Sample Municipal Income Tax Audit Notice - Englewood

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CENTRAL COLLECTION AGENCY
DIVISION OF TAXATION
205 W. Saint Clair Ave.
Cleveland, OH 44113-1503
Special Audit Department
Toll Free (in Ohio) 1-877-878-8587
Fax (216) 420-8267
MUNICIPAL INCOME TAX AUDIT NOTICE - SAMPLE
Letter No. ___
May ___, 2012
NAME
ADDRESS
ENGLEWOOD OH 45322
Dear City of Englewood Taxpayer:
Through an agreement with the City of Englewood as authorized by Internal Revenue Code
Section 6103(d), the Central Collection Agency (CCA) has obtained federal income tax
information indicating you have received income which may be subject to Englewood’s income
tax. Because our review of income tax records provided by Englewood did not indicate an active
Englewood tax account for you, you are required to submit the following information to the
attention of the CCA tax auditor listed below.
Please submit the following information:
1. This audit notice with the reverse side completed (also complete for your spouse, if
applicable)
2.
Copies of your 2005-2010 Federal Income Tax Returns including all Federal schedules and
(also include your spouse’s return if married filing separate)
attachments
3. Copies of all 2005 through 2010 Federal W-2 and 1099 forms
Please return the above information using the envelope enclosed with this audit notice.
All correspondence regarding this audit notice must be directed only to the CCA auditor
indicated below. The City of Englewood does not have access to IRS information and will
not be able to assist you with questions related to this audit notice.
Please provide the requested information in writing within thirty (30) days to CCA. Please
contact the CCA auditor listed below with any questions related to this notice.
Sincerely,
___________, Income Tax Auditor
CCA Special Audit Department
1.877.878.8587 x____
216.664.2070 x_____
Serving Member Communities throughout the State of Ohio for over 45 years

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