Free Motion for Preliminary Injunction - District Court of California - California

Case 3:07-cv-02187-IEG-NLS

Document 18-6

Filed 01/11/2008

Page 1 of 8

United States

of America

Department of the Treasury Internal Revenue Service
Date:

Dec. 28, 2007

CERTIFICATE OF OFFICIAL RECORD

I certify that the annexed: is a true Form 4340, Certificate of Assessments, Payments and Other Specified Matters for Roosevelt Kyle, SSN: 3335, for Civil Penalty, for the tax period
ending December 3 J, J 983, consisting of three pages . dm___ ----.------ ------

under the custody of this office.

IN WITNESS WHEREOF. I have hereunto set my hand,
and caused the seal of this office to be affixed, on the day and year first above written.

~XAJ~
Supervisor Accounting Technician Ogden W&I Submission Processing SW Delegation Order J 98
89 Exhibit E Catalog Number 19002E

By direction of the Secretary of the Treasury:

Exhibit E

Form 2866 (Rev 09-1997)

- - - -- - - - - - - - - --- - - - - - - - - -- - --- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - --- - - - - ---

Case 3:07-cv-02187-IEG-NLS Document 18-6 Filed 01/11/2008 Page 2 of 8 CERTIFICATE OF ASSESSMENTS, PAYMENTS, AND OTHER SPECIFIED MATTERS

ROOSEVELT KYLE EIN/SSN:
TYPE OF TAX: CIVIL PENALTY

FORM: CVPN TAX PERIOD: DEC 1983
DATE

DATE (23C, RAC 006 ) - - - - - - - - - - - - - ----- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - --- - - - - --EXPLANATION OF TRANSACTION
CREDIT (REVERSAL)

ASSESSMENT, OTHER DEBITS (REVERSAL)

PAYMENT,

ASSESSMENT

QUICK ASSESSMENT IRC 6694 PENALTY UNDERSTATEMENT OF TAX BY PREPARER

600.00
08
o .00

04-06-1987

33251-096-13210-7
QU ICK ASSESSMENT 33251-096- 13210-7

04-06-1987 06-08-1987

08

INTEREST ASSESSED

9.39

19872108

04-01-1988 FEDERAL TAX LIEN
04-27-1988 FEDERAL TAX LIEN

04- 14- 1997 STATUTE EXPIRED -

609.39

CLEAR TO ZERO UNCOLLECTABLE AMOUNT OWED

$ 609.39-

02-05-2007 FEDERAL TAX LIEN RELEASED
04-06- 1987 Statutory Notice of Balance Due

06-08-1987 Statutory Notice of Balance Due
07-13-1987 Notice of Balance Due 08-17-1987 Notice of Balance Due
FORM 4340

(REV. 01-2002)

PAGE

1

90 Exhibit E

Case 3:07-cv-02187-IEG-NLS Document 18-6 Filed 01/11/2008 Page 3 of 8 CERTIFICATE OF ASSESSMENTS, PAYMENTS, AND OTHER SPECIFIED MATTERS
ROOSEVELT KYLE

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - -- - - - --

EIN/SSN:

TYPE OF TAX: CIVIL PENAL TV

FORM: CVPN TAX PERIOD: DEC 1983
DATE

DATE (23C, RAC 006 ) - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - - - - - - -- - - - - - -- - - - - - --- - - - - - - - - - -- - - - -EXPLANATION OF TRANSACTION

ASSESSMENT, OTHER DEB ITS

PAYMENT, CR EDIT

ASSESSMENT,

(REVERSAi)

(REVERSAi)

09-21-1987 Notice of Balance Due

10-19-1987 Statutory Notice of Intent to Levy

01-01-1990 Statutory Notice of Intent to Levy
FORM 4340

(REV. 01-2002)

PAGE

2

91 Exhibit E

- - -- - - -- - - - -- - - -- - - -- - -- -- - --- - -- - - -- - - - - --- - - -- - - --- - - - - - - --- - - - - --- - - -- - - - - - --

