- 3.0.167.8 Disbursement Losses
- 3.0.167.9 Annual Report of Administratively Resolved Irregularities
- 3.0.167.10 Clearing the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ —Embezzlements, Thefts, Negligence , and Counterfeit Bills
- 3.0.167.11 Losses in Transit
- 3.0.167.12 Indemnity Agreements
- 3.0.167.13 Field Director Submission Processing Authorization
- 3.0.167.14 Transfer of Submission Processing Director's Accountability
- Exhibit 3.0.167-1 List of Accountable Officers
- Exhibit 3.0.167-2 Sample Receipt Loss Preliminary Report
- Exhibit 3.0.167-3 Sample Correspondence 7804(c) Assessment
- Exhibit 3.0.167-4 ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
- Exhibit 3.0.167-5 Sample Receipt Loss Supplemental Report
- Exhibit 3.0.167-6 ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
- Exhibit 3.0.167-7 Sample Relief Request Documentation
- Exhibit 3.0.167-8 ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
- Exhibit 3.0.167-9 ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
- Exhibit 3.0.167-10 ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
- Exhibit 3.0.167-11 Sample Memorandum for Administrative Resolution of Erroneous Refund Losses
- Exhibit 3.0.167-12 Disbursement Loss Relief Request Check List
- Exhibit 3.0.167-13 Sample Employee Fraud Preliminary Report
- Exhibit 3.0.167-14 Sample Employee Fraud Supplemental Report
- Exhibit 3.0.167-15 ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
- Exhibit 3.0.167-16 Sample Memo for Requesting Information from Banks
- Exhibit 3.0.167-17 Director's Accountability Transfer Checklist
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≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ provides internal control for disbursement losses (unrecoverable erroneous refunds). Cases are maintained in this account while requesting administrative resolution for the Accountable Officer .
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A case is transferred from the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ when the case is determined to be unrecoverable. Documentation explains why the case is unrecoverable.
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A case is transferred from the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ when the case is unrecoverable or the statute expires. Documentation will explain why the case is unrecoverable.
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The case documentation is used to support the relief request.
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When relief is authorized by the Director, Submission Processing W&I the following journal actions will be taken: ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ .
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≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ provides internal control and accountability for disbursement losses. This account will be debited to provide credit to the ≡ ≡ ≡ ≡ ≡ ≡ , Disbursement Loss when administrative resolution is authorized.
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The unauthorized movement of money, filing of returns, making of adjustments, or requesting refunds that is calculated to cause illegitimate gain to an employee is fraud. The Field Director, Submission Processing is responsible for reporting these erroneous refunds. Employee fraud is the only preliminary report required for disbursement losses. If fraud is suspected, contact TIGTA immediately.
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The preliminary reports will contain a statement of facts, including type of irregularity, date and amount. Include the name of the Accountable Officer and information on any repayments already made.
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Preliminary reports from the Field Director, Submission Processing are sent to the Director, Submission Processing W&I.
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Mail Reports to:
Internal Revenue Service
11601 Roosevelt Boulevard
Attention: Losses & Shortages Analyst
POD Central 1 DP N-111
Philadelphia, PA 19154
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If TIGTA issues a supplemental memorandum or full employee restitution is received a Supplemental Report is sent to the Director Submission Processing W&I.
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Relief is requested when the erroneous refund is not recoverable. The civil suit statute expiration date will determine that the account is not recoverable for most non-court cases.
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Management is responsible for ensuring that administrative resolution is requested monthly.
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When the loss is more than the judgment, request relief for the amount over the judgment. ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
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The Director, Submission Processing W&I is authorized to resolve all losses caused by employee fraud. The accountable officer for employee fraud is the director at the time the loss occurred. When the employee fraud case is determined to be uncollectible, prepare a memorandum from the Field Director, Submission Processing to the Director, Submission Processing W&I. The memorandum contains a complete explanation of how the loss occurred and the circumstances surrounding it. State what internal controls were in place at the time of the loss and any changes made as a result of the loss. State what action was taken to recover the loss and why it is uncollectible. A recommendation is made to grant relief to the accountable officer. This recommendation is supported by the case documentation. A statement granting relief is part of the memorandum. Include a statement of how the loss will be resolved when relief is granted. See IRM Exhibit 3.0.167–15.
Note:
Accountability Periods before 9/30/99 the Accountable Officer was the Service Center Director. After 10/1/99 the Field Director, Submission Processing is the accountable Officer.
Mail to:
Internal Revenue Service
11601 Roosevelt Boulevard
Attention: Losses & Shortages Analyst
POD Central 1 DP N-111
Philadelphia, PA 19154 -
An electronic copy of the case listing is electronically mailed to the Losses and Shortages Analyst when the memorandum and case listing is mailed.
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The Disbursement Loss Relief Request Checklist is completed for each case. The checklist is part of the case file for all cases. See IRM Exhibit 3.0.167–13.
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When relief is granted (employee fraud) or administrative resolution is authorized the procedures in IRM 3.0.167.10.3 are followed to clear the ≡ ≡ ≡ ≡ ≡ ≡ .
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The Losses and Shortages Analyst, as required by Treasury Directive 32–04, maintains a central control record of administratively resolved cases. This information is used to prepare an annual report to the Commissioner for review. It is due to the Commissioner by November 15th. A copy of the report is sent to the Deputy Commissioner for Service and Enforcement, Commissioner, Small Business/Self Employed Division, Commissioner, Tax Exempt and Government Entities Division, Commissioner, Large and Mid-Size Division, Chief Financial Officer and TIGTA. The report is available for review by the Government Accountability Office (GAO) and Treasury audit and investigative personnel.
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Clearing the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ , Embezzlements, Thefts, Negligence , and Counterfeit Bills the amount of the loss is charged to the appropriation or fund available for the expenses of the accountable function at the time of the restoration or adjustment.
