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8/3/2019 Claim filed by IRS in Coker 2010 Bankruptcy
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Check this box if you are aware thatanyone else has filed a proof of claimrelating to your claim. Attach copy ofstatement giving particulars.
Penalty for presenting fraudulent claim: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C 152 and 3571.
/s/ KERI TEMPLETON,Bankruptcy Specialist(512) 499-5240
08/30/2010
Amount entitled to priority:
Amount of Secured Claim: $ 170,819.29 Amount Unsecured: $
B10 (Official Form 10) (04/10)
NOTE: This form should not be used to make a claim for an administrative expense arising after the commencement of the case. A request of payment of an
administrative expense may be filed pursuant to 11 U.S.C. 503.
Name of Creditor (The person or other entity to whom the debtor owes money or property):
Case Number:Name of Debtor:10-12240-CAGMICHAEL J. COKER
UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TEXAS
DO NOT SEND ORIGINAL DOCUMENTS. ATTACHED DOCUMENTS MAY BE DESTROYED AFTERSCANNING.
Department of the Treasury - Internal Revenue Service
Court Claim Number:
Check this box to indicate that thisclaim amends a previously filedclaim.
Filed on:
Check this box if you are the debtoror trustee in this case.
Name and address where notices should be sent:
Telephone number: 1-800-913-9358 Creditor Number: 14620572
Name and address where payments should be sent (if different from above):
Telephone Number: (512) 499-5240
2. Basis for Claim: Taxes
(See instruction #2 on reverse side.)
3. Last four digits of any number by which creditor identifies debtor: See Attachment
3a. Debtor may have scheduled account as:
(See instruction #3a on reverse side.)
1. Amount of Claim as of Date Case Filed: $ 170,819.29
PROOF OF CLAIM
If all or part of your claim is secured, complete item 4 below; however, if all of your claim is unsecured, do not completeitem 4.
If all or part of your claim is entitled to priority, complete item 5.
Check this box if claim includes interest or other charges in addition to the principal amount of claim. Attachitemized statement of interest or charges.
4. Secured Claim (See instruction #4 on reverse side.)
Check the appropriate box if your claim is secured by a lien on property or a right of setoff and provide therequested information.Nature of property or right of setoff:
Value of Property:$________________ Annual Interest Rate 4 %
if any: $ 170,819.29 Basis for perfection: See Attachment
Amount of arreara e and other char es as of time case filed included in secured claim
6. Credits: The amount of all payments on this claim has been credited for the purpose of making this proof of claim.
7. Documents: Attach redacted copies of any documents that support the claim, such as promissory notes,
purchase orders, invoices, itemized statements or running accounts, contracts, judgments, mortgages, and securityagreements. You may also attach a summary. Attach redacted copies of documents providing evidence ofperfection of a security interest. You may also attach a summary. (See instruction 7 and definition of "redacted" on
reverse side.)
If the documents are not available, please explain:
Signature: The person filing this claim must sign it. Sign and print name and title, if any, of the
creditor or other person authorized to file this claim and state address and telephone number ifdifferent from the notice address above. Attach copy of power of attorney, if any.
Date:
5. Amount of Claim Entitled to
Priority under 11 U.S.C. 507(a). If
any portion of your claim falls inone of the following categories,
check the box and state theamount.
Specify the priority of the claim.
Domestic support obligations under11 U.S.C. 507(a)(1)(A) or (a)(1)(B).
Wages, salaries, or commissions (upto $11,725*) earned within 180 daysbefore filing of the bankruptcypetition or cessation of the debtor'sbusiness, whichever is earlier - 11U.S.C. 507 (a)(4).
Contributions to an employee benefitplan -11 U.S.C. 507 (a)(5).
Up to $2,600* of deposits towardpurchase, lease, or rental of propertyor services for personal, family, orhousehold use - 11 U.S.C. 507
(a)(7).
Taxes or penalties owed togovernmental units - 11 U.S.C. 507
(a)(8).
Other - Specify applicable paragraphof 11 U.S.C. 507 (a)(__).
*Amounts are subject to adjustment on
4/1/13 and every 3 years thereafter with
respect to cases commenced on or after
the date of adjustment.
$
Motor Vehicle
Internal Revenue Service
P.O. Box 21126Philadelphia, PA 19114
Internal Revenue Service300 E 8TH STREETM/S 5026 AUSAUSTIN, TX 78701
Real Estate Other
FOR COURT USE ONLY
(If known)
Internal Revenue Service300 E 8TH STREETM/S 5026 AUSAUSTIN, TX 78701
Describe:*All of debtor(s) right, title and interest to property - 26 U.S.C. 6321
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Proof of Claim for
Department of the Treasury/Internal Revenue Service
Internal Revenue TaxesCase Number
10FormAttachment
10-12240-CAG
Type of Bankruptcy Case
CHAPTER 11
Date of Petition
08/09/2010
In the Matter of: MICHAEL J. COKERONE LONGHORN DRIVEROUND ROCK, TX 78681
The United States has the right of setoff or counterclaim(s) in the amount of $5,563.00. The identification of the right of setoff in theamount is based on available data and is not intended to waive or limit the right to setoff against this claim debts owed to this debtor bythis or any other federal agency that have not been identified. All rights of setoff are preserved and will be asserted to the extent lawful.
