PDF document
- 1 -
                                                                                                                                   Clear form
Utah State Tax Commission
Request For Innocent Spouse Relief                                                           Get forms online - tax.utah.gov             TC-8857  Rev. 11/08

Do not file this form if you did not file a joint return for the year(s) for which you are requesting relief.
Your current name                                                            Daytime telephone number         Social security number

Address                                                                      City                             State                      ZIP code

1 Enter the year(s) for which you are requesting relief from liability of tax
2 Information about the person to whom you were married as of the end of the year(s) on line 1 
                        Name                                                                 Social security number

                        Address, city, state and ZIP code                                    Daytime telephone number

3                       Yes  No   Did you file a joint return for the year(s) for which you want relief? If, "No," STOP here. You do not qualify for innocent
                                  spouse relief.
4                       Check box if you have been a victim of domestic abuse and fear filing a claim for innocent spouse relief will result in retaliation.
5                       Yes  No   Are you legally separated from the person shown above?
6                       Yes  No   Are you legally divorced from the person shown above?
7                       Yes  No   Have you lived apart from the person shown above at all times during the 12-month period prior to filing this form?
8                       Yes  No   Is the person shown above dead?
9                       Yes  No   Do you have an understatement of tax for Utah resulting from a change made by the IRS (that is, the IRS determined
                                  there is a difference between what is shown on the tax return and the tax that should have been shown)?
10                      Yes  No Is the understatement of tax due to the erroneous items listed by your spouse?
11                      Yes  No   Do you have an underpayment of tax (that is, tax is properly shown on your return, but not paid)?
12                      Yes  No   Have you filed for innocent spouse relief with the IRS? (attach copies of any correspondence or determinations from
                                  the IRS relating to this request)
Other explanations or comments

Under penalties of perjury, I declare I have examined this form and any accompanying schedules and statements, and to the best of my
knowledge and belief, they are true, correct and complete.
SIGN Your signature                                                                                                                Date
HERE
                        Preparer's signature                                            Date                                       Preparer's SSN or PTIN

                        Firm name                                                       Preparer’s telephone number                Preparer’s EIN
                 Section
   Paid Preparer        Preparer's address                                              City                                       State ZIP code






PDF file checksum: 3287384373

(Plugin #1/9.12/13.0)