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The Headquarters Losses and Shortages Analyst will request the funds from the Beckley Finance Center.
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The Receipt Loss Coordinator contacts the Losses and Shortages Analyst ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ after the request if funds have not been transferred.
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The Beckley Finance Center will utilize the Intra-Government Payment and Collection System (IPAC) to send the credit to the appropriate Submission Processing Campus.
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Clear the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ , Unexplained Losses, when relief is granted. An adjustment is made to revenue receipts:
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Clear the ≡ ≡ ≡ ≡ ≡ ≡ , Deposit Discrepancies, when relief is granted. An adjustment is made to revenue receipts:
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≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ The Postal Service or other carrier is the agent of the sender, and funds in shipment remain in the "custody" of the accountable officer who shipped them until delivered, notwithstanding the fact that they are in the physical possession of the carrier. Thus, a loss in shipment is a physical loss for which an accountable officer is liable.
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When a deposit is not received by a depositary bank, it is the responsibility of the Submission Processing Campus to determine if a deposit in transit has been lost.
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The Government Losses in Shipment Act, 40 U.S.C. Section 17302, provides for reimbursement to federal agencies suffering loss, damage or destruction of valuables in transit to the consignee designated to receive their shipment.
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A Submission Processing Campus or Area Office receives notice or determines that a deposit was lost, destroyed or damaged in transit to the federal depository. The following procedures are followed, if the deposit contained ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ , a report by wire is transmitted to the Bureau of Public Debt followed by a written report.
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The report includes, date of shipment, location shipped from, amount and kind of valuables, depository name and address, name of carrier, method of transportation, bill of lading receipt number and cause of the loss, destruction or damage, if known.
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Submission Processing or Area Office immediately reports the loss, destruction or damage to their local Secret Service Office and TIGTA.
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A copy of the wire or report is used by the Accounting Operation as the authority to establish a control while the deposit is being reconstructed.
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The Secretary of the Treasury is authorized to replace lost, destroyed or damaged valuables, or their value, under GLISA. Claims for replacement for losses are sent through appropriate administrative channels to the Commissioner W&I.
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The request for replacement is accompanied by a copy of the report of the loss, proof of shipment, copy of the receipt, bill of lading or other record and proof of loss, destruction or damage including a statement of the circumstances and condition in which a shipment was received. Also needed are affidavits regarding the loss from the depository and carrier, statement and recommendation of the investigating officers, statement regarding all actions taken to recover the loss and a copy of depository and carrier contract, if available.
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Accounting must follow up with the depositary on any deposits not confirmed within ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ . A second contact will be made ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ .
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If the deposit is still unconfirmed ≡ ≡ ≡ ≡ after the second contact, the Accounting Operation managers will notify Supervisors; the Field Director, Submission Processing; Receipt and Control function, and the area office that an area office deposit is missing. TIGTA and the Director, Submission Processing W&I are also contacted.
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If the deposit is traced to the depositary via receipt of transmittal, the loss is the responsibility and liability of the bank. ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ is not debited. The W&I Staff will coordinate with the bank representatives to resolve. If necessary, Chief Counsel is contacted for assistance in receiving appropriate credit from the bank. Financial Management Service can provide assistance in problems arising with financial institutions. Financial Management Service has an automated system that assesses interest to the financial institution when the deposit ticket date differs from the current date. Therefore, IRS should verify that the financial institution is reporting the date correctly on the confirmed deposit tickets. IRS does not receive this payment of interest. This could also apply when resolving "routine" deposit discrepancies.
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If the deposit cannot be traced to the depositary bank, take the following recovery actions; credit the Revenue Receipt Accounts in the General Ledger for the amount of each missing SF215A and Debit the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ (Loss/Shortage) and request returns or payment documents from files. DLNs are determined from the Accounting Package. Returns pulled from files are timely released upon completion of research. While the returns are charged out, they are maintained in a searchable order so that other requesters can have access to the return information when necessary. In the event that some items are missing from these blocks, initiate special search procedures to locate them.
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Request MFTRA to determine account status. IMFOL/BMFOL is used to research account status also. Check IDRS for payments which did not post. This identifies rejected or unpostable items. Alert the Reject or Unpostable Areas on any items discovered. All credits post before they are moved to satisfy the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ .
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Prepare a list of taxpayers' names, DLNs, and the credits remitted that are reflected on each return or payment document. Balance the individual amounts on the list to the applicable Form 813 and the deposit tickets. Determine whether the remittances were made by check, money order, or cash.
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When it is determined that cash was tendered, contact the Director, Submission Processing W&I, do not debit the taxpayer's account for lost cash deposits.
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When the remittance is a cashier's check or money order, follow the indemnity agreement procedures to secure a replacement.
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When the remittance is a personal check, send a letter to each taxpayer explaining that their check was lost prior to deposit, the taxpayer should stop payment on the original check and reissue a new check. Furnish the taxpayer with a name, telephone number and mailing address of the person to contact for additional assistance.
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Freeze the taxpayer's account so that no notices or refunds are sent. Replacement remittances should be deposited daily on a separate deposit ticket and the amounts of the deposit controlled.
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When taxpayers reduce their remittances for expenses incurred for the "stop payment" action, or if they claim reimbursement for these expenses, but have not reduced their remittances, the procedures for Reimbursement of Bank Charges is followed.
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Replacement checks may become dishonored because of the "stop payment" action. Contact the taxpayer by phone, or by letter and request that the bank be advised to remove the "stop payment" on the replacement check. Hold the dishonored checks ≡ ≡ ≡ ≡ ≡ ≡ if contact is by phone, or ≡ ≡ ≡ ≡ ≡ ≡ if contact is by letter and redeposit.
