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Last Updated: 5/3/2012

Collection Forms and Instructions

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 Forms

 
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 ACR150
 C50
 C58B
 C58C
 C58P
 C58P(E)
 Form
 REV184
 REV185
 REV187
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pdfClient Agency New Debt Type FormForm for New Client Agencies
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.
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.
pdfFormSealed Bid FormForm used to submit bids at seizure sales.
pdfREV184Power of Attorney (Revised 1/17)Power of Attorney (Revised 1/17)
pdfREV185Authorization to Release Tax Information (Revised 12/10)Authorization to Release Tax Information (Revised 12/10)
pdfREV187Authorization to Communicate through Email Transmission (Revised 6/17)Authorization to Communicate through Email Transmission (Revised 6/17)

 

 

 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.
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.
 

 

 

 Fact Sheets

 
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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.