NL: Notices, Letters and Paragraphs
TN 33 (02-98)
Document Identifier: E3749
A. EXHIBIT LETTER
We are writing to [1] about the Internal Revenue Service (IRS) Notice of Levy.
What We Plan To Do
We asked [2] to tell us how many tax exemptions [3]. Based on the information [4] gave us, IRS cannot take money out of [5][6].
If [7] more information or [8] any questions, please contact [9] local IRS office.
Fill-ins:
[1] |
Choice 1 - |
you |
Choice 2 - |
Name of beneficiary, in format: Mr. John Smith |
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[2] |
Choice 1 - |
you |
Choice 2 - |
him |
|
Choice 3 - |
her |
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[3] |
Choice 1 - |
you have |
Choice 2 - |
he has |
|
Choice 3 - |
she has |
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[4] |
Choice 1 - |
you |
Choice 2 - |
he |
|
Choice 3 - |
she |
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[5] |
Choice 1 - |
your |
Choice 2 - |
his |
|
Choice 3 - |
her |
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[6] |
Choice 1 - |
Social Security payments |
Choice 2 - |
Black Lung payments |
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Choice 3 - |
Social Security and Black Lung payments |
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[7] |
Choice 1 - |
you need |
Choice 2 - |
he needs |
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Choice 3 - |
she needs |
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[8] |
Choice 1 - |
have |
Choice 2 - |
has |
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[9] |
Choice 1 - |
your |
Choice 2 - |
his |
|
Choice 3 - |
her |