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If a replacement check is not received within ≡ ≡ ≡ ≡ ≡ ≡ of the date of the first letter, or if it is dishonored for other than "stop payment" , debit the taxpayer's account and remove freezes etc. to allow issuance of a balance due notice.
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Because of the possibility of litigation or future correspondence, each taxpayer involved should have a folder prepared to receive all information pertaining to their account. These will be retained ≡ ≡ ≡ ≡ ≡ and disposed of according to the Records Disposition Handbook.
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If an accounting package is lost, an exhaustive search of the Submission Processing Campus or Area Office, as appropriate, will be conducted. If the package is not found, it will be reconstructed from the documents, by contact with the area office and with the bank, as necessary and appropriate.
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If a loss in shipment occurs, the agency should first explore the possibility of filing a claim under the GLISA and should consider requesting relief only if this fails. Denial of a claim under GLISA will cause deeper inquiry upon request for relief since it suggests the possibility that someone at the point of shipment may have been negligent, but it will not automatically preclude the granting of relief.
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If Submission Processing or an Area Office receives notice or determines that a deposit is lost, destroyed or damaged in transit to their depositary and the deposit contains ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ , a report by wire is sent to the Bureau of Public Debt followed by written report. The report includes date of shipment, amount and kind of valuables lost, destroyed or damaged, name and address of the consignee, method of transportation, name of carrier and location from which shipped. Also, provide the registry or receipt number of the carrier bill of lading and cause of the loss, destruction or damage.
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Submission Processing or an Area Office must immediately report the loss, destruction or damage to their local Secret Service Office and TIGTA.
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A copy of the wire or report is used by Submission Processing as the authority to establish a control while the deposit is being reconstructed.
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A claim under GLISA is sent to the Director, Submission Processing W&I. The request for replacement should be accompanied by a copy of the original loss report, proof of shipment, copy of the receipt, bill of lading or other record and proof of loss, destruction or damage. Include a statement of the shipment's condition when received, where applicable how the contents were inspected and verified, and affidavits regarding the loss from the consignee and carrier. A statement and recommendation of the investigating officers. A statement regarding all actions taken to recover the loss. Copy of depositary and carrier contract, if available.
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The Government Losses in Shipment Act (GLISA), 40 U.S.C. §17306, authorizes the issuance of indemnity agreements by the Bureau of Public Debt (BPD) to replace negotiable securities or instruments, such as cashier's checks, money orders, Treasury Bonds, etc. where the taxpayer has actually paid the money. Indemnity agreements are not provided for personal checks.
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Replacement for the loss should be obtained without an indemnity agreement when possible. Many taxpayers use postal money orders which can be traced and a replacement can be obtained by completing Postal Form PS 6401. A replacement is issued within ≡ ≡ ≡ ≡ ≡ ≡ without an indemnity agreement.
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Commercial Banks are requesting signatures on indemnity for cashier checks. These requests are sent for a replacement cashier's check that IRS never received or was lost by IRS. The bank will not issue a replacement check until an indemnity agreement is issued by BPD.
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Responsibility for controlling and working indemnity agreements is in the Accounting Operation Submission Processing, Taxpayer Advocate Service or Area Office, Technical Services.
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The following actions are necessary before submitting an indemnity agreement to Headquarters for approval.
Note:
≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
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Notify the taxpayer that it will take 60 to 90 days to process an indemnity agreement.
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Control the case, input TC 470 with no closing code and monitor the account until it is properly credited.
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Once a formal request for an indemnity is received from the bank the request should be submitted to the Losses and Shortages Analyst at:
Internal Revenue Service
11601 Roosevelt Boulevard
Attention: Losses and Shortages Analyst
POD Central 1 DP N-111
Philadelphia, PA 19154 -
The memorandum requesting an indemnity agreement must be signed by the Field Director, Submission Processing, Taxpayer Advocate Service or Area Office Director and contain the following information:
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Taxpayer name and Taxpayer Identification Number (TIN).
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Date the instrument was issued.
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Amount of the instrument.
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The financial institution name and address.
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Address where to mail the replacement case.
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Attachments to the request must contain:
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The efforts to obtain a replacement.
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Written request for an indemnity agreement from the financial institution.
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A copy of the negotiable security or instrument.
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The replacement check must be issued payable to the United States Treasury. Under no circumstance will it be reissued payable to the taxpayer.
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The Field Director, Submission Processing is authorized to sign for unclaimed funds that were made payable to the Internal Revenue Service, or entity such as IRS, that were intended for their accounting jurisdiction.
Note:
This will reduce the number of Indemnity Agreements needed to recover unclaimed funds.
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The Field Director, Submission Processing is authorized to sign the necessary documents to recover seized money/assets that was paid, collected or disbursed under Internal Revenue Laws.
Note:
≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
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In accordance with the GAO's Accounting Principles and Standards http://www.gao.gov/special.pubs/ppm.html, accountable officers are required to render complete accounting documentation covering the full extent of their financial accountability, as of the last day as the accountable officer for their jurisdiction.
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Documentation must be maintained in the Submission Processing Campus GAO Site Audit File. Exhibit 3.0.167-17 provides a checklist to assist in the preparation of an action plan for the transfer of accountability. This checklist is only a guide and must be modified to fit needs.
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Delegation Order 29, IRM 1.2.40.27, delegates to Field Directors, Submission Processing the authority to certify and approve as accountable officers Internal Revenue Collections.
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Deposit Tickets prepared by Submission Processing Campuses and Lockbox Banks use the Agency Locator Code for the campus. Field Directors are accountable for all tax collections received within their accounting jurisdiction. They are accountable for Losses and Shortages of collections, Federal Tax Deposits, Treasury Bond Deposits, as well as debit vouchers and assets seized in lieu of tax payments.
