April 25, 1996

Disclosure Officer
Arkansas/Oklahoma District
Internal Revenue Service
55 N. Robinson
Oklahoma City, Oklahoma 73102

RE: TIN/S.S. # 000-00-0000

Subject: Freedom of Information Act Request

Dear Disclosure Officer:

     This is  a request  under the  Freedom of Information Act, 5
U.S.C. 552,  or regulations  thereunder.  This is my firm promise
to pay  fees and  costs for  locating and duplicating the records
requested below,  ultimately determined in accordance with 26 CFR
601.702(f).

     If for  some reason  this request  is exempt  from  release,
please furnish  me with  those portions reasonably segregable.  I
am waiving personal inspection of the requested records.

     If some  of this  request is  exempt  from  release,  please
furnish me  with those  portions reasonably  segregable.    I  am
waiving personal  inspection of requested records.  Additionally,
I am  aware that it take time to secure records from the Regional
Service Center  and other IRS offices, so on your ten-day notice,
should it be necessary, you will be granted the automatic thirty-
day extension.

     I am  attesting under  penalty of perjury, per provisions of
28 U.S.C.   1746(1),  that I  am a category E requester.  Please
expedite this request.

     This request  pertains to  calendar years  1989, 1990, 1991,
1992, 1993,  1994 and 1995.  Where applicable, send copies of the
requested information  for each  year, or  in the event any given
document applies  to more  than one  or all years, send copies of
documents which apply.

     1.   Please send  me a  copy of  both sides of Forms 23C and
          the relevant  Document Locator  Number Lists pertaining
          to me.

     2.   Please send me a copy of both sides of Form 813, Screen
          040, and  other Non-Master  File  assessment  documents
          pertaining to me.

     3.   Please send  me a  copy of  the Assessment  Certificate
          Record  used   to  record   the  Individual  Assessment
          Certificate Number in Form 2162 pertaining to me.

     4.   Please send  me a  copy of the Forms 2162 pertaining to
          me.

     5.   Please send  me a  copy  of  the  relevant  forms  8166
          pertaining to me.

     6.   Please send me a copy of the block folder of assessment
          source documents  pertaining to  me  stamped  with  the
          following impression:

               a. ASSESSMENT JOURNALIZED
               b. 23C_______________________
               by __________________________

     7.   Please send  me a  copy  of  the  IMF  MCC  TRANSCRIPT-
          SPECIFIC pertaining to me.  This request is intended to
          secure my  Individual Master Files identified under IRS
          24.030,  inclusive  of  Entity  Modules  and  Tax  Year
          Modules, for all years listed above.

     8.   Please send me a copy of the "OFFICIAL INTERNAL REVENUE
          SERVICE NON-MASTER FILE TRANSCRIPT" pertaining to me.

     9.   Please send  me a  copy of  all documents maintained by
          the Tax Protest Unit pertaining to me.

     10.  In order  to verify  provisions of  28 U.S.C.    2463,
          please send  me a  copy of  the original  complaint  or
          claim filed  with a  court of  the United States, along
          with the  order  or  orders  authorizing  seizure,  and
          documentation  that   property   seized,   whether   by
          garnishment or otherwise, was deposited "in the custody
          of the  law and  subject only to the orders and decrees
          of the  courts of the United States having jurisdiction
          thereof."

     11.  Please provide  me with  a copy  of the  original  lien
          instrument or  instruments which  attach to  any or all
          assets  I   own  or   owned,  with   attending   filing
          information  that  identifies  where  the  original  is
          filed.


     Please be  informed that I understand the penalties provided
in 5  U.S.C. 552a(i)(3)  for requesting  or obtaining  access  to
records under  false pretense.  This information is being secured
for personal use.


Regards,


Name

P.S.: Attached is a photocopy of my driver's license to verify my
signature.

(In the alternative, have signature notarized.)


                             #  #  #
      


Return to Table of Contents