`V2^8SH((&/00<1I1U7")Y[2RUDDJ((;BA`IJ `V2^1<^NW'?M#Z9&S_/V_LCS`'/_L(\?J!`IJ `V250#9XEYM,\"6XYF$R$W;`=7LY-_W@L1`IJ `V2LT[H=%51.T#5=YSG"T#<TWWE-/94;4!`IJ **** txprid= 999 99 9999 name1= JOHN TAXPAYER name2= street= 100 CAMBRIDGE ST citystatezip= BOSTON, MA 02114 noticecode= 00250 noticedate= 04/12/11 **** `V2LW$S#5^?-&U>H1Y,*]>KPBH8'*0"?O=`IJ `V2[_SJY(Z>M3_3A]_P:H&TLYG*@."@>@%`IJ `V2U\\E,EDDJ((2BCE=>:^\3-%)B+##;?_`IJ `V2_E[HQXB<+]A9BU^1*SZD>]F(AJ[06_Y`IJ `V2^/C:=(?4JZX5-_PTJX[DG8XZOMI_@4E`IJ Notice Date: April 16, 2011 MASSACHUSETTS DEPT. OF REVENUE Taxpayer ID Number: PO BOX 7021 BOSTON, MA 02204 Bill Number: PAYMENT AGREEMENT REMINDER Total Amount Due: $4,122.64 Payment Due Date: April 28, 2011 Case Number: 001 00250 v. 04/12/11 Customer Service Bureau Telephone: (617) 887-6367 XXX-XX-9999 0439 9999 9999 **** billno= 0439 9999 9999 **** —’’“˜ 401C E 1 I JOHN TAXPAYER 100 CAMBRIDGE ST BOSTON MA 02114 Your monthly payment is now due... PL As part of your agreement to pay the taxes you owe in installments, the Massachusetts Department of Revenue will send you this reminder each month. These reminders will only show the remaining balance due on your agreement. You must make the monthly minimum payments due to keep your account in good standing. You may also pay more than the minimum amount due to reduce the total liability. Interest and penalties continue to accrue until the liability is paid in full. Please note: Monthly EFT payments will be withdrawn on the second to last Friday of each month. If you do not make the required payments, this agreement will be terminated. For additional details on this agreement, see the reverse side of this page. M If you have any questions... CUT HERE AND RETURN THE COUPON BELOW IN THE ENVELOPE PROVIDED Payment Coupon JOHN TAXPAYER 100 CAMBRIDGE ST BOSTON MA 02114 Your payment must be postmarked by April 28, 2011 Taxpayer ID Number: Bill Number: City Home Phone ( State ) Zip Work Phone ( ) 0439 9999 9999 Total Amount Due: $4,122.64 $ Write your Taxpayer ID # on your check or money order and make it payable to: Commonwealth of Massachusetts 1 I Case Number: 001 Apt No. 999 99 9999 April 28, 2011 Please complete only if your address or phone has changed. Street Page 1 of 4 Payment Due Date: Enter Amount Enclosed 401C 00250 v. 04/12/11 SA Please call the Customer Service Bureau (617) 887-6367 or toll-free in Massachusetts at 1-800-392-6089. M A I L T O Massachusetts Department of Revenue P. O. Box 7065 Boston, MA 02204-7065 999999999200043999999999000004122642 (I) 200
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