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Irs Form 1040v Reverse

The document provides instructions to accept something for value, return it for value, exempt it from levy, and adjust the balance to zero while providing an exemption number and signature.

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CK in DC
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100% found this document useful (1 vote)
133 views

Irs Form 1040v Reverse

The document provides instructions to accept something for value, return it for value, exempt it from levy, and adjust the balance to zero while providing an exemption number and signature.

Uploaded by

CK in DC
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ACCEPTED FOR VALUE – RETURNED FOR VALUE

EXEMPT FROM LEVY – PREPAID COMMON STOCK


DISCHARGE ALL PRESENTMENTS AND RELATED FEES
ADJUST THE BALANCE TO ZERO
PRIVATE PREPAID TREASURY EXEMPTION # 123456789
CHARGE THE SAME TO: JOHN H DOE 123-45-6789
____________________________________ _____________
SIGNATURE DATE

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