Case 3:07-cv-02187-IEG-NLS Document 18-6 Filed 01/11/2008 Page 4 of 8 CERTIFICATE OF ASSESSMENTS, PAYMENTS, AND OTHER SPECIFIED MATTERS

ROOSEVELT KYLE EIN/SSN:
TYPE OF TAX: CIVIL PENALTY

FORM: - - - - - ------ - PERIOD:-DEC - --- - -- - - --- - - - - - --- - - - - - -- - - -- - - - - - --- - -- - - -CVPN TAX - ---- --- - ---- - 1983 - - - -- -BALANCE

o .00

- - - -- - - - - - - - - ---- - - - - - -- - - -- - - - ---- --- - - - - - - - -- - - - -- - -- - - - --- - - -- - - - - - --- --- - - -I CERTIFY THAT THE FOREGOING TRANSCRIPT OF THE TAXPAYER NAMED ABOVE IN RESPECT TO THE TAXES SPECIFIED IS A TRUE AND COMPLETE TRANSCRIPT FOR THE PERIOD STATED, AND ALL ASSESSMENTS, ABATEMENTS, CREDITS, REFUNDS, AND ADVANCE OR UNIDENTIFIED PAYMENTS, AND THE ASSESSED BALANCE RELATING THERETO, AS DISCLOSED BY THE RECORDS OF THIS OFFICE AS OF THE ACCOUNT STATUS DATE ARE SHOWN THEREIN. I FURTHER CERTIFY THAT THE OTHER SPECIFIED MATTERS SET FORTH IN THIS TRANSCRIPT APPEAR IN THE OFFICIAL RECORDS OF THE INTERNAL REVENUE SERVICE.

- - - -- - - - - - - --- - - --- - - - - ---- - -- -SIGNATURE OF CERTIFYING OFFICER' Linda L. Drake PRINT NAME:

/

--- -- - ---------- . -------------- - - - - -- -- ---

TITLE:

Supervisor Accounting Technician, Ogden W&I Submission Processing

DELEGATION ORDER:

SW Delegation Order 198

LOCATION: INTERNAL REVENUE SERVICE

ACCOUNT STATUS DATE 12/28/2007

FORM 4340 (REV. 01-2002)

PAGE

3

92 Exhibit E

Case 3:07-cv-02187-IEG-NLS

Document 18-6

Filed 01/11/2008

Page 5 of 8

United States

of America

Department of the Treasury

Internal Revenue Service
Date:

Dec. 28, 2007

CERTIFICATE OF OFFICIAL RECORD

I certify that the annexed: is a true form 4340, Certificate of Assessments, Payments and Other Specified Matters for Roosevelt Kyle, SSN: 3335, for Civil Penalty, for the tax period
ending December 31, i 984, consisting of three pages - - ------------ - --- ------------

under the custody of this office.

IN WITNESS WHEREOF, I have hereunto set my hand,
and caused the seal of this office to be affixed, on the day and year first above written.
B~~cti~n of.the Secretary Of.

Linda L. Drake Supervisor Accounting Technician Ogden W&I Submission Processing
SW Delegation Order i 98

~~icc!\Lw

the Treasury:

93 Exhibit E Catalog Number 19002E

Form 2866 (Rev_ 09-1997)

- - - - - - - - - - - - - - - -- - - - - - - - - -- -- - - - - - - - -- - - - -- - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - --

Case 3:07-cv-02187-IEG-NLS Document 18-6 Filed 01/11/2008 Page 6 of 8 CERTIFICATE OF ASSESSMENTS, PAYMENTS, AND OTHER SPECIFIED MATTERS

ROOSEVELT KYLE EIN/SSN:
TYPE OF TAX: CIVIL PENALTY

FORM: CVPN TAX PERIOD: DEC 1984
OA TE

DATE (23e, RAe 006 ) - - - - - - - - -- - - - - - - - - - -- -- - --- - - - --- - - --- -- - - - - - - -- - - - - - - - - - - -- - - - - - -- - - - -- - - - - - - -EXPLANATION OF TRANSACTION
CREDIT (REVERSAL)
QU I CK ASSESSMENT

