BASIC (05-06)

NL 00770.600 Tax Levy Paragraphs

LVY001

NOTE: This UTI will only be generated on the notice to IRS

Caption

None

English

We are writing to you about the Notice of Levy for IRS Control Number (1).

Spanish

Estamos escribiéndole sobre el Aviso de Recaudación de Impuestos para el Número de Control del Servicio de Impuestos Internos (IRS, por sus siglas en inglés) (1).

Fill-In:

(1) 9 Position numeric IRS Control Number

LVY002

Caption

None

English

You asked us to take money out of the Social Security payments for (1). We are not withholding the amount requested in the Notice of Levy because (2) (3).

Spanish

Usted nos pidió que saquemos dinero de los pagos de Seguro Social de (1). No estamos reteniendo la cantidad solicitada en el Aviso de Recaudación de impuestos porque (2) (3).

FILL-INS

(1) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(2) Choice 1

English

he

Spanish

él

     Choice 2

English

she

Spanish

ella

(3)  Choice 1

English

does not currently receive any payments

Spanish

actualmente no recibe ningún pago

     Choice 2

English

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

Spanish

tiene una cantidad de beneficios que es menos de la exención mínima permitida

LVY003

Caption

Use under caption REFC01 “If You Have Any Questions”

English

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

Spanish

Si tiene alguna pregunta, por favor escríbanos a la dirección mencionada previamente.

LVY004

Caption

None

English

You asked us to take money out of the Social Security payments for (1).

Spanish

Usted nos pidió que saquemos dinero de los pagos de Seguro Social de (1).

Fill-in

(1) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

LVY006

Caption

None

English

We will no longer take money out of (1) monthly Social Security payments because;

  • you recently sent us a release from levy, or

  • this individual is no longer receiving payments, or

  • this individual’s benefit amount is less than the total exemption amount

The (2) that we sent you in (3) is the last payment you will receive.

Spanish

No continuaremos deduciendo dinero de los pagos mensuales de Seguro Social de (1), porque;

  • recientemente ustedes nos enviaron una orden de
    cesión de impuestos, o

  • esta persona ya no recibe pagos, o

  • la cantidad de los beneficios de esta persona es
    menos que el total de la cantidad exenta.

Los (2) que le enviamos el (3) es el último pago que recibirá.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

BGN plus BLN

(2) Amount of last tax levy withholding

(3) MM/CCYY LEVY-TERM-DATE

Levy Notice System

LVY007

Caption

None

English

The Internal Revenue Service (IRS) has asked us to take money from (1) Social Security payments because (2) them money.

Spanish

El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) nos ha pedido que saquemos dinero de los pagos de Seguro Social de (1) porque (2) les debe dinero.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

BGN plus BLN

    Choice 2

English

your

Spanish

usted

(2) Choice 1

English

he owes

Spanish

él

    Choice 2

English

she owes

Spanish

ella

    Choice 3

English

you owe

Spanish

usted

LVY008

This UTI will always require the use of LVY017

Caption Use under caption INFC03 “What You Need To Do”

English

To help decide the correct amount of money to send the IRS,

(1) (2) to complete page 2 of this letter “Statement of Exemptions and Filing Status” and return it within 10 days from the date you receive this letter. Return the completed statement in the enclosed envelope. Please keep a copy for your records.

If we do not receive the completed statement within the 10 day period, IRS will only allow an exemption amount of $(3).

Spanish

Para ayudar a decidir la cantidad correcta de dinero para enviar al IRS, (1) (2) necesita completar la página 2 de esta carta “Declaración de Exenciones y Estado de Solicitud” y devolverla dentro de 10 días de la fecha en que usted reciba esta carta. Devuelva la declaración completada en el sobre adjunto. Por favor mantenga una copia para sus archivos.

Si no recibimos la declaración completada dentro del plazo de 10 días, el IRS solamente permitirá una cantidad de exención de $ (3).

FILL-INS

(1) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

Choice 2

English

you

Spanish

usted

(2) Choice 1

English

needs

Spanish

null

Choice 2

English

need

Spanish

(null)

(3) Amount of IRS exemption for Married Filing Separately in $$$$.cc format from data element MRRDS-EX1-AMT in table

IRSEXMPN.

