011121
** IF YOU HAVE ANY QUESTIONS, **
Department of the Treasury ** REFER TO THIS INFORMATION: **
Internal Revenue Service NUMBER OF THIS NOTICE: CP-515
PHILADELPHIA, PA 19255 DATE OF THIS NOTICE: 11-03-97
TAXPAYER IDENT. NUM: ###-##-####
TAX FORM: 1040 9748
TAX PERIOD: 12-31-96
[postnet-barcode]
BRAD L. BARNHILL
109 SHALE PL
CHARLOTTESVILLE VA 22902-6402094 [1]
[SCANNABLE BARCODE]
[OF TAXPAYER ID ]
REQUEST FOR YOUR TAX RETURN
Our records show that we haven't received the following tax
return from you.
Form number: 1040 Tax period ENDING: 12-31-96
Title: U.S. INDIVIDUAL INCOME TAX RETURN
If you haven't filed this tax return, please prepare it and send
it to us today. Attach your payment for any tax due. We'll bill you
for any interest and penalties. If you can't pay the entire amount,
send as large a payment as you can, and tell us when you can pay the
rest. We may be able to arrange for you to pay in installments.
If you have already filed this tax return, please send us a copy
of it. Be sure to sign, or re-sign, the copy and date it. Or you can
complete the information that applies to you on the enclosed Form
9358, Information about Your Tax Return.
If you believe the law does not require you to file this tax
return, please tell us why on the enclosed Form 9358.
[Note: Self-employed people must file a tax return to report their
social security tax if their net earnings from self-employment are
$400 or more.]
If you need assistance, call 804-649-2361 LOCAL RICHMOND
1-800-829-1040 OTHER VA
011121
** IF YOU HAVE ANY QUESTIONS, **
Department of the Treasury ** REFER TO THIS INFORMATION: **
Internal Revenue Service NUMBER OF THIS NOTICE: CP-515
PHILADELPHIA, PA 19255 DATE OF THIS NOTICE: 11-03-97
TAXPAYER IDENT. NUM: ###-##-####
TAX FORM: 1040 9748
TAX PERIOD: 12-31-96
BRAD L. BARNHILL
109 SHALE PL
CHARLOTTESVILLE VA 22902-6402094
KEEP THE TOP PART FOR YOUR RECORDS DETACH HERE
-----------------------------------------------------------------------
Send us this part with your reply in the envelope provided.
Number of Notice: CP-515
Date of Notice: 11-03-97 BARN
Taxpayer ID Num: ###-##-#### 30 9612
PY5 DF-960415 FS-1 EX-05 000#### PC-P 9743 9743 9748
AG+0000##### CC 128 54010000 PLC 5401 BWI-0
SSN000000000 EIN SEL-85 ####### ADD00
BRAD L BARNHILL
INTERNAL REVENUE SERVICE 109 SHALE PL
PHILADELPHIA, PA 19255 CHARLOTTESVILLE VA 22902-6402094
TY6 WH0000#### TI+0000##### W000##### P00000000 D00000000 I000000##
RE00000000 MI0000#### CTR00000000 STS+00000000
MB00000000000 NTD-00000### SFRBD0000####
011121
** IF YOU HAVE ANY QUESTIONS, **
Department of the Treasury ** REFER TO THIS INFORMATION: **
Internal Revenue Service NUMBER OF THIS NOTICE: CP-515
PHILADELPHIA, PA 19255 DATE OF THIS NOTICE: 11-03-97
TAXPAYER IDENT. NUM: ###-##-####
TAX FORM: 1040 9748
TAX PERIOD: 12-31-96
BRAD L. BARNHILL
109 SHALE PL
CHARLOTTESVILLE VA 22902-6402094
FORM 9358 PLEASE COMPLETE AND RETURN THIS ENTIRE PAGE WITH YOUR REPLY
A. If you are not required to file, please complete this section:
My filing status was:
[ ] Single [ ] Head of Household
[ ] Married filing joint [ ] Married filing separate
[ ] Qualified widow(er) with dependent child
Check if:
[ ] You are 65 or older, [ ] Blind
[ ] Spouse was 65 or older, [ ] Blind
[ ] I could be claimed as a dependent on another's return
My total income for the tax period shown above was $_________
B. If you have already filed a return, complete this section:
Names shown on my tax return (if different than above)
_____________________________________________________________
My spouse's social security number (SSN) (if you filed a joint
return) _______________________________________________
Form: _______ Tax year:____________ Date filed:__________
C. If your spouse is deceased, complete this section:
Name of deceased spouse: _____________________________________
SSN of this spouse: _________________Date of death: __________
D. If the notice shows a credit, complete this section:
[ ] I want a refund of the credit balance. To get this refund
you must file a tax return for that year even if you are not
otherwise required to file.
[ ] I want the credit applied to the tax return, tax period, and
SSN shown on the notice. My tax return is enclosed.
[ ] I want the credit applied to another tax return, tax period,
and/or SSN as written in here:
Tax form:__________ Tax period:________ SSN:________________
Please include your phone number(s) and a convenient time to call
you. PHONE ( ) HOURS:
Under penalties of perjury, I declare that, to the best of my
knowledge and belief, the information provided on this form
is true, correct, and complete.
_______________________________________ ____________________
Signature Date
brad.barnhill@mindspring.comLast Updated: Thursday, January 21, 1999 10:39:01 PM |
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