Form 668-A - Notice Of Levy Page 2

Download a blank fillable Form 668-A - Notice Of Levy in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 668-A - Notice Of Levy with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

668-A(c)(DO)
Form
Department of the Treasury – Internal Revenue Service
Notice of Levy
(Rev. July 2002)
TELEPHONE NUMBER
DATE:
OF IRS OFFICE:
REPLY TO:
NAME AND ADDRESS OF TAXPAYER:
TO:
IDENTIFYING NUMBER
(S):
Kind of Tax
Tax Period Ended
Unpaid Balance of Assessment
Statutory Additions
Total
Total
THIS LEVY WON'T ATTACH FUNDS IN IRAs, SELF-EMPLOYED INDIVIDUALS' RETIREMENT
Amount
PLANS, OR ANY OTHER RETIREMENT PLANS IN YOUR POSSESSION OR CONTROL,
Due
UNLESS IT IS SIGNED IN THE BLOCK TO THE RIGHT.
We figured the interest and late payment penalty to
Although we have told you to pay the amount you owe, it is still not paid. This is your copy of a notice of levy we have sent to collect this
unpaid amount. We will send other levies if we don't get enough with this one.
Banks, credit unions, savings and loans, and similar Institutions described in section 408(n) of the Internal Revenue Code must
hold your money for 21 calendar days before sending it to us. They must include the interest you earn during that time. Anyone
else we send a levy to must turn over your money, property, credits, etc. that they have
when they would
(or are already obligated for)
have paid you.
If you decide to pay the amount you owe now, please bring a guaranteed payment
to the
(cash, cashier's check, certified check, or money order)
nearest IRS office with this form, so we can tell the person who received this levy not to send us your money. Make checks and money
orders payable to United States Treasury. If you mail your payment instead of bringing it to us, we may not have time to stop the person
who received this levy from sending us your money.
If we have erroneously levied your bank account, we may reimburse you for the fees your bank charged you for handling the levy. You must
file a claim with the IRS on Form 8546 within one year after the fees are charged.
If you have any questions, or want to arrange payment before other levies are issued, please call or write us. If you write to us, please
include your telephone number and the best time to call.
Title
Signature of Service Representative
668-A(c)(DO
Part 2— For Taxpayer
Form
) (Rev. 7-2002)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 6