LVY009

Caption

Use under caption REFC01 “If You Have Any Questions”

English

If you need more information or have any questions, please contact your local IRS office

Spanish

Si necesita más información o si tiene alguna pregunta, por favor comuníquese con su oficina local de IRS.

LVY010

Caption

None

English

We are writing to you about the Internal Revenue Service (IRS) Notice of Levy.

Spanish

Estamos escribiéndole sobre el Aviso de Recaudación de Impuestos del Servicio de Impuestos Internos (IRS, por sus siglas en inglés).

LVY012

Caption

Use under caption LVYC01 “What We Will Take Out”

English

The Internal Revenue Service (IRS) will take all of (1) Social Security payment beginning with the payment (2) would receive around (3) because (4) them money. The IRS calls this action a Notice of Levy.

Spanish

El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) cogerá todo el pago de Seguro Social (1) comenzando con el pago que (2) recibiría alrededor de (3) porque (4) les debe dinero. El IRS llama a esta acción un Aviso de Recaudación.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

de BGN plus BLN

     Choice 2

English

your

Spanish

suyo

(2) Choice 1

English

he

Spanish

él

     Choice 2

English

she

Spanish

ella

     Choice 3

English

you

Spanish

usted

(3) Date of first check being withheld from GUCHKDTE

(4) Choice 1

English

he owes

Spanish

él

      Choice 2

English

she owes

Spanish

ella

      Choice 3

English

you owe

Spanish

usted

LVY013

Caption

None

English

You asked us not to let the Internal Revenue Service (IRS) take money out of (1) Social Security payments.

When the IRS tells us to take money out of monthly payments to collect unpaid taxes, we must do so. The IRS makes the decision on whether SSA will take part or all of (2) payment.

Spanish

Usted nos pidió que no permitamos que el Servicio de Impuestos Internos (IRS, por sus siglas en inglés) saque dinero de los pagos de Seguro Social de (1).

Cuando el IRS nos avisa que saquemos dinero de los pagos mensuales para cobrar impuestos pendientes, lo tenemos que hacer. El IRS toma la decisión sobre si la Administración del Seguro Social sacará una porción o todo su (2) pago.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

 

     Choice 2

English

your

Spanish

usted

(2) Choice 1

English

his

Spanish

null

    Choice 2

English

her

Spanish

null

     Choice 3

English

your

Spanish

null

LVY014

Caption

Use under caption LEVC01 “What We Will Take Out”

English

The Internal Revenue Service (IRS) will take part of (1) Social Security benefits because (2) them money. The IRS calls this action a Notice of Levy.

Spanish

El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) tomará una porción de los beneficios de Seguro Social (1) porque (2) les debe dinero. El IRS llama esta acción un Aviso de Recaudación de Impuestos.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

de BGN plus BLN

     Choice 2

English

your

Spanish

suyos

(2) Choice 1

English

he owes

Spanish

él

     Choice 2

English

she owes

Spanish

ella

     Choice 3

English

you owe

Spanish

usted

LVY016

Caption

None

English

The Internal Revenue Service (IRS) will no longer take money out of (1) monthly payment because (2) no longer (3) Social Security payments.

Spanish

El Servicio de Impuestos Internos (IRS, por sus siglas en inglés) ya no sacará dinero del pago mensual (1) porque (2) ya no recibe (3) pagos de Seguro Social.

FILL-INS

(1) Choice 1

English

BGN plus BLN (possessive)

Spanish

De BGN plus BLN

    Choice 2

English

your

Spanish

suyo

(2) Choice 1

English

he

Spanish

él

    Choice 2

English

she

Spanish

ella

     Choice 3

English

you

Spanish

usted

(3) Choice 1

English

receive

Spanish

null

    Choice 2

English

receives

Spanish

null

LVY017

Caption

None

English

STATEMENT OF EXEMPTIONS AND FILING STATUS

(TO BE COMPLETED BY TAXPAYER)

My filing status for my Income Tax Return is (check one):

____Single ____Married Filling a Joint Return

____Head of Household ____Qualifying Widow(er)

____Married Filling a Separate Return

I also claim additional exemption(s) for:

____Age 65 ____Blind

I certify that I can claim the people named below as personal exemptions on my income tax return and that none are claimed on another Notice of Levy. No one I have listed is my minor child to whom (as required by court or administrative order) I make support payments that are already exempt from levy. I understand the information I have provided may be verified by the Internal Revenue Service. Under penalties of perjury, I declare that this statement of exemptions and filing status is true.

