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Form 8546 for Palm Beach Florida: What You Should Know

Fax#: 6. Email: garyreimbursements.pbis-palm.com. (Please let your printer be at least 10×12 inches for best results.) (A) General Form 8619 (If you only have a computer, you can fill out this form at HOME by dragging the cursor around the area) If you do not have a PC, you can download this form to your PC and use a printer to complete it, or you can print this form on a piece of paper and mark “A” and scan it when a printer prints it out. You should print the form by using the lowest resolution setting.  A. The Form 1, Declaration of Liability for Bank Charges and Interest on Bank Charges is an official document that establishes that the bank charges were properly determined to be lawful and that the amounts assessed were not fraudulent. (B) The form is intended to give notice of the fact that the bank charges or interest was determined to be lawful, provided the bank charges or interest was determined in accordance with the state's statute, regulation or order, and also provides information to the taxpayer as to the correct information contained and the proper manner of reporting, reporting that amount due, or reporting any interest. The following information is included on the general form: 1. Name. 2. County Identification Number. (If no identification number was shown when the bank charges were determined to be proper, use “0” and enter the information required in (B).) 3. Full name, including surname and middle names used for identification. 4. Social Security Number, date of birth and state in which application was filed. 5. Social Security Number, date of birth, current address if changed since filing the application. 6. Amount of all previous levies, including interest, assessed and unpaid; and all taxes, penalties, interest or fees due on the levy and unpaid. 7. Amount of future levies, including interest, assessed and unpaid, and any taxes, penalties, interest or fees due on those levy amounts. 8. Name and address of the holder of all accounts, and the full name, address, and telephone number of all persons in this jurisdiction who are allowed to have any part of a levy account. 9. The amount of any loan or charge received or to be received from the bank, including any penalty. 10.

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