Department of the Treasury
Internal Revenue Service
FRESNO, CA 93888




Your Name
Your Address
Your City / Zip		 Notice Number: CP 504
Notice Date: MM-DD-YR

Bar Code here
SSN/EIN: 123-45-6789
Caller ID: some number

URGENT!
We intent to levy on certain assets. Please respond NOW.
(To avoid additional late payment penalty and interest, pay your overdue liability now.)

Our records indicate that you haven't paid the amount you owe. The law requires that you pay your tax at the time you file your return. This is your notice, as required by Internal Revenue Code Section 6331(d), of our intent to levy (take) any state tax refunds to which you may be entitled to if we don't receive your payment in full. In addition, we will begin to search for other assets we may levy. We can also file a Notice of Federal Tax Lien, if we haven't already done so. To prevent collection action, please pay the current balance now. If you've already paid, can't pay, or have arranged for an installment agreement, it is important that you call us immediately at the telephone number shown below.
Account Summary
Form 1040 Tax Period: 12-31-96
     
Current Balance:
$
209,500.00
Includes:
$
Penalty:
$
29,585.00
Interest:
$
20,520.00
Last Payment:
$
0.00

  See enclosed Publication 594 that explains
Questions? Call us at 1-800-829-8815 your rights and responsibilities as a taxpayer.


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