Name of dependents claimed as exemptions:

Name Relationship Social Security Number

__________________ ______________ _____________________

__________________ ______________ _____________________

__________________ ______________ _____________________

__________________ ______________ ______________________

__________________ _______________ ______________________

__________________ _______________ ______________________

__________________ ________________

Taxpayer’s Signature Date

SPANISH This UTI will be in English only

LVY018

Caption

None

English

The Internal Revenue Service (IRS) will no longer take money out of (1) monthly payment because (2) no longer (3) IRS any money.

Spanish

El Servicio de Impuestos Internos (IRS, siglas en inglés) ya no deducirá dinero del pago mensual de (1) porque (2) ya no (3) le debe dinero al IRS.

FILL-INS

(1) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

     Choice 2

English

your

Spanish

null

(2)  Choice 1

English

he

Spanish

él

      Choice 2

English

she

Spanish

ella

     Choice 3

English

you

Spanish

usted

(3) Choice 1

English

owe

Spanish

null

    Choice 2

English

owes

Spanish

null

LVY040

Caption None

English

We are increasing (1) Social Security payments beginning (2). Therefore, we will also increase the amount we take from each monthly payment to collect what (3) owes IRS.

Spanish

Estamos aumentando los pagos de Seguro Social de (1) comenzando en (2). Por lo tanto, también aumentaremos la cantidad que deducimos de cada pago mensual para cobrar lo que (3) le debe al IRS.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

BGN plus BLN

(2) MM/CCYY

(3) Choice 1

English

he

Spanish

él

     Choice 2

English

she

Spanish

ella

LVY041

Caption

Used under caption “What We Plan To Do”

English

We are reducing (1) Social Security payments beginning (2). Therefore, we will also reduce the amount we take from each monthly payment to collect what (3) owes IRS.

Spanish

Estaremos reduciendo los pagos de Seguro Social de (1) comenzando en (2). Por lo tanto, también reduciremos la cantidad que deducimos de cada pago mensual para cobrar lo que (3) le debe al IRS.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

BGN plus BLN

(2) MM/CCYY

(3)Choice 1

English

he

Spanish

él

    Choice 2

English

she

Spanish

ella

LVY042

English

We are increasing (1) Social Security payments beginning (2). Therefore, we will also increase the amount we take from each monthly payment to collect what (3) (4) IRS.

Spanish

Estamos aumentando la cantidad de los pagos de Seguro Social de (1) comenzando en (2). Por lo tanto, también aumentaremos la cantidad que deducimos de cada pago mensual para cobrar lo que (3) (4) le debe al IRS.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

BGN plus BLN

     Choice 2

English

your

Spanish

usted

(2)  MM/CCYY

(3) Choice 1

English

he

Spanish

el

     Choice 2

English

she

Spanish

ella

     Choice 3

English

you

Spanish

usted

(4) Choice 1

English

owes

Spanish

null

     Choice 2

English

owe

Spanish

null

LVY043

Caption

Used under caption “What We Will Take Out”

English

We are reducing (1) Social Security payments beginning (2). Therefore, we will also increase the amount we take from each monthly payment to collect what (3) (4) IRS.

Spanish

Estamos reduciendo la cantidad de pagos de Seguro Social de (1) comenzando en (2). Por lo tanto, también reduciremos la cantidad de dinero que deducimos de cada pago mensual para cobrar lo que (3) (4) debe al IRS.

FILL-INS

(1) Choice 1

English

BGN plus BLN possessive

Spanish

BGN plus BLN

      Choice 2

English

your

Spanish

usted

(2) MM/CCYY

(3) Choice 1

English

he

Spanish

él

    Choice 2

English

she

Spanish

ella

    Choice 3

English

you

Spanish

usted

(4)  Choice 1

English

owes

Spanish

Null

     Choice 2

English

owe

Spanish

null

LVY044

Caption – “What We Plan To Do”

English

IRS asked us to take (1) from any retroactive payments (2) (2) (3) due to pay IRS. We withheld (4) from the payment (5) will receive around (6). You will receive another letter showing the payment amount (7) will receive.