Secured Claims (Notices of Federal tax lien filed under internal revenue laws before petition date)
TaxpayerKind of Tax
Tax Date TaxTax Due
Penalty to Interest to Notice of Tax Lien Filed:
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
CIVIL PEN
CIVIL PEN
INCOME
CIVIL PEN
CIVIL PEN
CIVIL PEN
CIVIL PEN
INCOME
CIVIL PEN
CIVIL PEN
06/30/2001
09/30/2001
12/31/2001
12/31/2001
03/31/2002
06/30/2002
09/30/2002
12/31/2002
12/31/2002
03/31/2003
$9,102.20
$28,779.10
$3,674.38
$41,263.78
$9,827.74
$5,282.30
$1,073.48
$7,882.00
$3,630.67
$3,290.69
$0.00
$0.00
$3,153.26
$0.00
$0.00
$0.00
$0.00
$5,486.51
$0.00
$0.00
$3,714.94
$11,745.88
$2,529.02
$16,841.41
$4,011.08
$2,155.94
$438.15
$4,111.87
$1,481.83
$1,343.06
12/27/2004
12/27/2004
08/30/2004
12/27/2004
12/27/2004
12/27/2004
12/27/2004
12/20/2004
12/27/2004
12/27/2004
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
TRAVIS COUNTY
05/19/2005
05/19/2005
06/01/2005
05/19/2005
05/19/2005
05/19/2005
05/19/2005
05/19/2005
05/19/2005
05/19/2005
$170,819.29Total Amount of Secured Claims:
$113,806.34 $8,639.77 $48,373.18
ID Number Period Assessed Petition Date Petition Date Office LocationDate
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6672
6672
6672
6672
6672
6672
1040
6672
6672
06/30/2001
09/30/2001
12/31/2001
03/31/2002
06/30/2002
09/30/2002
12/31/2002
12/31/2002
03/31/2003
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
XXX-XX-2537
12/27/2004
12/27/2004
12/27/2004
12/27/2004
12/27/2004
12/27/2004
12/20/2004
12/27/2004
12/27/2004
01/26/2015
01/26/2015
01/26/2015
01/26/2015
01/26/2015
01/26/2015
01/19/2015
01/26/2015
01/26/2015
$9,102.2
$28,779.1
$41,263.7
$9,827.7
$5,282.3
$1,073.4
$11,483.8
$3,630.6
$3,290.6
Filed at:TRAVIS COUNTY
AUSTIN, TX 78767
This notice was prepared and executed at NASHVILLE, TN
on this, the 29th day of April, 2005.
Authorizing Official: Title:
M. WOODARD REVENUE OFFICER 30-15-2245
$113,733.84Total
1872 COURT RECORDING DATA
Lien Recorded : 05/19/2005 - 14:29PM
Recording Number: 2005088243
UCC Number :
Liber :
Page :
INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 10-12240-CAG
Area: SMALL BUSINESS/SELF EMPLOYED #5 IRS Serial Number: 225867005
Lien Unit Phone: (800) 913-6050
This Lien Has Been Filed in Accordance with
Name of Taxpayer:
MICHAEL J COKER
Residence:
7301 RR 620 N STE 155 131
AUSTIN, TX 78726-0000
With respect to each assessment below, unless notice of lien
the certificate of release of lien as defined in IRC 6325(a).is refiled by the date in column(e), this notice shall constitute
Internal Revenue Regulation 301.6323(f)-1.
Form
(a)
Period
(b)
ID Number
(c)
Assessed
(d)
Refile Deadline
(e)
Unpaid Balance
(f)
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1040 12/31/2001 XXX-XX-2537 08/30/2004 09/29/2014 $7,268.1
Filed at:TRAVIS COUNTY
AUSTIN, TX 78767
This notice was prepared and executed at NASHVILLE, TN
on this, the 17th day of May, 2005.
Authorizing Official: Title:
M. WOODARD REVENUE OFFICER 30-15-2245
$7,268.12Total
1872 COURT RECORDING DATA
Lien Recorded : 06/01/2005 - 13:20PM
Recording Number: 2005095812
UCC Number :
Liber :
Page :
INTERNAL REVENUE SERVICE
FACSIMILE FEDERAL TAX LIEN DOCUMENT
BANKRUPTCY DOCKET: 10-12240-CAG
Area: SMALL BUSINESS/SELF EMPLOYED #5 IRS Serial Number: 228472505
Lien Unit Phone: (800) 913-6050
This Lien Has Been Filed in Accordance with
Name of Taxpayer:
MICHAEL J COKER
Residence:
7301 RR 620 N STE 155 131
AUSTIN, TX 78726-0000
With respect to each assessment below, unless notice of lien
the certificate of release of lien as defined in IRC 6325(a).is refiled by the date in column(e), this notice shall constitute
Internal Revenue Regulation 301.6323(f)-1.
Form
(a)
Period
(b)
ID Number
(c)
Assessed
(d)
Refile Deadline
(e)
Unpaid Balance
(f)
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