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Area offices are responsible for providing information on Losses and Shortages, Seized/Acquired Property and Collateral Held to Submission Processing to ensure that proper accountability is maintained.
Note:
Seized/Acquired Property and Collateral is centralized in the Ogden accounting jurisdiction.
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Offices are required to report losses and/or shortages to the Accounting function by memorandum.
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Area offices receive a monthly copy of the District Office Inventory Summary Report which accounts for the balance of Seized Property, Acquired Property and Collateral Held. The report is used to confirm or reconcile any differences.
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Semiannual District Office Detail Report supports the District Office Inventory Summary Report. A two way memo is sent to each office requesting confirmation of the inventory or a list of any discrepancies.
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The financial accountability requires the physical presence of the Field Director, Submission Processing. Prudent financial management requires a person designated as the accountable officer if the Director is on detail or extended leave in excess of sixty (60) days.
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Transfer of accountability does not apply to an employee "acting" as a director when appointed to act by the director while he/she is absent for a short period of time.
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Transfer of accountability does apply to an employee who is appointed as "Interim" Field Director by the Director, Submission Processing. An "Interim" Field Director is appointed until a permanent Field Director is named.
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-
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If the transfer of accountability coincides with the end of the month, the IRACS month-end processing will be completed. The SF 224 for the departing director will be marked "FINAL" . The SF 224 submitted the following month under the accountability of the new director will be marked "FIRST" .
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If the transfer of accountability does not occur at the end of the month, closeout procedures must be completed for the date of closeout. Generate the SF 224 but do not transmit to Financial Management Services. Include the SF 224 in the accountability package. IRACS cumulates the SF 224 so these figures will be included in the end of month SF 224 sent to FMS.
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A representative is designated to ensure that the procedures necessary to transfer accountability are followed and documented.
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Support Services must change vault/safe combinations the outgoing director had access to, replace form letters bearing the outgoing directors name, change signature stamps and review Delegation of Authority Orders.
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Accounting Branch must ensure all debits and credits are journalized under the correct directors accountability.
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These instructions provide the minimum requirements and general guidelines for Accounting.
Note:
The checklist, Exhibit 3.0.167–17 is intended as a guideline and should be modified to each individual campus needs in the development of their action plan (part of the Accountability Package).
Note:
The action plan must contain the specific action taken and the date completed.
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Notify the Director, Submission Processing W&I and the appropriate field offices of any emergency situation or existing condition which could jeopardize an orderly transfer of accountability. Resolve the conditions hindering the transfer process as soon as possible.
-
Notify the appropriate field offices and the Submission Processing Campus Receipt and Control function of the name and phone number of the Accounting Contact Person.
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Review Delegation of Authority Orders to ensure the proper title of the position is reflected.
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All Deposit Tickets and Debit Vouchers dated through the date of transfer must be input to IRACS. Use CASHLINK as a tool to secure and resolve any outstanding Deposit Tickets and to journalize all outstanding Debit Vouchers to the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ .
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Include all collections received through the transfer date under the outgoing Director. Input to ≡ ≡ ≡ ≡ ≡ ≡ ≡ , memo copies of Deposit Tickets (DT) marked "Undeposited Collections" to cover tax payments received on the transfer date but not submitted to the depositary that day. Prepare a list and make copies of all undeposited collection deposit tickets.
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Reflect Undeposited Collections under the outgoing Director. Input these deposits, not FTDs, to ≡ ≡ ≡ ≡ ≡ ≡ ≡ , so that the General Ledger Trial Balance (secured at the end of the transfer date) reflects these items. Upon deposit of these collections, transfer to revenue receipts. The outgoing Director is responsible for these collections although they are deposited under the incoming Director.
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FTDs that have a deposit date through the last day of the outgoing Director's accountability will be input to IRACS and a Daily Wire Report sent to the Department of Treasury as required. All FTD adjustments dated through the last day should be confirmed.
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Reconcile the totals of the District Office Inventory Detail Report and Loss/Shortage Report with the totals in the related general ledger accounts. Accelerate posting of all transactions for these accounts. Outstanding losses and shortages must be separated according to the Director accountable for them.
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Verify the District Office Inventory Detail Report and Loss/Shortage Report with the area field office and accounting records. Control and transmit copies of these reports to the appropriate offices with sufficient time for their review and concurrence with the listing as of the date of transfer. Copies of these listings must be signed by responsible officials and included in the accountability package maintained in the GAO Site Audit File.
-
Change the Director's name on IRACS.
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Dishonored Check debit vouchers must be added to the ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ daily. All debit vouchers that are added must be dated prior to or on the transfer date and must be journalized.
-
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≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ must be balanced before the end of the month of the date of transfer and included on Form 3997 even if it is not at the end of a quarter.
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After assuring that all transactions have been posted to IRACS, prepare an Accountability Package. This package must include information for both outgoing and incoming Directors. The following documents are required for the package:
Note:
The format of this package is an 81/2 X 11 binder titled ____Campus Transfer of Accountability, ____(name outgoing Director), ____(name of incoming Director), date of transfer.
-
General Ledger Trial Balance secured from IRACS as of the transfer date.
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A listing of amounts included in ≡ ≡ ≡ ≡ ≡ ≡ ≡ as deposited on the transfer date. Include copies of the Deposit Tickets after the deposit is made.
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District Office Inventory Detail Report reconciled and verified as of the date of transfer.
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Loss/Shortage Report reconciled and verified as of the date of transfer.
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A month-end Revenue Receipts Summary (Form 3996) for the month in which the transfer of accountability occurred.
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Reconciliation of General Ledger Accounts (Form 3997) for the month in which the accountability transfer occurred.
