Abolish Income Taxes !!!!!

This file imffoia.txt contains System of Records maintained by the
Martinsburg Computer Center.

MAIL TO: Director
         Internal Revenue Service Center

Replace a *** with appropriate data.


      
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                    REQUEST FOR NOTIFICATION AND ACCESS           
           
                  
                 
Director
Internal Revenue Service Center
(***add region)             
***ADD ADDRESS             
***ADD CITY, STATE ZIP             
                     
Dear Director:                  
                    
1.  This request is being made under the provisions of the             
    Freedom of Information Act (5 U.S.C. 552), and the Privacy             
    Act of 1974 (5 U.S.C. 552a), or regulations thereunder.             
             
2.  I am the requester and my name, address and Social Security             
    Number (SSN) is:             
             
    *** (Full name)             
    *** Address             
    *** City, State Zip Code             
    *** SSN#             
            
3.  I attest under penalty of perjury, as to my status of category            
    "E" requester (26 C.F.R. 601.702(f)(3)(i)(E)).           
           
4.  This request pertains to the year(s) 1997, 1996, 1995, 1994, 1993,
    1992, 1991, 1990, 1989, 1988 and 1987.                  
           
5.  I request the following system of records be examined and that             
    I be furnished with a copy, without first inspecting them, of             
    any record contained therein pertaining to me:             

    System Name: a) Treasury/IRS 22.032 Individual Microfilm Retention            
                    Register.

                 b) Treasury/IRS 24.030 Individual Master File (IMF),           
                    Taxpayer Service.

                 c) Privacy Act Transcript and Privacy Act Accountings
                    of Disclosure.

                 d) Forms 23-C, 5546 and AMDISA and ACTRA Command Code
                    generated forms (all categories).

    System Location:  Martinsburg Computer Center
                      P.O. Box 1208
                      Martinsburg, West Virginia 25401
            
6.  If some of this request is exempt from release, please furnish           
    me with those portions reasonably segregable.
            
7.  I agree to pay for search and duplication/copying fees ultimately            
    determined in accordance with paragraphs 26 C.F.R. 601.702(f)(3)            
    (ii)(E) and 31 C.F.R., Subtitle A, Part 1, Appendix B(3)(i).           

8.  I understand the penalties provided in 5 U.S.C. 552a(i)(3) for           
    requesting or obtaining access to records under false pretenses           
    (31 C.F.R., Subtitle A, Part 1, Appendix B(3)(h)(i).           
           
                                   Respectfully,           
           
           
           
                 
                                   _________________________________                   
               
   ***ADD DATE                     ***Your Name          REQUESTER                              
              
                  
   NOTARY:                  
                  
   STATE OF (***add your State)    )                  
                                   )ss                  
   COUNTY OF (***add your County)  )                  
                                                   
           
                                      ***your name                  
        Sworn to and subscribed by ____________________ in my presence                  
                  
           
   this ______ day of ________________, 19_____________.           
             
                  
               
           
                                        _____________________________                  
   SEAL                                 NOTARY PUBLIC                  
                  
           
                                        _____________________________                  
                                        EXPIRATION

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