Wendy L. Chadwick - Page 10

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               2.  List your monthly expenses:                                        
               Response - Mortgage: None                                              
                                   Rent: $250                                         
                                   Utilities: $200 (Average)                          
                                   Food: $100                                         
                                   Clothing: $100                                     
                                   Vehicle expense: $525                              
                                   All other expenses: $45 (IRS)                      
                                   TOTAL EXPENSES: $1,220 per month                   
               3.  List all people currently residing in your household:              
               Response - Mark Burge, roommate                                        
               4.  Are you currently renting or buying your residence?                
               Response - Renting (roommates)                                         
               5.  Explain why you feel paying these taxes would cause you            
               an economic hardship.                                                  
               Response - I am having a hard time making ends meet now.               
               By letter dated September 8, 2004, respondent’s Appeals                
          officer scheduled an Appeals conference with petitioner to be               
          held by telephone on September 23, 2003.  Respondent’s Appeals              
          officer made unsuccessful attempts to contact petitioner by                 
          telephone on September 23, 2003.                                            
               By facsimile dated October 20, 2003, petitioner submitted a            
          letter and additional information to respondent’s Appeals officer           
          for consideration.  Petitioner’s letter stated:                             
                    Following is some information to consider for my                  
               innocent spouse claim.  I have created a breakdown showing             
               earnings and deductions for my ex-husband, David Tillotson             
               and myself by using information I have in my files.  Also              
               attached for your review is a copy of the Collection                   
               Information Statement that I completed for the Offer in                
               Compromise request I am sending in today.                              
                    I hope that you will review this information and see              
               that I have paid my share of taxes through my employer.  The           
               taxes owning [sic] for the above-referenced years [1995,               
               1997, and 1998] were due to David’s unemployment and/or                





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