ASSESSMENT, OTHER DEBITS ( REVERSAi)

PAYMENT,

ASSESSMENT

600.00
08
o .00

04-06-1987

IRC 6694 PENALTY UNDERSTATEMENT OF TAX BY PREPARER

33251-096-13211-7

QU I eK ASSESSMENT

04-06-1987 06-08-1987

33251-096-13211-7
INTEREST ASSESSED

08

9.39

19872108

04-01-1988 FEDERAL TAX LIEN 04-27-1988 FEDERAL TAX LIEN
04-14-1997 STATUTE EXPIRED CLEAR TO ZERO UNeOLLECTABLE AMOUNT OWED

609,39

$ 609.39Notice of Balance Notice of Balance
(REV.
Due Due

02-05-2007 04-06-1987 06-08-1987 07-13-1987 08-17-1987
FORM

FEDERAL TAX LIEN RELEASED

Statutory Notice of Balance Statutory Notice of Balance

Due Due

4340

01-2002)

PAGE

1

94 Exhibit E

Case 3:07-cv-02187-IEG-NLS Document 18-6 Filed 01/11/2008 Page 7 of 8 CERTIFICATE OF ASSESSMENTS, PAYMENTS, AND OTHER SPECIFIED MATTERS

ROOSEVELT KYLE EIN/SSN:
TYPE OF TAX: CIVIL PENALTY

FORM: CVPN TAX PERIOD: DEC 1984
DATE

EXPLANATION OF TRANSACTION

ASSESSMENT, OTHER DEBITS ( REVERSALl

PAYMENT,
CRED IT

ASSESSMENT,

(REVERSAL)

DATE (23C, RAC 006 )

09-21- 1987 Notice of Balance Due

10-19-1987 Statutory Notice of Intent to Levy

01-01-1990 Statutory Notice of Intent to Levy
FORM 4340

(REV. 01-2002)

PAGE

~ '-

95 Exhibit E

Case 3:07-cv-02187-IEG-NLS Document 18-6 Filed 01/11/2008 Page 8 of 8 CERTIFICATE OF ASSESSMENTS, PAYMENTS. AND OTHER SPECIF lED MATTERS

ROOSEVELT KYLE EIN/SSN:
TYPE OF TAX: CIVIL PENALTY

FORM: CVPN TAX PERIOD: DEC 1984
BALANCE

o .00

I CERTIFY THAT THE FOREGOING TRANSCRIPT OF THE TAXPAYER NAMED ABOVE IN RESPECT TO THE TAXES SPECIFIED IS A TRUE AND COMPLETE TRANSCRIPT FOR THE PERIOD STATED. AND ALL ASSESSMENTS, ABATEMENTS. CREDITS. REFUNDS, AND ADVANCE OR UNIDENTIFIED PAYMENTS, AND THE ASSESSED BALANCE RELATING THERETO. AS DISCLOSED BY THE RECORDS OF THIS OFFICE AS OF THE ACCOUNT STATUS DATE ARE SHOWN THEREIN. I FURTHER CERTIFY THAT THE OTHER SPECIFIED MATTERS SET FORTH IN THIS TRANSCRIPT APPEAR IN THE OFFICIAL RECORDS OF THE INTERNAL REVENUE SERVICE.

- - -- - - - - - - - -- - - - --- - - - - - - - - --- - -~- - - - - - - - --- - -- - - - - - -- --- - - - - - ---- -- - - -- - ---

SIGNATURE OF CERTIFYING OFFICER: ~l jl~./ ~~. D~
PR INT NAME:

Linda L. Drake

T I HE: Supervisor Accounting Technician, Ogden W&I Submission Processing

DELEGATION ORDER:

SW Delegation Order 198

LOCATION: INTERNAL REVENUE SERVICE
ACCOUNT STATUS DATE 12/28/2007

FORM 4340 (REV. 01-2002)

PAGE

3

96 Exhibit E