APPENDIX C

OFFER IN COMPROMISE

Of liability incurred under

Federal Alcohol Administration Act, as amended

(To be filed in duplicate with District Supervisor, Alcohol Tax Unit)

………………………………. (Date) …………………………….
(Name)
……………………………….
(Address)
DEPUTY COMMISSIONER OF INTERNAL REVENUE,ALCOHOL TAX UNIT

SIR:

The following offer in compromise is submitted to you by the undersigned:

Charges of violation of the Federal Alcohol Administration Act, as amended, have been made against the proponent as follows…………………….

……………………………………………….

(State specifically the pending charge)

Date and place of alleged violation………………………………………………….

The alleged violation is due to the following cause or causes:

…………………………………………………………….

(State in detail) ...

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