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Statement of Transactions (SF 224) for the month in which the accountability transfer occurred.
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Final action plan
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Copy of the FTD Daily Wire Report for the transfer date.
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Copy of the "Record of Contents of Safes/Vaults" spreadsheet. (This can be obtained from the SP Planning and Analysis Staff)
-
-
Prepare a memorandum from both Field Directors to the Director, Submission Processing W&I with a statement that both officials have reviewed their records of accountability. Provide a concurrence line for both officials' signatures on the memorandum. A copy of the documents in the accountability package will be provided to either official if requested.
-
A complete original accountability package will be maintained in the GAO Site Audit File.
-
Prepare a copy of the accountability package for the Director, Submission Processing W&I.
Mail to:
Internal Revenue Service
11601 Roosevelt Boulevard
Attention: Losses & Shortages Analyst
POD Central 1 DP N-111
Philadelphia, PA 19154
-
Public support, understanding and cooperation are vital to the successful administration of our self-assessment tax system. Certain public ceremonies tend to promote our objectives. The incoming Director will discuss ceremonial options with the Commissioner W&I.
-
Informal induction may be limited to an informal meeting with the Division Commissioner swearing in the new appointee. Generally, the audience will be made up of the local staff with possible attendance of heads of professional groups. News coverage would be limited to distribution of a prepared news release. However, the extent of planned coverage will be on a case by case basis.
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Develop a proposed general schedule of events and coordinate with the incoming Director and the Division Commissioner.
-
Prepare an announcement for employees. Coordinate with the incoming Director and secure a recent photograph for the announcement.
-
Prepare a news release announcing the ceremony and arrange for photographers if they are part of the news release.
-
Develop a list of individuals who will be invited to the ceremony and/or reception.
-
If guests from outside the Service are invited, obtain the Director's approval of the list and invitations.
-
Arrange for space in which the oath of office is to be administered.
-
Arrange for space and supplies for a reception if one is held.
-
Develop a list of individuals the Director should meet.
-
Finalize schedule of events, identify specific dates and actions and obtain approval from the Director.
-
Distribute announcement to employees. Include a schedule for the reception if all employees are invited.
-
Distribute news release on the appropriate date.
-
Notify Service personal who will attend the ceremony of the time and place. Issue invitations to non-Service persons.
-
-
Formal induction includes a formal swearing in by a Federal Judge in a courtroom setting. An appropriate guest list and media coverage are necessary.
-
Make initial contact with the Clerk of the Court to determine availability of Judges and courtrooms. Additionally, determine the courtroom seating capacity, restrictions on media coverage, parking facilities, lead time required for arrangement of courtroom facilities. If possible, schedule a tentative date for the Director and Judge to meet.
-
The Director should meet with the Clerk of the Court and the Judge who will administer the oath and agree upon the specific date and time for the ceremony and publicity photographs.
Note:
Photography is usually not permitted in District Courtrooms; the swearing–in ceremony may be reenacted for photographers in the Judges chambers, or the Judge and Director may be pictured signing the Standard Form 61.
-
The Director and the Judge need to have an agreement on recognizing distinguished guests.
-
Arrange for the planning of the program if one is to be distributed at the ceremony. Contents should be confined to identification of the participants, text of the oath of office and a brief schedule of events.
-
| DIRECTORS ACCOUNTABILITY PERIODS |
|
|---|---|
| ANDOVER | |
| THOMAS M. QUINN | 09/01/85 - 07/31/99 |
| CAROL STENDER-LARKIN | 08/01/99 - 06/30/05 |
| KATHLEEN BUSHNELL | 07/01/05 - 01/22/06 |
| NANCY AIELLO | 01/23/06 - 05/31/07 |
| AMY STANTON | 06/01/07 - 10/08/07 |
| NANCY AIELLO | 10/09/07 - PRESENT |
| ATLANTA | |
| MICHAEL R. ALLEN | 01/17/88 - 05/28/94 |
| BEVERLY A. STOWELL | 05/29/94 -12/31/96 |
| RICHARD W. MARSH | 01/01/97 - 07/04/98 |
| RON WATSON | 07/05/98 - 08/31/98 |
| CHARLES WASHINGTON | 09/01/98 - 07/31/99 |
| TERRY O'BRIEN | 08/01/99 - 01/02/04 |
| RICK SEABORN | 01/03/04 - 01/22/04 |
| JAMES GAITHER | 01/23/04 - 08/31/06 |
| FREDERICK HODGE | 09/01/06 - PRESENT |
| AUSTIN | |
| LARRY G. WESTFALL | 10/01/85 - 05/31/91 |
| CHARLES PEOPLES | 06/01/91 - 03/03/97 |
| JERALD H. HESCHEL | 03/04/97 - 05/31/97 |
| GWEN KRAUSS | 06/01/97 - 08/02/97 |
| THOMAS H. DEGA | 08/03/97 - 09/30/98 |
| GWEN KRAUSS | 10/01/98 - 01/02/99 |
| ESTELLE R. TUNLEY | 01/03/99 - 10/20/00 |
| REGINALD B. MCFADDEN | 10/21/00 - 11/30/02 |
| STACY WILLIAMS | 12/01/02 - 03/31/03 |
| DAVID BOOSE | 04/01/03 - 12/31/06 |
| KATHLEEN BUSHNELL | 01/01/07 - PRESENT |
| BROOKHAVEN | |
| BOB G. HUGHES | 01/08/84 - 10/03/93 |
| CAROL LANDY | 10/04/93 - 09/30/99 |
| JAMES GAITHER | 10/01/99 - 11/30/03 |
| CINCINNATI | |
| FREDERIC P. WILLIAMS | 02/27/87 - 07/16/93 |
| DON WILLIAMS | 07/17/93 - 09/13/93 |
| JOHN RESSLER | 09/14/93 - 08/02/97 |
| JIMMY L. SMITH | 08/03/97 - 09/30/98 |
| WAYNE HICKS | 10/01/98 - 02/28/02 |
| MARILYN A. SOULSBURG | 03/01/02 - 09/27/02 |
| RICHARD GOINS | 09/28/02 - 01/05/03 |
| PEGGY BOGADI | 01/06/03 - 10/01/05 |
| RICHARD GOINS | 10/02/05 - 10/31/05 |
| SUSAN HANSEN | 11/01/05 - PRESENT |
| FRESNO | |
| THERON POLIVKA | 12/16/79 - 05/03/95 |
| PAUL CORDOVA | 05/04/95 - 08/04/95 |
| ROBERT E. WENZEL | 08/05/95 - 02/28/98 |
| WAYNE HICKS | 03/01/98 - 04/11/98 |
| RONDA HON | 04/12/98 - 09/30/99 |
