This form is a sample letter in Word format covering the subject matter of the title of the form.
Subject: Request for IRS Not to Offset Tax Refund — Contra Costa, California [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] Internal Revenue Service [Address] [City, State, ZIP Code] RE: REQUEST TO PREVENT OFFSET OF TAX REFUND Dear [IRS Representative's Name], I hope this letter finds you well. I am writing to you today as a resident of Contra Costa, California, to seek your assistance in preventing the offset of my anticipated tax refund. I greatly appreciate your attention to this matter and kindly request your understanding and consideration of my circumstances. Firstly, allow me to provide some background information. I am a law-abiding citizen who understands the importance of fulfilling financial obligations and maintaining a good standing with the IRS. However, I find myself in an unforeseen and challenging situation that necessitates your understanding and intervention. Now, I would like to bring your attention to the circumstances of my request: 1. Major Life Event: [Explain the major life event or financial hardship you are facing that has led to your inability to pay your tax debt.] 2. Efforts to Resolve the Debt: [Describe any proactive measures you have taken to address your outstanding tax debt, such as payment plans, negotiations, or any other actions indicating your genuine commitment to resolving this matter.] 3. Contra Costa's Economic Challenges: [Highlight any relevant economic challenges faced by Contra Costa County, such as high unemployment rates, declining revenues, or any other factors that may amplify financial difficulties for its residents.] 4. Financial Limitations: [Provide detailed information about your current financial situation, including income, expenses, and obligations, demonstrating your inability to repay the tax debt without incurring significant financial hardship.] Having considered these circumstances, I kindly request that you refrain from offsetting my anticipated tax refund for the following reasons: 1. Financial Hardship: Settling my tax debt through refund offset would exacerbate my current financial hardship and significantly hinder my ability to meet essential living expenses, obtain necessary medical care, or secure stable housing. 2. Good Faith Effort: I assure you that I have made and will continue to make a sincere effort to address my tax debt promptly and responsibly. Granting this request will give me the opportunity to overcome this unforeseen situation while making progress towards full compliance. 3. Positive Impact on Contra Costa: Given the economic challenges faced by Contra Costa County, granting this request would contribute to the well-being of the community by enabling me to actively participate in local economic development and contribute to civic life. Moreover, should you require any supporting documentation or additional information concerning my situation, please do not hesitate to contact me at the provided phone number or email address. I am genuinely grateful for your attention to this matter and sincerely appreciate your understanding and consideration of my circumstances. I trust that you will evaluate my request with empathy and in alignment with the principles of fairness and your commitment to assisting individuals in genuine financial need. Thank you for your time, and I look forward to a favorable and compassionate resolution to this matter. Yours sincerely, [Your Full Name]
Subject: Request for IRS Not to Offset Tax Refund — Contra Costa, California [Your Name] [Your Address] [City, State, ZIP Code] [Email Address] [Phone Number] [Date] Internal Revenue Service [Address] [City, State, ZIP Code] RE: REQUEST TO PREVENT OFFSET OF TAX REFUND Dear [IRS Representative's Name], I hope this letter finds you well. I am writing to you today as a resident of Contra Costa, California, to seek your assistance in preventing the offset of my anticipated tax refund. I greatly appreciate your attention to this matter and kindly request your understanding and consideration of my circumstances. Firstly, allow me to provide some background information. I am a law-abiding citizen who understands the importance of fulfilling financial obligations and maintaining a good standing with the IRS. However, I find myself in an unforeseen and challenging situation that necessitates your understanding and intervention. Now, I would like to bring your attention to the circumstances of my request: 1. Major Life Event: [Explain the major life event or financial hardship you are facing that has led to your inability to pay your tax debt.] 2. Efforts to Resolve the Debt: [Describe any proactive measures you have taken to address your outstanding tax debt, such as payment plans, negotiations, or any other actions indicating your genuine commitment to resolving this matter.] 3. Contra Costa's Economic Challenges: [Highlight any relevant economic challenges faced by Contra Costa County, such as high unemployment rates, declining revenues, or any other factors that may amplify financial difficulties for its residents.] 4. Financial Limitations: [Provide detailed information about your current financial situation, including income, expenses, and obligations, demonstrating your inability to repay the tax debt without incurring significant financial hardship.] Having considered these circumstances, I kindly request that you refrain from offsetting my anticipated tax refund for the following reasons: 1. Financial Hardship: Settling my tax debt through refund offset would exacerbate my current financial hardship and significantly hinder my ability to meet essential living expenses, obtain necessary medical care, or secure stable housing. 2. Good Faith Effort: I assure you that I have made and will continue to make a sincere effort to address my tax debt promptly and responsibly. Granting this request will give me the opportunity to overcome this unforeseen situation while making progress towards full compliance. 3. Positive Impact on Contra Costa: Given the economic challenges faced by Contra Costa County, granting this request would contribute to the well-being of the community by enabling me to actively participate in local economic development and contribute to civic life. Moreover, should you require any supporting documentation or additional information concerning my situation, please do not hesitate to contact me at the provided phone number or email address. I am genuinely grateful for your attention to this matter and sincerely appreciate your understanding and consideration of my circumstances. I trust that you will evaluate my request with empathy and in alignment with the principles of fairness and your commitment to assisting individuals in genuine financial need. Thank you for your time, and I look forward to a favorable and compassionate resolution to this matter. Yours sincerely, [Your Full Name]