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2@14 Form 1040-V ffiffi:ffiffi'"T:Sffiy
What ls Form I(XO-V How To Prepare Your Payment
It is a statement you send with your check or money e Make your check or money order payable to "United
order for any balance due on the "Amount you owe" line States Treasury." Do not send cash.
of your 2014 Form 1040, Form 1040A, or Form 1O4AEZ. . Make sure your name and address appear on your
You ean also pay yourtaxes online or by phone either by a check or money order.
direct transfs from ywr bank accannt or by credit or debit r Enter your daytime phone number and your SSN on
card. Paying online ar by phane is convenient and *cure
your check or money order. lf you are filing a joint return,
and helps make srrre we get your paynents an time. For
mare information, go to www.irs.govle-pay. enter the SSN shown first on your retum. Also enter
"2O14 Form 1040," "2014 Form 1040A," or "2014 Form
How To Fill ln Form 1040-V 1 04AEZ," whichever is appropriate.

Line 1. Enter your social security number (SSN). lf you are . To help us process your payment, enter the amount on
filing a joint retum, enter the SSN shown first on your the right side of your check like this; $ )OC(XX. Do not
return. use dashee or lines (for example, do not enter "$ )0C(-"
Line 2. lf you are filing a joint return, enter the SSN shown or "$ )C(X o/'*1.
second on your retum.
How To Send ln Your 2O14Tax Return,
Line 3. Enter the amount you are paying by check or
money order.
Payment, and Form 1040-V
Line 4. Enter your name{s) and address exactly as shown
. Detach Form 1M0-V along the dotted line.
on your retum. Please print clearly. . Do not staple or othenrrrise attach your payment
or Form
1040-V to your retum orto each other. lnstead, just put
them loose in the envelope.
. Mail your 2O14lax retum, payment, and Form 1040-V to
the address shown on the back that applies to you.

l---".-; r ,i::
Cat. No.20975C rorm 1(X0-Veor+)

V lletach Here and Mail w]th Your Payment and Retum V

F|040-u Payment Voucher OMB No. 1545-0074

DepartnHt of the T@sry

lntemsl Revs@ Ssvice (99)
) Do not staple or atlach ttris voucher to your palrment or retum. 2@14
1 Your social security number (SSN) 2 lf a ioint retum, SSN shown s€cond 3 Amorril t/ou ar€ paying by check or Dollars Cents
on your retum monet/ order, Make your check or
money order payable to'Unit6d State!
Tr€sury"
o
c
b
o
4Yourfirst nam€and initial +
, hstrPH t
lf a joint retum, spouse's first name and initial
42 Lrsl

[-as{ name
c
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o. Home address (number and street) Apt. no. to$m or post offic€, state, and ZP cde foeign ddress, dso co.npl6te spac6 bdow]
, 0t a

)? r t rhtt *,. (i.o,4 ,1r I

Foreign country name .J Foreign province/statdcounty Foreign postal code

For Paperwork Reduction Act Noticc, see )'our tax retum instructions. Cat. No.20975C
 'a

LETTER OF SERVICE (PRIVATE WITNESS)

It is hereby registered, that on the date noted below, the undersigned private Recorder mailed to:

-lft$,r".I@ $,,ri.riu,n "/" Trc*r^,J 114s (onfrr.1l Tcn.rl

l^t..^t &,qvu",re .$e.ruirs.

Foo Penn5l"^',i^ 4n.,n,^., ffUy'

Hereinafter, "Re,cipient", the document(s) pertaining to Account/Case No.:

regardingthe alleged debtor(s) TnipPl1 (zpOnbtr asfolows:

1.

2. Nol,,o of se.J-n#
f unur lullo r
3.

4. l0't0v
5.

6.

7.

by Registered Mail No.: Return Receipt attached by placing same in

a post-paid envelope properly addressed to Recipient at the said address and depositing same at an
official depository under the exclusive face and custody of the united States Postal Service with the state
of NEW JERSEY.

w+ 2r:, ao rY i. *3'2O t :f
/lu"f
Ndrr.y Expires On Date Established

Notary Public's Autograph

All Response(s) to: ! ) ne "Ufl'. ;n$'{,it wrr}fi(,

A^t*lu",re'f l
-*-GI.-'--==lry

From :Jah Born-Allah :El (Sdcured Paty,Creditor)

ucc# 200903230158716

ALL RGSPONSES MAIL TO :

To:
IRS Technical Support Division
C/o Treasury UCC Contract Trust
Internal Revenue Service
I 500 Pennsylvania Avenue, NW
Washington, DC 20220

out", 6fotl<
To Whom It May Concern:

Enclosed is Case regarding JOSEPH GEORGE . This has been Accepted for Value with
closure and are enclosed within.

This account is now closed, However if theres any defect in this setoff, kindly respond
with proof of claim, within 7 days so the matter can be corrected and also send a carbon
copy to the following party :

f..5...to4clcrfq,
+

Thankyou,