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APPENDIX A
Information Reflected in Form 4340 With
Respect to Petitioner’s Taxable Year 1984
Assessment, Payment, Assessment
Explanation of Other Debits Credit Date (23C,
Date Transaction (Reversal) (Reversal) RAC 006)
Adjusted gross income
20,567.00
Taxable income
19,462.00
08-15-85 Return filed and tax $2,658.00 10-28-85
assessed
17211-278-01512-5 198542
08-15-85 Withholding and excess $189.00
FICA
04-15-85 Extension of time to file
ext. date 08-15-85
Estimated tax penalty 153.00 10-28-85
198542
Failure to pay tax penalty 86.41 10-28-85
198542
Interest assessed 198542 161.13 10-28-85
04-28-86 Overpaid credit applied 216.39
1040 198512
04-15-86 Overpaid credit applied 2,869.54
1040 198512
Failure to pay tax penalty 61.73 04-28-86
198616
Interest assessed 198616 141.75 04-28-86
04-28-86 Refund (12.91)
Additional tax assessed by 0.00 12-05-88
examination
29247-720-10501-8 198847
11-21-88 Legal/bankruptcy suit
pending
Late filing penalty 198923 1,215.40 06-19-89
Additional tax assessed by 3,608.00 06-19-89
examination
29247-550-70013-9 198923
05-26-89 Legal/bankruptcy suit no
longer pending
06-19-89 Failure to pay tax penalty (24.69)
abated
Interest assessed 198923 2,493.61 06-19-89
01-10-90 Federal tax lien
Additional tax assessed 0.00 07-02-90
89254-559-18001-0 199025
07-09-91 Subsequent payment 2,824.56
08-29-91 Overpaid credit applied 54.00
1040 198912
10-16-93 Overpaid credit applied 87.84
1040 199212
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