Spanish

El IRS nos pidió que dedujéramos (1) de cualquier pago retroactivo que se le debe a (2) (3) para pagarle al IRS. Retuvimos (4) del pago que (5) recibirá alrededor de (6). Usted recibirá otra carta declarando la cantidad que (7) recibirá.

FILL-INS

(1) Amount

(2)Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

     Choice 2

English

you

Spanish

usted

(3)  Choice 1

English

is

Spanish

NULL

     Choice 2

English

are

Spanish

NULL

(4) Amount of withholding from the PMA for Tax Levy

(5) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

Choice 2

English

you

Spanish

usted

(6) MM/DD/CCYY that payment will be received (business day plus 7 days)

(7) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

Choice 2

English

you

Spanish

usted

LVY 045

English

You asked us to take (1) from any retroactive payments (2) is due to pay IRS. We withheld (3) from the payment (4) will receive around (5).

Spanish

Usted nos pidió que dedujéramos (1) del cualquier pago retroactivo que se le deba a (2) para pagar al IRS. Retuvimos (3) del pago que (4) recibirá alrededor de (5).

FILL-INS

(1) Amount

(2) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(3) Amount of withholding from the PMA for Tax Levy

(4) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(5) MM/DD/CCYY that payment will be received (business day plus 7 days)

LVY046

Caption – “What We Plan To Do”

English

You asked us to take (1) from each monthly payment (2) is due to pay IRS. We withheld (3) from the payment (4) will receive around (5

Spanish

Usted nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2) para pagarle al IRS. Retuvimos (3) del pago que (4) recibirá alrededor de (5).

FILL-INS

(1) Amount of Tax Levy withheld from the CMA payment

(2) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(3) Amount of withholding for Tax Levy from CMA

(4) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(5)

MM/DD/CCYY that CMA payment will be received

LVY047

English

IRS asked us to take (1) from each monthly payment (2) (3) due to pay IRS. We withheld (4) from the payment (5) will receive around (6). You will receive another letter showing the payment (7) will receive.

Spanish

El IRS nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2) (3) para pagarle al IRS. Retuvimos (4) del pago que (5) recibirá alrededor de (6). Usted recibirá otra carta declarando el pago que (7) recibirá.

FILL-INS

(1) Amount of Tax Levy withheld from the CMA payment

(2) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

Choice 2

English

you

Spanish

usted

(3) Choice 1

English

is

Spanish

null

      Choice 2

English

are

Spanish

null

(4) Amount of withholding for Tax Levy from CMA

(5) Choice 1

English

he

Spanish

él

      Choice 2

English

she

Spanish

ella

Choice 3

English

you

Spanish

usted

(6) MM/DD/CCYY that CMA payment will be received

(7) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

Choice 2

English

you

Spanish

usted

LVY048

Caption – “What We Plan To Do”

English

IRS asked us to take (1) from each monthly payment (2) (3) due to pay IRS. We will withhold (4) beginning (5). You will receive another letter showing the payment amount (6) will receive.

Spanish

El IRS nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2)(3) para pagar al IRS. Retendremos (4) comenzando en (5). Usted recibirá otra carta indicando el pago que (6) recibirá.

FILL-IN

(1)Amount of Tax Levy withheld from ongoing MBP

(2)Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

       Choice 2

English

you

Spanish

usted

(3) Choice 1

English

is

Spanish

NULL

     Choice 2

English

are

Spanish

NULL

(4) Amount of withholding for Tax Levy from ongoing MBP

(5) MM/CCYY that ongoing monthly withholding amount was changed

(6)Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

Choice 2

English

you

Spanish

usted

LVY049

Caption – “What We Plan To Do”

English

You asked us to take (1) from each monthly payment (2) is due to pay IRS. We will withhold (3) beginning (4).

Spanish

Usted nos pidió que dedujéramos (1) de cada pago mensual que se le debe a (2) para pagarle al IRS. Retendremos (3) comenzando en (4).

