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Accepted For Value

This document appears to be related to a debt or financial obligation. It states that something has been "Accepted for Value" and is "Exempt from Levy per 1099-A". It includes fields for an authorized representative's autograph and date, as well as fields to identify who payment is to and who it was acquired from.

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© Attribution Non-Commercial (BY-NC)
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3K views

Accepted For Value

This document appears to be related to a debt or financial obligation. It states that something has been "Accepted for Value" and is "Exempt from Levy per 1099-A". It includes fields for an authorized representative's autograph and date, as well as fields to identify who payment is to and who it was acquired from.

Uploaded by

api-19731109
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ACCEPTED FOR VALUE

Exempt from Levy per 1099-A


Autograph By: ___________________________ Date: ___________
Authorized Representative

Paid to:

Acquired from: STRAWMAN NAME, #123456789

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