{Your Name}
{Your Address}
{Address Continued}
{Your Phone Number}
{Internal Revenue Service}
ATTN: {appropriate department}
{Address}
{Address Continued}
{Date}
To Whom It May Concern:
I am writing to attempt to stop a bank levy that the IRS is ready to impose on my account(s).
I have experienced a great deal of financial hardship lately, due to {details of the hardship that have made it impossible for you to pay the taxes due to the IRS}.
If the IRS continues with this plan to freeze my account(s), I will not be able to meet the basic standards of living. I have attached my most recent pay stubs {along with other relevant information} to illustrate the fact that I simply do not make enough money to be able to afford to have my account(s) frozen.
I am requesting {a payment plan, a settlement negotiation} in lieu of the levy. Please contact me as soon as possible so that we can work on getting this resolved.
Sincerely,
{Sender Name}
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Index of Hardship Letter Examples