Internal Revenue Service PO Box 630 Holtsville, NY 11742-0630 Stop 632-I Di1e: APR 2 5 2017 Leon D & Debra Black C/O Elysium 445 Park Ave Apt 1401 New York, NY 10022-0000 Department of the Treasury Taxpayer Identification Number: 056-38-1069 Tax Form: 1040 Tax Periodis): 2012 Person to Contact: M. Mclaurin Employee Identification Number: 0178207440 Contact Telephone Number: 631.447-4831 Fax 1-(855) 241-0441 Refer to: Interest Computation Schedule Dear Leon D & Debra Black: As required by Internal Revenue Code Section 6631, we are providing a copy of the schedule we used to calculate interest on the tax adjustment for the return identified above. This computation is for your information. The enclosed Interest Computation Schedule is not a bill for tax due. We will either scnd you a bill within the next few weeks or send you a statement of any refund. If you have any questions, please contact the person named above within 45 days from the date of this letter. Sincerely yours, L ett ifyytaila) Mariellen Fiedler Exam Field Support Operation Manager Enclosure: Interest Computation Schedule Letter 3535 (3.2002) Catalog Number: 33709U EFTA00598897