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Government of the District of Colunbia Oflce of the Chlef FinncialOflicer Oflice of Tax nd Revenue

1101 4th Stree SIY

Washington, D.C.20024

NOTICE OF OFFSET
Date ofNotice: ScPternber

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2013

Notice Number: Tax Tlpe: D40 INDIVIDUAL INCOME- TAX

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TANYAMTOPOEWSKI

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i Tax Period Endng: l2ll20l2

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We plan to use part or all of your income tax overpayment from the period identified above to satisff Dishict of Columbia tres or other governnienf,dec deseribet below:

Asency
DMVOTT'SET-DC

Offset Amount
$200.00

If you do not
The

respond to this notice within 30 days of its date, the offset

will be final. Any remaining portion of your

overpayment not subject to offset will be refunded to you. ..Taxpayer Refund Offset for Deparbnent of Motor Vehicle Liabilities Act of 2012" passed by City Council as part of the Fiscal Year 2013 Budget, Support Act requires us to offset tr refunds for certain unpaid DC motor vehicle citations including tickets.

If you beliwe this ticke(s) is already paid, then you may contact the Mayor's Call Center, which hardles DC Dpartment of Moror Vehicles (DN[-V) related calls, at 311 or 202-737-4404, If you owe additiona] amounts to DMV,
the offset amount may be 4pplied to those liabilities, as well-

The riekef numbefsl this offset was aoplied to is 981515684.

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98I.5156A4
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