Claim filed by IRS in Coker 2010 Bankruptcy

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

10-12240-hcm Claim#4-1 Filed 08/31/10 Main Document Page 1 of 4


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Page 1 of 1

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



3/4

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)


Claim filed by IRS in Coker 2010 Bankruptcy

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