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Last Updated: 5/23/2013

Collection Forms and Instructions

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 Forms

 
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 ACR150
 C50
 C51
 C51A
 C58B
 C58C
 C58P
 C58P(E)
 Form
 REV184
 REV184a
 REV185
 REV187
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pdfACR150Revenue Recapture Act Certification and Decertification and Modification RequestRevenue Recapture Act Certification and Decertification and Modification Request (Revised 8/08)
pdfC50Notice of Business TransferForm used to notify the Minnesota Department of Revenue of an impending transfer of assets.
pdfC51Wage Levy DisclosureWage Levy Disclosure Form
pdfC51AAlternate Wage Levy DisclosureAlternate Wage Levy Disclosure Form
pdfC58BBusiness Information StatementInformation provided on this form is used to evaluate the debtor's ability to pay the taxes owed and determine acceptable payment terms if a payment agreement is found appropriate.
pdfC58CCompromise ApplicationContains information regarding how to apply for an offer in a compromise.
pdfC58PPersonal Financial StatementInformation provided on this form will be used to evaluate the debtor's ability to pay the taxes owed and determine acceptable payment terms if a payment agreement is found appropriate.
pdfC58P(E)Personal Financial Statement-SpanishInformation provided on this form will be used to evaluate the debtor's ability to pay the taxes owed and determine acceptable payment terms if a payment agreement is found appropriate.
pdfFormClient Agency New Debt Type FormForm for New Client Agencies
pdfFormSealed Bid FormForm used to submit bids at seizure sales.
pdfREV184Power of Attorney (Revised 10/12)Power of Attorney (Revised 10/12)
pdfREV184aElection for Power of Attorney (Revised 10/12)Election for Power of Attorney (Revised 10/12)
pdfREV185Authorization to Release Tax Information (Revised 12/10)Authorization to Release Tax Information (Revised 12/10)
pdfREV187Authorization to Communicate through Email Transmission (Revised 12/05)Authorization to Communicate through Email Transmission (Revised 12/05)

 

 

 Instructions

 
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pdfInformationPenalty Information BusinessInformation regarding penalty and interest on taxes paid late.
pdfInformationPenalty Information IndividualInformation regarding penalty and interest on taxes paid late.
pdfInstructionAlternate Wage Levy Disclosure InstructionsInstructions on how to enter an Alternate Wage Levy Disclosure using e-Services
pdfInstructionBank Levy Disclosure InstructionsInstructions on how to enter a Bank Levy Disclosure using e-Services
pdfInstructionState Lien Release on Personal PropertyLists information needed to review and determine if Conditional Commitment to Release Personal Property from a state tax lien.
pdfInstructionState Lien Release on Real PropertyLists information needed to review and determine a Conditional Commitment to Release Real Property from a state tax lien.
pdfInstructionSubordinate State Tax Lien on Specific PropertyLists information needed to review and determine a Conditional Commitment to Release Property from a State Tax Lien.
pdfInstructionWage Levy Disclosure InstructionsInstructions on how to enter a Wage Levy Disclosures using e-Services
 

 

 

 Fact Sheets

 
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 Fact Sheet 1
 Fact Sheet 2
 Fact Sheet 3
 Fact Sheet 4
 Fact Sheet 5
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pdfFact Sheet 1Business Successor LiabilityInformation regarding the liability of past debts for a business successor.
pdfFact Sheet 2Installment Payment PlansInformation detailing with setting up and maintaining a payment agreement.
pdfFact Sheet 3State Agency Debt CollectionInformation about the Minnesota Department of Revenues efforts to collect state agency debt.
pdfFact Sheet 4Compromise ProceduresProcedures on how to apply for a compromise.
pdfFact Sheet 5Revenue RecaptureInformation about the Revenue Recapture program.