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:
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[1]
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Choice 1 -
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you
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Choice 2 -
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Name of beneficiary, in format: Mr. John Smith
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[2]
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Choice 1 -
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you
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Choice 2 -
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him
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Choice 3 -
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her
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[3]
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Choice 1 -
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you have
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Choice 2 -
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he has
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Choice 3 -
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she has
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[4]
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Choice 1 -
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you
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Choice 2 -
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he
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Choice 3 -
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she
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[5]
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Choice 1 -
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your
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Choice 2 -
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his
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Choice 3 -
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her
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[6]
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Choice 1 -
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Social Security payments
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Choice 2 -
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Black Lung payments
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Choice 3 -
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Social Security and Black Lung payments
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[7]
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Choice 1 -
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you need
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Choice 2 -
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he needs
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Choice 3 -
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she needs
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[8]
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Choice 1 -
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have
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Choice 2 -
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has
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[9]
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Choice 1 -
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your
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Choice 2 -
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his
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Choice 3 -
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her
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