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SECTION 10 VENDORS EXHIBIT 10C IRS RELEASE OF LEVY Form 668-D Rev. December Department of the Treasury - Internal Revenue Service Release of Levy/Release of Property from Levy To Taxpayer s John Smith DBA The Business Co. 123 Main St* Juneau AK 99801 State of Alaska Department of Administration Identifying Number s 12-3456789 987-65-4321 PO Box 110200 A notice of levy was served on you and demand was made for the surrender of all property rights to property money credits and bank deposits of the taxpayer s named above except as provided in 6332 c of the Internal Revenue Code-- Special Rule For Banks. See Page 2 regarding this exception* wages salary and other income now owed to or becoming payable to the taxpayer s named above. The box checked below applies to the levy we served on you. Under the provisions of Internal Revenue Code section 6343 all property rights to property money credits and bank deposits of the taxpayer s named above are released from the levy. becoming payable to the taxpayer s named above are released from the levy. Release of Property from Levy this amount. greater than less than are released from the levy. The levy now attaches only to The last payment we received from you was dated. The amount the taxpayer still owes is. When this amount is paid to the Internal Revenue Service the levy is released* If you sent us a payment after the last payment date shown subtract that from the amount you send now. less than each levy. now owed to or becoming payable to the taxpayer s named above are released from the Dated at Place Signature Date Telephone Number Title Revenue Officer Part 1 - To Addressee Form 668-D DO/CG Rev* 12-2001 Accounting Procedures Manual Financial Transactions 01/04 Revised 01/04. 123 Main St* Juneau AK 99801 State of Alaska Department of Administration Identifying Number s 12-3456789 987-65-4321 PO Box 110200 A notice of levy was served on you and demand was made for the surrender of all property rights to property money credits and bank deposits of the taxpayer s named above except as provided in 6332 c of the Internal Revenue Code-- Special Rule For Banks. See Page 2 regarding this exception* wages salary and other income now owed to or becoming payable to the taxpayer s named above. See Page 2 regarding this exception* wages salary and other income now owed to or becoming payable to the taxpayer s named above. The box checked below applies to the levy we served on you. Under the provisions of Internal Revenue Code section 6343 all property rights to property money credits and bank deposits of the taxpayer s named above are released from the levy. The box checked below applies to the levy we served on you. Under the provisions of Internal Revenue Code section 6343 all property rights to property money credits and bank deposits of the taxpayer s named above are released from the levy. becoming payable to the taxpayer s named above are released from the levy. Release of Property from Levy this amount. becoming payable to the taxpayer s named above are released from the levy. Release of Property from Levy this amount. greater than less than are released from the levy. The levy now attaches only to The last payment we received from you was dated.

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