Case 5:07-cv—03141-JF Document 5-4 Filed 06/15/2007 Page 1 013
EXHIBIT 3
Case 5:07-cv—03t4t-JF Document 5-4 Filed 06/It 5/2007 Page 2 of 3
1. Declarant is a resident and citizen ofthe state California.
2. I am over the age of 2.1 and if called. to testify, am competent and willing to do so
andwould testify as follows: . ‘
3. I am married to Thomas Seidel. A
4. I am the President and sole owner of F our Rivers Investment, Inc., a Nevada
Corporation doing business in California. ’ p
5. On April 7, 2003, without notice and opportunity for a hearing, the IRS - I
wrongfully levied a bank account owned and held in the name of Four Rivers Investment, Inc.,
Eom_Wells Fargo Bank, account nurnber·01.17·3.26983, in the amount of $4,·01_.1.87.. ·
` I 6. On April. 2.4, 2003, without. notice and opportunity for ahearing, the IRS I
wrongfully levied an investment account owned and held in thename of Four Rivers from A..G. _
. Edwards & Sons, Inc. investment account, in the amount of $41,007.32. I
7. On November 14, 2004, without notice and opportunity for a hearing, the IRS
wrongfully seized an amount from proceeds of a real estate transaction, ownedl and held in the `
name of F our Rivers, in the amount of $161,33455. A
8. Four Rivers Investment, Inc. has no obligation to the United States Government
nor the Internal Revenue Service with respect to the above-referenced seizures. l
9. My husband. does not own, control, no1· participate in the operations of Four A
Rivers Investment, Inc. Nor was he a source of funds for the monies seized hom F our Rivers by I
the IRS. _
10. By letter dated May 13, 1999, from Steve Penrod to me, I have been absolved of
any responsibility for T.E. Seidel Electric, Inc. payroll taxes. (See Exhibit 1 to this Declaration).
1
. 7 Page 3 013
t 5-4 Fnled 06/15/200
Case 5:07-cv-03141-JF Documen
W ‘ j 1 _ ..»».v~ ‘_"‘—*——————————--
LQEg1§r_1Eg1,g;];l:;1;g1ty_0f_pc1;j¤1=y~u.nd¤r-fhc—!¤Ws“¤f"ih`FUITiTHY 01Tég>ggE-—_—_~—__—__
_—_ tmc and cuxrcct to the best of my personal knowledge and belici
FURTHER AFYIANT SAYETH NAUGHT.
DA'I'ED:,I| day of .2006. ,_ 1: 1 ·
A/K xx , /0:
' . . - Vib r_· or
· A » President and Sole Ovmcr of Four Rivcrs
‘ Investment, lun. ·‘ , »~ »
` ‘ · 2
Case 5:07-cv-03141-JF
Document 5-4
Filed 06/15/2007
Page 1 of 3
Case 5:07-cv-03141-JF
Document 5-4
Filed 06/15/2007
Page 2 of 3
Case 5:07-cv-03141-JF
Document 5-4
Filed 06/15/2007
Page 3 of 3