- 8 - and an updated Form 433-A Financial Statement will be provided upon request. _____________________ 1 1985 has been assessed but has not been included in the group of Notices to Intent to Levy dated March 21, 2005. Petitioners’ financial information provided on Form 433-A, Collection Information Statement for Wage Earners and Self- Employed Individuals, listed two checking accounts with a total balance of $1,186; two investment accounts totaling $44,051; and two automobiles. They listed their residence as valued at $131,440, with an outstanding loan of $93,000. Petitioners’ income and expenses were shown as follows: Total Monthly Income Source Gross Monthly Wages (Robert Bergevin) $2,750 Wages (Grace Bergevin) 635 Pension/Social Security (Robert Bergevin) 909 Pension/Social Security (Grace Bergevin) 1,483 Other 363 Total 6,l40 Total Monthly Living Expenses Expense Items Actual Monthly Food, clothing, and misc. $1,280 Housing and utilities 1,138 Transportation 1,210 Health care 391 Taxes (income and FICA) 637 Other expenses 545 Total 5,201 After the exchange of financial information, petitioners proposed to pay $20,652 in full satisfaction of their thenPage: Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 NextLast modified: March 27, 2008