- 4 - Form 12153, Request for a Collection Due Process Hearing. Petitioners’ attachment to that form states their disagreement with respondent’s proposed monthly installment payment and includes “a listing of monthly expenses to provide information that will assist in reaching a compromise”: Item of expense Expense claimed Housing and utilities Rent $1,355 Gas 90 Electric 70 Telephone 100 Cable 45 Water 60 Total 1,720 Transportation Gas, oil et al. 195 Loans 660 Insurance 180 Total 1,035 Health care Insurance 455 Dental 65 Prescription copays 120 Total 640 Taxes Federal 805 Social Security 385 Wisconsin 295 Total 1,485 Court-ordered payments 150 Life insurance 58 Retirement 120 Computer loan 55 Credit card payments 300 Student loan payments 220 Loan not current being repaid $11,500 ______________________________________________ Total 5,783 A telephone conference was held on May 21, 2001, and, thereafter, the parties exchanged correspondence.Page: Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Next
Last modified: May 25, 2011