Fillable Status of the Taxpayer Levy 2017 Form 15104

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Status of the Taxpayer Levy 2017 Form 15104

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The Status of the Taxpayer Levy 2017 Form 15104 form is 1 page long and contains:

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Country of origin: US
File type: PDF

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The Internal Revenue Service (IRS) is a government agency responsible for collecting taxes and administering the federal statutory tax laws of the United States. The IRS provide tax assistance to taxpayers and pursue and resolve fraudulent tax filings.

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Catalog Number 69798V www.irs.gov
Form
15104 (6-2017)
Form 15104
(June 2017)
Department of the Treasury - Internal Revenue Service
Status of the Taxpayer Levy
Employer's name Employer Identification Number (EIN)
Taxpayer's name Social Security Number (SSN)
If you already mailed the amount required or don't owe any money to the taxpayer, complete the information below. Return this form to
us in the enclosed envelope, or if you prefer to give the information by phone, call us at the number listed on the attached letter.
1. We sent the amount to you
Date mailed Amount mailed
Address mailed to
2. We don't owe this taxpayer any money (explain)
3. We no longer employ this taxpayer (list taxpayer's last known address, phone number and current employer, if known, or any information to
help us locate this taxpayer)
Last known address
Telephone number Current employer
Additional information
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Status of the Taxpayer Levy 2017 Form 15104

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Completed 8 November 2019

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