U.S. DEPARTMENT OF THE TREASURY 3000
BUREAU OF THE FISCAL SERVICE. 4b-
P. 0, BOX 830794 gel
BIRMINGHAM, AL 35283-0794 \-2
por
August 23, 2017 xy e
Ke STAN CATERBONE
1250 FREMONT ST.
LANCASTER, PA 17603
10s
Our records indicate that you owe the U.S. Government S41
‘The US Trustee Program, United States Trustee Program, referred your unpaid debt to the U.S. Department of the
‘Treasury, Bureau of the Fiscal Service, for immediate collection, You must immediately pay your debt to stop collection
action and prevent the addition of more interest, penalties and administrative costs.
Treasury Case Number: 1701804306A.
‘Ageney Debt Number: 134-17-10615
How Do I Pay My Debt
Pay Online: Visit www.pay.gov/paygov/paymydebt and follow the instructions to pay online,
Pay By Phone: Call (888) 826-3127 and provide our agent your debit card information. You may also discuss payment
‘options with representatives at this number if you are unabie to satisfy the debt immediately.
Pay By Mail: Mail your payment and completed payment coupon to the address below. If you pay by check, include the
‘Treasury Case Number 1701804306A in the memo section of your check
‘What If I Do Not Pay My Debt?
‘As allowed by federal law, we may withhold some or all monies from your tax refunds and other federal and state
payments. We may garnish your wages, refer your unpaid debt to a collection agency and report your debt to the credit
bureaus, which could hurt your credit score, You will find further information online at www.fiscal.treasury.gov/debt
U.S. Department of the Treasury, Bureau of the Fiscal Service
DSBDL_003_ fav DETACH HERE (00000000351701804306A DL__0000358041 108
PAYMENT COUPON
“Includes applicable interest, administrative costs and penalties.
‘Treasury Case Number: 1701804306A _ *Amount Due: $416.00
METHOD OF PAYMENT
Pay online at wnw:pay.gov/pay.gov/paymydebt or select one below:
(Check [4 Money Order Amount Enclosed $______
Send your payment to:
U.S. Department of the Treasury
P.O. Box 979101
St. Louis, MO 63197-9000
(Debit Card Account Number; —__________
Send all other mail to:
U.S. Department of the Treasury
P.O. Box 830794
Expiration Date: ____ Authorized Amount: __
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