FILL-INS

(1)Amount of Tax Levy withheld from ongoing MBP

(2) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(3) Amount of withholding for garnishment from ongoing MBP

(4) MM/CCYY that ongoing monthly withholding amount was changed

LVY050

PMA and CMA being paid and ongoing MBP changing

English

You asked us to take (1) from any retroactive payments (2) is due to pay IRS. You also asked us to take (3) from each monthly payment. We withheld (4) from the payment (5) will receive around (6) and (7) from the payment (8) will receive around (9) and (10) from the monthly payments beginning (11).

Spanish

Usted nos pidió que dedujéramos (1) de cualquier pago retroactivo que se le deba a (2) para pagarle al IRS. Usted también nos pidió que dedujéramos (3) de cada pago mensual. Retuvimos (4) del pago que (5) recibirá alrededor de (6) y (7) del pago que (8) recibirá alrededor de (9) y (10) de los pagos mensuales comenzando en (11).

FILL-INS

(1) Amount of Tax Levy being withheld from the PMA payment

(2) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(3)Amount of Tax Levy withholding from MBP payment

(4) Amount of Tax Levy withholding from PMA payment

(5)Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

(6) MM/DD/CCYY that PMA payment will be received (business day plus 7 days)

(7) Amount of garnishment withholding from CMA payment

(8)Choice 1

English

he

Spanish

él

Choice 2

English

she

Spanish

ella

(9)MM/DD/YYYY that CMA payment will be made

(10) Amount of Tax Levy withholding from ongoing MBP

(11) MM/YYYY that ongoing MBP will reflect Tax Levy withholding

LVY051

English

IRS asked us to take (1) from any retroactive payments (2) (3) due to pay IRS. IRS also asked us to take (4) from each monthly payment. We withheld (5) from the payment (6) will receive around (7) and (8) from the payment (9) will receive around (10) and (11) from the monthly payments beginning (12). You will receive another letter showing the payment amounts (13) will receive.

Spanish

El IRS nos pidió que dedujéramos (1) de cualquier pago retroactivo que se le deba a (2) (3) para pagarle al IRS. El IRS también nos pidió que dedujéramos (4) de cada pago mensual. Retuvimos (5) del pago que (6) recibirá alrededor de (7) y (8) del pago que (9) recibirá alrededor de (10) y (11) de los pagos mensuales comenzando en (12). Usted recibirá otra carta indicando la cantidad que (13) recibirá.

FILL-INS

(1) Amount of Tax Levy being withheld from the PMA payment

(2) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

     Choice 2

English

you

Spanish

usted

(3) Choice 1

English

is

Spanish

NULL

    Choice 2

English

are

Spanish

NULL

(4) Amount of Tax Levy being withheld from the MBP payment

(5) Amount of Tax Levy being withheld from PMA

(6) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

     Choice 2

English

you

Spanish

usted

(7) MM/DD/CCYY that PMA payment will be received (business day plus 7 days)

(8) Amount of Tax Levy withholding from CMA

(9) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

     Choice 2

English

you

Spanish

usted

(10) MM/DD/YYYY that CMA payment will be received

(11) Amount of Tax Levy withholding from ongoing MBP

(12) MM/YYYY that ongoing withholding amount will begin

(13) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

       Choice 2

English

you

Spanish

usted

LVY052

CMA being paid and ongoing MBP changing. No PMA being paid

English

IRS asked us to take (1) from each monthly payment (2) (3) due to pay IRS. We withheld (4) from the payment (5) will receive around (6). After that we will withhold (7) each month. You will receive another letter showing the payment amount (8) will receive.

Spanish

El IRS nos pidió que dedujéramos (1) de cada pago mensual que se le deba a (2) (3) para pagarle al IRS. Retuvimos (4) del pago que (5) recibirá alrededor de (6). Después, retendremos (7) cada mes. Usted recibirá otra carta indicando la cantidad del pago que (8) recibirá.

FILL-INS

(1) Show the amount in data element MBP_WHLDG_AMT in table CANCTRL

(2) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

     Choice 2

English

you

Spanish

usted

(3) Choice 1

English

is

Spanish

NULL

     Choice 2

English

are

Spanish

NULL

(4) Amount of Tax Levy withholding from CMA payment

(5) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN

     Choice 2

English

you

Spanish

usted

(6) MM/DD/YYYY that CMA payment will be paid

(7) Amount of Tax Levy withholding from ongoing MBP

(8) Choice 1

English

BGN plus BLN

Spanish

BGN plus BLN