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Date: <br /> <br /><<First Name>> <<Middle>>. <<Last Name>> <br /><<Address>> <br /><<City>>, <<State>> <<Zip>> <br /> <br />Notice of Debt Owed to Cabarrus COUnty <br />Social Security Number: <<Soc I <br /> <br />Dear Taxpayer: <br /> <br />Our records indicate that you owe the following amount to Cabarrus County: <br /> <br />Explanation of Debt Year/Bill Number Amount <br />Taxes/Fees <<YearBill_NO>> <<Levy>> <br />Interest <<Interest>> <br />Total Debt <<Total Due>> <br /> <br />As authorized by North Carolina General Statutes, Chapter 105A, The SetOffDebt Collection Act, <br />Cabarrus County intends to submit the above debt to the North Carolina Department of Revenue for <br />collection by applying the debt against any income tax refund in excess of $50 that you may be entitled to <br />receive. <br /> <br />You have the right to contest this action by filing a written request for a hearing with Cabarrus County. <br />Your request must be filed at the following address no later than 30 days fi.om the postmarked date of this <br />letter. <br /> <br /> , Debt SetOff Officer <br />PO Box 707 <br />Concord, North Carolina 28026-0707 <br /> <br />Failure to request a hearing within 30 days time limit will result in the setoffofthe above debt. <br /> <br />Yours truly, <br /> <br />Director <br /> <br />cc: <br /> <br />, Debt Setoff Officer <br /> <br /> <br />