| JIM GRIMES | 10/01/99 - 09/30/00 |
| ELLEN B. MOORADIAN | 10/01/00 - 05/31/02 |
| BONNIE LEWIS | 06/01/02 - 09/30/02 |
| ELLEN B. MOORADIAN | 10/01/02 - 08/31/06 |
| JAMES GAITHER | 09/01/06 - PRESENT |
| KANSAS CITY | |
| EVERTTE LOURY | 03/14/86 - 05/19/93 |
| JAMES VINER | 05/20/93 - 07/08/93 |
| LADD ELLIS JR. | 07/09/93 - 01/31/98 |
| BARBARA OLBERDING | 02/01/98 - 05/31/00 |
| PENNY SLAUGHTER | 06/01/00 - 10/14/00 |
| DIANE H. WHITBY | 10/15/00 - 03/31/01 |
| RICK SEABORN | 04/01/01 - 09/28/01 |
| DIANE H. WHITBY | 09/29/01 - 12/31/03 |
| FREDERICK HODGE | 01/01/04 - 08/31/06 |
| LACINDA BOWMAN | 09/01/06 - 12/31/06 |
| PAMELA WALKER | 01/01/07 - 10/14/07 |
| JOHNNY WITT | 10/15/07 - 01/01/08 |
| ROBIN CANADY | 01/02/08 - 10/28/08 |
| JEFFREY COOPER | 10/29/08 - PRESENT |
| MEMPHIS | |
| RAYMOND P. KEENAN | 01/08/84 - 06/17/89 |
| RICHARD W. MARSH | 06/18/89 - 12/31/96 |
| CHARLES WASHINGTON, JR. | 01/01/97 - 04/18/97 |
| THOMAS H. DEGA | 04/19/97 - 05/31/97 |
| ESTELLE R. TUNLEY | 06/01/97 - 07/19/97 |
| JERALD H. HESCHEL | 07/20/97 - 09/21/00 |
| BRENDA ROBINSON | 09/22/00 - 01/15/01 |
| HUGH DAVIS JR. | 01/16/01 - 08/31/05 |
| OGDEN | |
| ROBERT E. WENZEL | 06/01/86 - 02/29/92 |
| MIKE BIGELOW | 03/01/92 - 09/02/95 |
| DEBORAH S. DECKER | 09/03/95 - 09/30/99 |
| RICH CREAMER | 10/01/99 - 10/31/00 |
| LINDA WEISKOPF | 11/01/00 - 06/03/04 |
| KEITH HARRIS | 06/04/04 - 09/30/04 |
| JERALD HESCHEL | 10/01/04 - 09/27/08 |
| PAUL MAMO | 09/28/08 - PRESENT |
| PHILADELPHIA | |
| JOSEPH H. CLOONAN | 05/01/85 - 09/30/99 |
| CHRIS EGGER | 10/01/99 - 03/31/07 |
| SHARON BLOUNT | 04/01/07 - 05/31/07 |
| NANCY AIELLO | 06/01/07 - 08/31/07 |
| Director Submission Processing W&I |
| Field Director Submission Processing________ |
| Preliminary Report—Embezzlement Case #___ |
| This is a preliminary report from the ________Submission Processing Campus reporting a loss of revenue receipts. This loss totals $___ and was incurred due to an embezzlement by a former employee. TIGTA is still conducting an investigation. |
| This loss is being forwarded to your office as required by IRM 3.0.167. It is a notification of an irregularity in the account of an Accountable Officer. A supplemental report will be submitted if the former employee makes restitution. If the amount is later deemed to be uncollectible, a request for relief will be submitted for ________, the Accountable Officer. |
| If there are any questions, please have a member of your staff may contact ________at ________. |
| Attachments |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ | |
| ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______________≡ ≡ ≡ ______________≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ | |
| Field Director, Submission Processing 123 Street Anywhere, U.S.A. 12345 |
|
| IRC 7804(c) SSN: Type of Tax: Tax Period: Date of Notice Person to Contact: Telephone Number: Amount Due: |
|
| Dear | |
| This letter constitutes notice and demand for payment in accordance with Internal Revenue Code Section 7804(c). We hereby demand that you pay the above amount within 10 days of the date of this notice to avoid assessment and collection action as provided in section 7804(c). Interest has been computed from the date of the embezzlement (or negligence). | |
| Internal Revenue Code Section 7804(c) provides: | |
| (c) DELINQUENT INTERNAL REVENUE OFFICERS AND EMPLOYEE. — If any officer or employee of the Treasury Department acting in connection with the internal revenue laws fails to account for and pay over any amount of money or property collected or received by him in connection with the internal revenue laws, the Secretary shall issue notice and demand to such officer or employee for payment of the amount which he failed to account for and pay over, and upon failure to pay the amount demanded within the time specified in such notice, the amount so demanded shall be deemed imposed upon such officer or employee and assessed upon the date of such notice and demand, and the provisions of chapter 64 and all other provisions of law relating to the collection of assessed taxes shall be applicable in respect of such amount. | |
| If you wish to appeal this determination, you must first pay the liability and file a claim for refund. If you are not satisfied with the administrative disposition of your claim for refund, your recourse is to file a refund suit with the appropriate federal district court. | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________≡ ≡ _____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| Director, Submission Processing W&I |
| Field Director, Submission Processing_______________ Campus |
| Supplemental Report of Embezzlement Restitution |
| A preliminary report of embezzlement was submitted ________. |
| The embezzlement was committed by _______________. |
| The losses have been fully resolved through a combination of repayments and income tax refund offsets. |
| Copies of the preliminary report are attached for your reference. If there are any questions, a member of your staff may contact _______________at _______________. |
| Attachments |
≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___≡ ≡ ≡ _≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ __≡ ≡ ≡ _≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ______≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________________________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
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| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _≡ __≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
≡ ≡ ≡ ≡ ____≡ ≡ ≡ ____≡ ≡ ≡ _≡ ≡ ≡ __≡ ≡ ≡ ≡ ≡ __________________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________ |
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| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____ |
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| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
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| ≡ ≡ ≡ ≡ _____________________≡ ≡ ≡ ______ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
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| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____ |
| ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ __≡ _≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ______≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________________________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡
≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
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| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _≡ __≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡
≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ _≡ __≡ ≡ __________________≡ ≡ ≡ ≡ __________ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________ |
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| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ _____________________≡ ≡ ≡ ______ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| Losses and Shortages | ||
| Documentation Check Sheet | ||
| 1. Deposit Discrepancies | ||
| — | Summary of Loss | |
| — | Transcript of Taxpayer's Account | |
| — | Form 813 | |
| — | Deposit Ticket | |
| — | Debit Voucher | |
| — | Taxpayer's Bank Statement | |
| — | Copy of Taxpayer's Check (front/back) | |
| — | Letters to/from Depository | |
| — | Letters to/from Drawee Bank | |
| — | Counsel's Recommendation ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| — | Correct Accountable Officer | |
| 2. Receipt Loss | ||
| — | Summary/Explanation of Loss | |
| — | Transcript of Injured Taxpayer's Account(s) | |
| — | 7804(c) Assessment | |
| — | Withholding of pay/leave/retirement | |
| — | Tax Refund Offset | |
| — | Court Sentence | |
| — | Restitution Ordered | |
| — | Amount Recovered | |
| — | TIGTA Report | |
| — | Preliminary Report | |
| — | Copy of Internal Controls | |
| — | Internal Control Weakness | |
| — | Reason Account is Uncollectible | |
| — | Correct Accountable Officer | |
| Case Number ________ Preparers Signature _________________Date______ |
||
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ | _________ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______ |
| ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ____≡ ≡ __≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ | ___________ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______ |
| ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ __________≡ ≡ _______ | |
| _________________≡ ≡ ≡ ≡ ≡ ________ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| __________________≡ ≡ ≡ ≡ ≡ ____ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ | ___________ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ __________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ___≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ __________≡ ≡ _______≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ | |
| __________________≡ ≡ ≡ _______ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______ | |
| ≡ ≡ ≡ ≡ ≡ ≡ | |
| MEMORANDUM FOR Director, Submission Processing W&I | |
| FROM: | ___________ |
| Field Director, Submission Processing ________ | |
| SUBJECT: | Administrative Resolution of Erroneous Refund Losses |
| The Director, Submission Processing W&I is authorized to administratively resolve erroneous refund losses. Attached are the January 2006 losses. |
| If there are any questions, please have a member of your staff may contact ______at ___________. |
| I certify that none of the cases involve employee fraud. |
| __________________ Date _______ |
| Field Director, Submission Processing______ |
| Attachments |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ||||
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ||||
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ | _______ | ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ | _______ | ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ | _______ | ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ | _______ | ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ||||
| ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ | ||
| I certify that the irregularity in the account of (Accountable Director name(s)) ______________________are administratively resolved and approve the write off of losses to the 6920 Account, Disbursement Write-Off. |
| ______________________ Date _____ |
| Director, Submission Processing W&I |
| DISBURSEMENT LOSS RELIEF REQUEST | ||
|---|---|---|
| CHECKLIST | ||
| Complete this check list for all disbursement losses. Initial each item or enter "N/A" if not applicable. This is part of the case file | ||
| — | Erroneous refund is from this campus. | |
| — | Correct collection action was taken or statute expired before case was identified. | |
| — | Correct Director is identified. | |
| — | Correct case cause is identified and matches History Sheet. | |
| — | Relief amount matches TC 700 amount. | |
| — | Completed History Sheet. | |
| — | Copy of all taxpayer contacts | |
| — | Copy of manual refund document | |
| — | Transcript of loss year and ENMOD with these items identified by highlighting: | |
| — | erroneous refund. | |
| — | correct TC 700 | |
| — | TC 840 and notation "moved in" | |
| — | Case file is complete. | |
| — | There is no duplication in the case file. | |
| Signature _________ | Date ____ | |
| Director, Submission Processing W&I |
| Field Director, Submission Processing _______________ |
| Preliminary Report—Case # ____ |
| This is a preliminary report from the ____Submission Processing reporting a disbursement loss. The loss totals $____ and was incurred due to. |
| This loss is being forwarded to your office as required by IRM 3.0.167. It is a notification of an irregularity in the account of an Accountable Officer. If the amount is later deemed to be uncollectible, a request for relief will be submitted for ________the Accountable Officer. |
| If there are any questions, a member of your staff may contact ____at ________. |
| ____Field Director, Submission Processing ________ |
| Attachments |
| TO: Director, Submission Processing W&I |
| FROM: Field Director, Submission Processing_______________ |
| SUBJECT: Supplemental Report of Employee Fraud |
