Form 4840 NMF Fourth Notice to the TaxpayerNMF fourth notice of balance due to the taxpayer. This is the notice of intent to levy. The notice consists of the following:Notice DateSSN/EINTaxpayer NameStreet AddressCity, State and Zip CodeURGENT The body of the notice reads as follows:We intend to levy on certain assets. Please respond NOW. (To avoid additional late payment penalty and interest, pay your overdue liability now.) Our records indicate that you haven't paid the amount you owe. The law requires that you pay your tax at the time you file your return. This is your notice, as required by IRC 6331(d), of our intent to levy (take) any State Tax refunds you may be entitled to if we don't receive your payment in full. In addition, we will begin to search for other assets we may levy. We can also file a Notice of Federal Tax Lien, if we haven't already done so. TO PREVENT COLLECTION ACTION, PLEASE PAY THE CURRENT BALANCE NOW. If you have already paid, can't pay, or have arranged for an installment agreement, it is important that you CALL US IMMEDIATELY at the telephone number shown below.Account Summary includes Tax Form, Tax Period and Amount DueFor assistance or information on your Penalty or Interest Computation call us at 1-833-972-8965.See enclosed Publication 594 that explains your rights and responsibilities as a taxpayer.The bottom portion of the notice is a payment stub and reads as follows: Please mail this part with your payment, payable to the United States TreasuryTo ensure proper crediting, write the following on your check: (Form/MFT/Tax Per/TIN) Reply to Internal Revenue ServiceThe bottom portion also includes the Notice Date, DLN, Amount Due, and Taxpayer's name and address.