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Intent to collect form

Intent to collect form 2025

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The document is a formal notice to a non-requesting party regarding the collection of unreimbursed or uninsured health care expenses for joint children, as mandated by court order. It requests payment within 30 days and outlines options for the recipient, including payment in full, agreeing to a payment schedule, or contesting the amount in court. Failure to respond may lead to enforcement actions.

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Click ‘Get Form’ to open the intent to collect form in the editor.
Begin by entering the name of the non-requesting party in the designated field. Ensure accuracy as this identifies who is responsible for payment.
Fill in the street address, city, state, and zip code of the non-requesting party. This information is crucial for proper delivery of your notice.
In the 'Request for Payment' section, specify the amount owed for unreimbursed or uninsured health expenses. Be clear and precise to avoid confusion.
Review the instructions regarding payment options and deadlines. Make sure you understand that they have 30 days to respond.
Finally, sign and date the form at the bottom. Include your name, address, and phone number for contact purposes.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Why did I receive an official form 309A?

Several months after the filing of your case, you will receive a document called the Trustees Notice of Intent to Pay Claims. This document lists all the creditors in your plan and discloses whether or not a claim has been filed.

What is a notice of intent to collect?

835.603 Notification of intent to collect. A request for reduction of an IRS income tax refund will be made only after OPM makes a determination that an amount is owed and past-due and gives or makes a reasonable attempt to give the debtor 60 days written notice of the intent to collect by IRS tax refund offset.

What debts cannot be discharged?

309A is a court form that goes to everyone listed as a creditor in someones bankruptcy. Since your ex owed you money for child support, the bankruptcy court required that you be sent a copy of this notice.

What happens after a notice of intent?

What Happens After a Notice of Intent to Levy Is Issued? It may have started with a letter. However, dont assume that the Notice of Intent to Levy is just another piece of mail from the IRS. From the date printed on the notice, the IRS gives you a 30-day grace period to respond, appeal, or resolve the debt.

What happens if you get a collection notice?

The letter provides notice to the taxpayer that the IRS may seize or levy your property or rights to property after a certain date. The notice also informs the taxpayer of their right to a Collection Due Process hearing.