TN 33 (02-98)
NL 00703.746 IRS Levy Implemented
Document Identifier: E3746
A. EXHIBIT LETTER
We are writing to you about the enclosed Notice of Levy. You asked us to take money out of the  for .
What We Will Take Out
We will take out $ from each monthly payment to collect what  owes IRS. We will continue to withhold this amount until we receive a Release From Levy from you.
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
$$ amount withheld each month
last name of beneficiary, in format: Mr. Smith