Step 1 of 4

Tell us about
your business.

We'll use this to prepare your Form 843 and cover letter.

Business Name *

Employer Identification Number (EIN)

Primary Contact Name

Email Address

Phone Number

Business Address

City

State

ZIP Code

Step 2 of 4

Which tax years
were affected?

Select all years from 2020 through 2023 where you were assessed penalties or filed/paid late.

2020

2021

2022

2023

The Kwong v. United States ruling covers the period from January 20, 2020 through July 10, 2023.

Step 3 of 4

What types of
penalties apply?

Select all penalty types your business was assessed. Include everything — we'll claim all applicable categories.

Failure-to-File Penalty

Failure-to-Pay Penalty

Estimated Tax Payment Penalty

International Information Return Penalty (Forms 5471, 5472, 8938)

Accrued Interest on COVID-period Penalties

Step 4 of 4

Approximate
penalty amounts.

Enter your best estimate per tax year. These are used for the exhibit calculation sheet — exact IRS amounts from your transcript will govern the final claim.

Don't know exact amounts? Enter your best estimate. You can find penalty amounts on IRS notices (CP2000, CP503) or your tax transcripts.

Estimated Refund $0

By submitting, you authorize PenaltyBack to prepare a Form 843 document package based on the information provided. PenaltyBack is a document preparation service, not a law firm or CPA firm. Consult a licensed tax professional for advice specific to your situation.

Tell us aboutyour business.

Which tax yearswere affected?

What types ofpenalties apply?

Approximatepenalty amounts.

Tell us about
your business.

Which tax years
were affected?

What types of
penalties apply?

Approximate
penalty amounts.