Form 15023 Offshore Compliance Status Response

Form

15023

(January 2018)

Department of the Treasury - Internal Revenue Service

Offshore Compliance Status Response

OMB Number
1545-2241

Compliance Options
Option #1
You may make a submission under the Streamlined Filing Compliance Procedures if you meet the eligibility requirements. See the
“Streamlined Filing Compliance Procedures” at www.irs.gov for more information about eligibility criteria and how to make a submission.
If you are eligible to use this option, you must write “RESPONSE TO LETTER 5935” in red across the top of your Form 14653,
Certification by U.S. Person Residing Outside of the United States for Streamlined Foreign Offshore Procedures, or Form 14654,
Certification by U.S. Person Residing in the United States for Streamlined Domestic Offshore Procedures
Option #2
If you are not eligible or choose not to use Option 1, submit all required tax returns, information returns, and related filings to the
address on the enclosed Form 15023, Offshore Compliance Status Response. (NOTE: FinCEN Form 114, Report of Foreign Bank and
Financial Accounts (a.k.a. FBAR), must be filed electronically with FinCEN, additional information can be found at www.FinCEN.gov).

Submissions under this option will be subject to all applicable penalties unless you establish that your noncompliance was due to
reasonable cause. If you want to present reasonable cause, provide a statement explaining all the facts and circumstances.
Returns submitted under this option will not be subject to IRS audit automatically, but they may be selected for audit under the existing
audit selection processes applicable to any U. S. tax return and can also be checked against information received from banks, financial
advisors, and other sources for accuracy
Option #3
If you believe that you’re fully compliant with all U.S. reporting requirements relating to foreign income, foreign entities, and foreign
financial accounts, then provide a narrative statement of facts explaining your position. You must provide a complete history of any
previously unreported foreign income, foreign entities, and foreign financial accounts and explain the actions you took to become
compliant with U.S. reporting requirements.

Letter 5935 – Correspondence Coversheet
Taxpayer Name

Last 4 digits of Social Security Number

Taxpayer Instructions
1. Check the option you are using:
Option #1
Attach this coversheet to your Streamlined Procedures Submission, write “RESPONSE TO LETTER 5935” in red across the top of
your Form 14653 or Form 14654 and mail to the address provided on IRS.gov relating to “Streamlined Filing Compliance
Procedures” .
Option #2
List the tax forms and tax years you are submitting, attach this coversheet to your submission package and mail to the address
provided below.
Returns filed:
Form 1040

Years:

Form 1040X

Years:

FBAR (electronically filed) Years:
Other Form(s)

Years:

Option #3
Prepare a narrative statement of facts. Include your name and the last four digits of your SSN on your narrative statement of facts.
Sign and date the narrative statement of facts. Attach this coversheet to your narrative statement of facts and mail to the address
provided below.
60 Day Extension request
Prepare a statement explaining the reasons for requesting additional time to respond, attach this coversheet to your request and
mail to the address provided below.
2. Provide your daytime telephone number:
Note: Attach this completed form to any response related to Letter 5935. Make and keep a copy of this completed coversheet
for your records before mailing to the IRS.
Mail all correspondence relating to Letter 5935 to the IRS at:
Internal Revenue Service
3651 S. IH 35Stop 4301 AUSC
Austin, TX 78741
Catalog Number 70412U

www.irs.gov

Form 15023 (1-2018)