AG 2002 12 16 (Regular) - Laserfiche WebLink

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(For two or more debts that exceed $50 when combined) Our records indicate that you owe the following past due amounts to the Town/City/County of Explanation of Debt Bill Date Date Past Due Past Due Amount Water Service December 2, 2001 $15.00 Interest (12 mos) December 2, 2002 .90 Total Debt $15.90 Explanation of Debt Bill Date Date Past Due Past Due Amount Em. Medical Services December 2, 2001 $20.00 Interest (12 mos) December 2, 2002 1.20 Total Debt $21.20 Explanation of Debt Bill Date Date Past Due Past Due Amount Parking Violation December 2, 2001 ."' $25.00 Interest (12 mos) December 2, 2002 1.50 Total Debt $26.50 As authorized by North Carolina General Statutes, Chapter 105A, The Setoff Debt Collection Act (the "Act"), the Town/City/County of intends to submit the above (debt/debts) to the North Carolina Department of Revenue for collection by applying the (debt/debts) against any income tax refund in excess of $50 that you may be entitled to receive. (Choose the appropriate paragraph or modify accordingly if other'combinations apply) (For a single debt of $50 or more) Additionally, you are further advised that in accordance with the Act, a local collection assistance fee of $15 will be added to the obligation or account described above if it is submitted for set off. (For two or more debts, each of $50 or more) Additionally, you are further advised that in accordance with the Act, a local collection assistance fee of $15 will be added to each obligation or account described above if it is submitted for set off. (For two or more debts that exceed $50 when combined) Additionally, you are further advised that in accordance with the Act, a local collection assistance fee of $15 will be added to the obligations or accounts described above if they are submitted for set off.