On January 19, 2021 a
Exhibit,Appendix
was filed
involving a dispute between
Amber R Mason,
Daniel G Mason,
and
Kim Mason,
for Torts - Other (Breach of fiduciary duty)
in the District Court of Chautauqua County.
Preview
FILED: CHAUTAUQUA COUNTY CLERK 11/01/2021 11:12 AM INDEX NO. EK12021000070
NYSCEF DOC. NO. 84 RECEIVED NYSCEF: 11/01/2021
Financial Records Summons
In the matter of KlM MASON, VICE PRESIDENT, JAMES D MASON INC, 207 E 3RD ST. JAMESTOWN. NY 14701-5403
Internal Reveñüa Service (IdentifyDivision) SMALL BUSINESS/SELF EMPLOYED
Industry/Area (Identify
by number or name)
Periods: See Attachment 1 toSummons Form 6639 for Period Information
The Commissioner of interñal Revenus
To: NORTHWEST SAVINGS BANK
At: PO BOX 128, WARREN, PA 16365
You are hereby summoned and requiredto appear beforePAULA GAWELO, an officer
of theInternalRevenue Service,to givetestimonyand
tobring withyou and toproduce forexarñ|ñâtianthe followingbooks,records, papers,and otherdata relatingtothe tax or for the
liability
purpose of inquiring
intoany offensecaññscted withthe or enforcement
administration of theinternal
reveñüê laws concerñ|ñÿ the taxpayer
identified
above for theperiodsshown.
Copies ofdocuments and reecrde thatyou possese or controlthatconcern ½nMng matters of thetaxpayer named above, as
described in thes±p2ragraphs checked below forthe periods shown:
Bank signature cards of (EntityName) JAMES D MASON INC
in effectfrom 7/1/2018 to 9/30/2018 and from 6/1/2019 to 12/31/2020
Corporate resolutions of (EntityName) JAMES D MASON INC
ineffect from 7/1/2018 to 9/30/2018 and from 6/1/2019 to 12/31/2020
Bank statements of (Entity Name) JAMES D MASON INC _ __
from 7/1/2018 to 9/30/2018 and from 6/1/2019 to 12/31/2020
(Number).2_CancGlisd checks issued each month by taxpayer for(EntityName).. JAMES D MASON INC
during each month ofthe period from 7/1/2018 to 9/30/2018 and from 6/1/2019 to 12/31/2020.
Front of Checks Only
Both Front and Back ofChecks ,
Loan applicat|cas,agrêêmcats, and relatedrecords, (including corporate financial statements), submitted by, êñtarêd into
by, or in effect
ragarding (EntityName) JAMES D MASON INC
from 7/1/2018 to 9/30/2018 and from 6/1/2019 to 12/31/2020
Do not write in this space
Bueinccc address and tê!êphcñê number of IRS officer
before whom you are toappear:
130 SOUTH ELMWOQD AVENUE. BUFFALO. NY 14202-2464 961-5685 -
(716)
Place and time for appearance: At MAIL IN LIEU OF PERSONAL APPEARANCE BUFFALO. NY 14202-2464
on the 22nd day of October , 2021 at 3:00 o'clock_p___m.
Issued under authority of the Internal Ravañüé Code this 22nd day of Sêptssbsr , 2021
Signature of issuing officer Title
Digitallysignedby PaulaJ.
Paula J. c_s
PAULA GAWELO Date:2021.09.23
07:54:21 REVENUE OFFICER
Gawelo .0,o0.
Signature of uppicvirr
officer (if applica Title
signed
igitally by Karen M. Sowa
SK
Form 6639 (Rev. 3-2020) Catalog Number 250041 publish.no.Irs.gov Department of the Treasury -
internalRevenue Service
Part D -- to be given to noticee
Document Filed Date
November 01, 2021
Case Filing Date
January 19, 2021
Category
Torts - Other (Breach of fiduciary duty)
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