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Case 2:15-cv-00742-JNP-PMW Document 13-1 Filed 04/19/16 Page 1 of 5

Exhibit A

Case 2:15-cv-00742-JNP-PMW Document 13-1 Filed 04/19/16 Page 2 of 5

Summons
In the m atte r of Ne ldon Johnson (TIN #

) and G lenda Johnson (TTN #

Inte rn al Revenue Service (Division): _S_m_a_ll_B_u_s_in_e_s_s/_S_e_lf_-E_n_1p~l_o~ye_d_ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __


Industry/Area (name or number):

Western Area
---------------------------------~

Periods : Ca lendar years ending December 3 1, 2013 and December 31, 20 14

The Commissioner of Internal Revenue


To: Millard County Credit Union

At: Attention: Steve Sh iner; 109 S 300 East, Delta, UT 84624


You are hereby summoned and required to appear before Joe l Zielke, Revenue Agent, or D esignee
an officer of the Internal Revenue Service. to give testimony and to bring with you and to produce for examination the following books . records, papers,
and other data relating to the tax liability or the collectio n of the tax lia bility or for the pu rp ose of inquiring into any offense connected with the
administration or enforcement of the internal revenue laws concerning the person identified above for the pe riods shown .
In lieu of appeara nce, you may mai l the fo llowing documents to the ad dress below before the date of th e appearance.
Please produce for examination copies of signature card , monthly bank statements, bank deposit slips, deposit items, credit
memos, cancelled checks, and debit memos drawn on accounts which ei ther Neldon Johnson (TTN #
) or G lenda
Johnson (TTN #
) either owns or is a s igner for the peri od December 20 12 - Jan ua1y 2015 .
The term 'credit memos' includes internal and external bank transfers of funds and wires and includes any interna l memoranda
ev idencing the payor bank name, the payor account name and the payor account number for the accounts paying such transferred
and wired funds. The term 'debit memos' includes internal and externa l bank transfers of funds and wires and includes any interna l
memoranda evidencing the recipient bank name, the recipient account name and the rec ipient account number for the accou nts
recei v ing such transferred and wi red funds. T he term 'cancelled checks' includes coun te r checks, cashier's checks and mo ney
orders . T he te rm 'accounts ' includes bu t is not limited to checking accounts, savi ngs accou nts, money market accounts, inves tment
accounts, merchant accounts, credit card accounts, loan accounts, and account
.
You are authorized to receive reimbursement of up to $500.00 for costs directly related to the search for, reproduction of, and
tra nspo rt of the records requested in thi s summons. If the amount of direct costs is expected to exceed thi s amount p lease contact
the issu ing officer li sted below for fu rther authorizat ion.

Do not write in this space

Business address and telephone number of IRS officer before whom you are to appear:
50 South 200 East, MS: 4544JZ, Salt Lake City, UT 841 l l ; Phone 80 l-799-6685; Fax 801-799-6724

Place and time tor appearance at 50 South 200 East, Salt Lake C ity, UT 84 111

~ IRS
De partm ent of the Treasury
Internal Revenue Service

www.irs.gov
Fo rm 2039 (Rev. 12-2001)
Catalog Number 2 1405J

on the

12th
Febrnary
- - -- - -- d ay of -----~-'-----

2016

--.,---...,...--

at

0
- - I- - o 'clock

(year)
13th day of _ _ _Ja_n_u_a_ry~--

m.

2016
(year)

Revenue Age nt
Title
Revenue Agent Group Manager
Title

Part C -

to be given to noticee

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