying-late, or by scanning this QR code.

Appeals will evaluate the financial information and your specific circumstances to try to reach an agreement 
with you regarding payment or other resolution of your issues. Appeals may ask the IRS Collection Function to review, verify and 
provide it's opinion on any information you submit. Appeals will share Collection’s comments with you and give you the opportunity to 
respond.

                                  Publications and Other Resources
It is best to use the contact information on your CDP notice for any questions about your request for a hearing and the 
matters you wish to appeal.
You may refer to the publications listed below for questions about the Collection process and your rights.
         Publication 594                               Publication 1660                                   Publication 2105 
   The IRS Collection Process                Collection Appeal Rights                  Why do I have to pay taxes?
https://www.irs.gov/pub/irs-pdf/p594.pdf     https://www.irs.gov/pub/irs-pdf/p1660.pdf https://www.irs.gov/pub/irs-pdf/p2105.pdf

Tax professionals who are independent from the Internal Revenue Service (IRS) may be able to help you. Low Income Taxpayer 
Clinics (LITCs) can represent low-income persons before the IRS or in court. LITCs can also help persons who speak English as a 
second language. Any services provided by an LITC must be for free or a small fee. To find an LITC near you:
•  Go to www.taxpayeradvocate.irs.gov/litc;
•  Download IRS Publication 4134, Low Income Taxpayer Clinic List, available at https://www.irs.gov/forms-
   instructions; or by scanning this QR code.
•  Call the IRS toll-free at 800-829-3676 and ask for a copy of Publication 4134.

State bar associations, state or local societies of accountants or enrolled agents, or other nonprofit tax professional organizations may 
also be able to provide referrals.

   You can get copies of tax forms, schedules, instructions, publications, and notices at www.irs.gov, at 
   your local IRS office, or by calling toll-free 1-800-TAX-FORM (829-3676). 

Catalog Number 26685D                                  www.irs.gov                                           Form 12153 (Rev. 7-2022)