TN 33 (02-98)

NL 00703.745 IRS Request For Levy

Document Identifier: E3745


We are writing to you about the enclosed Notice of Levy. You asked us to take money out of the [1] for [2]. We are not withholding the amount requested in the Notice of Levy because [3][4].

If you have any questions, please write to us at the above address.


Notice of Levy



Choice 1 -

Social Security payments


Choice 2 -

Black Lung payments


Choice 3 -

Social Security and Black Lung payments


full name of beneficiary as it appears on the Levy, in format: James L. Smith


last name of beneficiary, in format: Mr. Smith


Choice 1 -

does not currently receive any payments


Choice 2 -

has claimed exemptions that exceed the amount of the monthly payment


Choice 3 -

has a benefit amount that is lower than the lowest exemption allowed

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NL 00703.745 - IRS Request For Levy - 02/18/1998
Batch run: 02/18/1998