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Account Transcript

Request Date: 11-10-2021
Response Date: 11-10-2021
Tracking Number:999999999999
FORM NUMBER:1040
TAX PERIOD:Dec. 31, 2003
TAXPAYER IDENTIFICATION NUMBER:  XXX-XX-5838
DANI WASH
8676 H
<<<<POWER OF ATTORNEY/TAX INFORMATION AUTHORIZATION (POA/TIA) ON FILE>>>>
--- ANY MINUS SIGN SHOWN BELOW SIGNIFIES A CREDIT AMOUNT ---
ACCOUNT BALANCE:0.00
ACCRUED INTEREST:0.00AS OF:Oct. 04, 2021
ACCRUED PENALTY:0.00AS OF:Oct. 04, 2021
ACCOUNT BALANCE PLUS ACCRUALS
(this is not a payoff amount):
0.00
** INFORMATION FROM THE RETURN OR AS ADJUSTED **
EXEMPTIONS:05
FILING STATUS:Head of Household
ADJUSTED GROSS INCOME:91,789.00
TAXABLE INCOME:67,378.00
TAX PER RETURN:11,200.00
SE TAXABLE INCOME TAXPAYER:0.00
SE TAXABLE INCOME SPOUSE:0.00
TOTAL SELF EMPLOYMENT TAX:0.00
RETURN DUE DATE OR RETURN RECEIVED DATE (WHICHEVER IS LATER)Apr. 15, 2004
PROCESSING DATEMay  24, 2004

TRANSACTIONS

CODEEXPLANATION OF TRANSACTIONCYCLE DATEAMOUNT
150Tax return filed2004190805-24-2004$10,800.00
n/a28221-109-14645-4
806W-2 or 1099 withholding04-15-2004-$7,015.00
170Penalty for not pre-paying tax
11-12-2014
2004190805-24-2004$88.00
276Penalty for late payment of tax2004190805-24-2004$37.85
196Interest charged for late payment2004190805-24-2004$20.22
971Installment agreement established10-27-2003$0.00
277Reduced or removed penalty for late payment of tax07-12-2004-$9.46
971Tax period blocked from automated levy program10-18-2004$0.00
971No longer in installment agreement status10-04-2004$0.00
971Collection due process Notice of Intent to Levy -- issued10-28-2004$0.00
582Lien placed on assets due to balance owed10-29-2004$0.00
971Pending installment agreement12-21-2005$0.00
971Installment agreement established01-04-2006$0.00
971Pending installment agreement04-07-2006$0.00
971Tax period blocked from automated levy program06-26-2006$0.00
971No longer in installment agreement status06-12-2006$0.00
972Removed installment agreement04-07-2006$0.00
971Pending installment agreement09-19-2006$0.00
971Installment agreement established10-27-2006$0.00
971Tax period blocked from automated levy program10-06-2008$0.00
971No longer in installment agreement status09-22-2008$0.00
971Collection due process Notice of Intent to Levy -- issued12-24-2008$0.00
971Collection due process Notice of Intent to Levy -- return receipt signed12-27-2008$0.00
971Installment agreement established04-03-2009$0.00
960Appointed representative09-23-2010$0.00
670Payment


12-15-2010-$73.76
971Tax period blocked from automated levy program03-28-2011$0.00
971No longer in installment agreement status03-14-2011$0.00
971Installment agreement established06-01-2011$0.00
706Credit transferred in from
1040 200212
07-25-2011-$771.61
670Payment


11-28-2011-$948.00
670Payment


12-28-2011-$1,000.00
672Removed payment
CIVIL PENALTY 201201
11-28-2011$52.00
673Payment

11-28-2011-$52.00
670Payment


01-30-2012-$1,000.00
670Payment


02-28-2012-$1,000.00
276Penalty for late payment of tax2012100503-19-2012$871.76
670Payment


03-28-2012-$1,000.00
196Interest charged for late payment2012140504-16-2012$953.91
276Penalty for late payment of tax2012140504-16-2012$46.09
670Payment


04-30-2012-$1,000.00
196Interest charged for late payment2012190505-21-2012$1,000.00
670Payment


05-29-2012-$96.47
196Interest charged for late payment2012230506-18-2012$96.47
971No longer in installment agreement status06-18-2012$0.00
583Removed lien06-15-2012$0.00
961Removed appointed representative08-01-2019$0.00

This Product Contains Sensitive Taxpayer Data