Beruflich Dokumente
Kultur Dokumente
To:
DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE CENTER
FRESNO, CA
(Or your 1040V Processing Center)
From:
CHUCK EUGENE FARLEY
123 MAIN STREET
LOS ANGELES, CA 90012
In Re:
Payment and Setoff
UCC Contract Trust Account 123-45-6789
Private Offset Account 123456789
Attention Agent:
Please find enclosed payment for settlement and closure of Court Account/Case
No. 08CR-12345-A held by LOS ANGELES COUNTY for the STATE OF CALIFORNIA.
Please send this payment to same said vendor at the following business location:
POMONA SUPERIOR COURT'S bill is Accepted for Value and Returned for
Settlement (See enclosed Money Order and IRS Form 1040V). I am the
Creditor/Owner of the Treasury Offset Account accessed by the IRS and FMS, Inc. I
am requiring the IRS to pay this bill in full and with full disclosure and that my contact
information and the vendors account/case number be forwarded, along with this
payment, for proper reconciliation.
Under Reservation,
CHUCK EUGENE FARLEY 123-45-6789
By:___________________________,
Authorized Agent