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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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.
We take content rights seriously. If you suspect this is your content, claim it here.
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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