| A preliminary report of fraud was submitted ____. The refund fraud was committed by ________. The losses have been fully resolved through a combination of repayments and income tax refund offsets |
| Copies of the preliminary report are attached for your reference. If there are any questions, a member of your staff may contact _______________at _______________. |
| Attachments |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____ |
| ≡ ≡ ≡ ≡ ≡ | ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___≡ ≡ ≡ ≡ _≡ ≡ ≡ _______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _≡ ≡ ≡ ≡ _≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ___≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ____≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _______≡ ≡ ≡ ______ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ______≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _≡ ≡ __≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ________≡ ≡ ≡ ≡ ≡ ≡ _≡ ≡ ≡ __≡ | |
| __________________≡ ≡ ≡ ≡ ≡ ≡ _____ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ _____≡ ≡ ≡ ≡ ≡ ≡ | |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| ≡ ≡ ≡ ≡ ≡ ____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ __________≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| __________________≡ ≡ ≡ ≡ ≡ _____ |
| ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ |
| Department of the Treasury Internal Revenue Service PO Box 1234 Cincinnati, OH 45201 |
Date: MM/DD/YYYY Reply to: 021180xxxx Contact : Mary Smith Telephone: 859-669-9999 Fax :859–669–8888 |
| Name of Bank Attention: Address City, State Zip |
|
| To Whom It May Concern: | |
| Please refer to the attached photocopy of a paid check described below: | |
Account Number: xxxxxx Payee: IRS Check Number: xxxx |
Maker: Amount: $ Date Drawn: MM/DD/YYYY |
| We have found this check was processed as a _____during processing. Because of this error we did not receive credit from the Federal Reserve Bank and the taxpayer has not been credited. | |
| Since the Federal Reserve Bank is unable to research their records for checks over one year old, your help in establishing credit for this check is needed. Please review your records for the following information concerning this transaction: date of payment, cash letter, tape total and position (including sequence number). | |
| If you received the check without charge, please forward your authorization for payment to Federal Reserve Bank of _____(include complete address). A copy of this letter must be attached to the authorization in order to assure proper resolution. If you can not furnish authorization to FRB, forward a cashier check made payable to the Internal Revenue Service at the above address. | |
| Thank you for your help in properly crediting your customer's tax account. | |
| Sincerely, | |
| Manager, Accounting Control Services Operation | |
| Action Item | Assigned to | Completed (initial/date) |
| 1. Identify coordinators under your accounting Jurisdiction. | Assigned to | Completed (initial/date) |
| 2. Complete Record of Contents of Safes/Vaults Spreadsheet | Assigned to | Completed (initial/date) |
| 3. Change vault/safe combination. | Assigned to | Completed (initial/date) |
| 4. Review and update list of employees with vault combination. | Assigned to | Completed (initial/date) |
| 5. Order signature stamp with new Director's name. | Assigned to | Completed (initial/date) |
| 6. Dispose of stamps bearing name/signature of outgoing Director. | Assigned to | Completed (initial/date) |
| 7. Dispose of form letters bearing outgoing Director's signature. | Assigned to | Completed (initial/date) |
| 8. Change name on system, notices, and letters from outgoing Director to the incoming Director. | Assigned to | Completed (initial/date) |
| 9. Verify that systems, notices and letters have the correct Director's name and signature. | Assigned to | Completed (initial/date) |
| 10. Review and revise Delegations of Authority. | Assigned to | Completed (initial/date) |
| 11. FTD- All FTD adjustment DTs and DVs must be confirmed through the transfer date. Verify through CASHLINK and contact FRB if necessary. Process DAY and SUB DAY report for transfer date in normal manner. Include a copy of the daily wire for the transfer date in the Accountability Package. | Assigned to | Completed (initial/date) |
| 12. Payments, not FTDs, received on the transfer date not included in the regular deposit will have separate deposit tickets prepared and marked "UNDEPOSITED COLLECTIONS" , the undeposited DT's are included in the package. | Assigned to | Completed (initial/date) |
| 13. Dishonored Checks-Inform Dishonored Check Unit the last date for offset deposit tickets requests is one week prior to the transfer. Dishonored Check DV's are added to the ≡ ≡ ≡ ≡ ≡ ≡ ≡ . DCF-03 are balanced daily and IRACS journalizes under the correct accountability. | Assigned to | Completed (initial/date) |
| 14. District Office Inventory (DOI)- Advance verification and reconciliation. Final DOI certified and included in the package. (Ogden Only) | Assigned to | Completed (initial/date) |
| 15. Losses and Shortages- Contact the Remittance Security Coordinator for any new cases affecting accountability. | Assigned to | Completed (initial/date) |
| 16. CASHLINK- Verify all DTs and DVs dated on or prior to the transfer date are journaled. Resolve outstanding deposit tickets. Journal outstanding DVs to ≡ ≡ ≡ ≡ ≡ ≡ ≡ . | Assigned to | Completed (initial/date) |
| 17. Include General Ledger trial balance in the package. | Assigned to | Completed (initial/date) |
| 18. Month end balance for date of transfer for ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ ≡ . Include 3997 report for the transfer date. | Assigned to | Completed (initial/date) |
| 19. Prepare Accountability Package as instructed in IRM 3.0.167. Original in GAO Site Audit file copies to both Directors, Campus Accounting and Director, Submission Processing W&I | Assigned to | Completed (initial/date) |
| 20. Prepare a memorandum from both Directors to the Director, Submission Processing W&I stating that both have reviewed their records of accountability and concur with the results. | Assigned to | Completed (initial/date) |







