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Wage and Income Transcript

Request Date: 08-20-2024
Response Date: 08-20-2024
Tracking Number: 106434499756

SSN Provided: 551-69-3182
Tax Period Requested: December, 2016

Form 1099-C Cancellation of Debt

Creditor:

Creditor's Federal Identification Number (FIN):941347393
WELLS FARGO BANK N.A.
P O BOX 3908 114
PORTLAND, OR 97208-0000

Debtor:

Debtor's Identification Number: 551-69-3182
JASON M FOX
3930 SWENSON ST APT 1003
LAS VEGAS, NV 89119-7271

Submission Type:Original document
Account Number (Optional):54611490960190510157
Date Canceled:03-18-2016
Property Fair Market Value:$0.00
Amount of Debt Discharged:$147,483.00
Interest Forgiven Amount:$0.00
Identifiable Event Code:Creditor's debt collection Policy
Debt Description:CREDIT CARD
Personal Liability Indicator:Box checked-Personally Liable

This Product Contains Sensitive Taxpayer Data