Use Form 9465 to request a monthly installment agreement (payment plan) if you can't pay the full amount you owe shown on your tax return. A payment plan can be requested online through the Georgia Tax Center.Use Form 9465 to request a monthly installment plan if you cannot pay the full amount you owe shown on your tax return (or on a notice we sent you). If you can't pay the full amount you owe, you can ask to make monthly installment payments. The 9465 form is rather short and only requires your personal information, the name and addresses of your bank and employer, the amount of tax you owe. Instructions on how to complete, when it is necessary, what to expect, and where to mail the IRS form 9465 to request an installment agreement with the IRS. We have provided sample letters that you can use to request waivers of several different types of IRS penalties. The IRS defaults installment agreements for 4 reasons: You missed payments during the year. Fill in your actual or estimated adjusted gross income for the year you wrote in the "tax year" box. Complete the table for yourself and each person requesting a fee waiver with you.