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Home My WebLink About96-01495 'orm 668 (Z) I~"', ~a.1 Dep.rtment 0' 'h. T"..ury . Int.rn.' "ev.nu. Servlc. Certificate of Releate of Federal Tax Lien ''''01 "I., Numb" '0' U.. by "ooordln 0<<'.. ... I-~ , certlly thet .e 10 lite 'ollo",'ng,n."" I..p.yor. Ih. ,equlr.m.nt. 01 HeUon IJ25 (.) oltlte Inlarn.' R.vonufI Code h.v. ~n seU.f1ed 10' Ihe ..... 1I.,ed Iltl_ .nd lor .11 "Itutory addltlone. Thl..'o... Ih. IIln provld.d by Code ....lIon 1321 lor Ihe.. II'" .nd .ddltlone h.e ~n ..,....d. TIwI prope' offlcor In Ihe 011I00 ",hare Ihe nOllGo olln""n.' "'"nu.',, lien "'.. flied on.._ _, __ _, _n..,_.. ..,,,,,_ __,__.., 19_____, I. In lulhorl.ad 10 nole Ihe book. to show Ihe ,elease 0' Ihl. lI.n lor Ihese la.1S and additions Nlm. 0' To. pa~., , , ',' , ,"'I ,-J OJ ~ , '" '. ~'l " " , ,.r1 .,:) ,(.;' ~~ ,,~ ;ir~ ,I '. . ~il u> -..;.: Resldenc. " " ' , " I) "j,l..(.J pc.J (",tll ~fI\lll",' r<t\ Cj,Q3 La.t Day 10' Retlllng (.) Unpaid Balance 01 A.sessme,.t (I) _II Ii- I ld I,~ 'i H", Kind 01 Ta. (.I) Ta. Period Ended (b) 'den"'ylng Numbe, (c) Dale 01 Assessmenl (d) .-I! qj .~, .1 . ILl " , , , , " \' , I I , , .1' , I '. 1,-,' " " 'h ! , , , I:.:J I " " _I; . J; 'I' " ._.1 Ii ,1. i' ", ,1,(, . '" . ... k .. ~. ." 10.\ r" I. .. ~ . . " " " I ; . ~ . . . . . ~ .., ............,. I ;, ~ .. '" ... ... " ... II- .. . .. , lr. .. .. Placl 01 Filing ,-, Tolal s rill:, nollCf! ',N,h lJr~JIJ.III~d ,Inil SI~l'HJt1 .:tl . on rhls. tli"__d,I;..J1 1" I" ';' 1 (.:.!C~~~"{ '" 1" . .~ .: I I \.' '. vV' =t"" l~jfJ fE """, j.'" .;' '!',,'t', II.n'l":"ll:7v 010" I,) ~,I~oJ k.,'("t'''(~ri't "~", " ".r '!";l'Ii!I,Ji!U 1I'<f .,II1IMI' lJ/ Cdftlhl.-.JM ~t ~~"/IM'jf' 'oJ' ~fIfht',J1 r,f. /..n ~fI'" Rc.J9, "06 1'1/1 J C8.k" PART I . RECoRDINQ OFFICI Deplrtment 01 thl Treuury . Intern II "evenue Service 'orm 8ea IV) Ic) Notice of Fedelal Tax lien (Rev. October 1993) 'Olstrlct Serial Number Por Opllon.1 V.. Ily R.cordlng Ollie. , . ,\lu, I il..- I ~~( i t.} fl. F.'h '. ' _I 'I' , " A. provided by .ectlon. 8321, 8322, Ind 6323 01 the Internal Aevenue Cc.de, we .re gMng a notlc. that taxIS (Including Interest and penalties) h.v. be.n ."....d 'lIaln.t the following-named taxpayer, W. have made a demand tor payment at thl. liability, but It remain. unpaid. Therelore, the.. la . lien In fIIvor of the United States on all property and rights to property belonging to this taxpayer for th. .mount of these taxes, and additional penaltlll, Interest, and costs that may accrue. , Name of Taxpayer , '0'1' HARU 1.\ f~1 i' . i ,il t, i..L. L: i'l rrRrR I ~~L' ,., Residence ,I- -, W 1,;111'10 r rJ(, Illi , F(I,IA . \ . 1"1[(!i,-\i\l! (':r:UF';(l' "',\ I " ':Vi, , IMPORTANT RELEASE INFORMATION: For each assessment listed below, "1 C'() ,it \ unless notice 01 lien is rellled by the date given in column (el, this notice shall, l,",--I. \.;1 c/il' 14t on the day lollowlng such dale. operate as a certificate or release as defined " In lAC 8325(a). \~ t' 'It.. ,Jq~ I Tax P.rlod Date 01 Last Day lor Unpaid Balanc. KInd of Tax Ended Id.ntlfylng Number Assessment Reflllng ot Au.ssment (B) (b) (e) (d) (9) (f) "'.ll (r;' /~:l) I';; 1 i:;,; .j ." [,' .:.~ ,', ' >-, - ;'; .1).+ 941 06/~;(J/")2 ,,-;:..,,~ 4 " ! (,1;' -,'l-J I.i .;;)t-) t '.)1-, ':~- < 1 -, ... " ':'41 1)':11 -;l.)/q~ ; ...:'".,....:4- '," I ('It '.!,' i.'1 :( li<:. ! ;,-":;-.4':"") ':>41 L.. j ,-' ,),~ . , 2,'",;",-/. ,. "I j"!t .' '/(, (.t :]/1>.:.. I ,', "}", :, '-. "- ',' ')41 !);; / -., I i ,:,'j ': .. ,- (..~ ~::.+ :!:' : , l'[ . i . .~I "I, t, (j,:. ,:4""', _ ,\,:: ,,,- ':i.t[ I '~I:':" ,/ :';1)/ <J;-; ., ....;:..:....+~4 " . 'i'l , ;1 :1:11:. 7 , - "'(-'" ,~, ':'41) \ ., . :; 1 / ':-t,~ ,.."';. .+ ::'( 1>1, .. , .,;': l ,,:~, ",';)::; .., "'M '- .. 9,~1) : ';1/''>-':: ";,,',1 . ~ I [_Ii., 1,1; , (....> . ;.:: . (1I-J " ,c. .' " .! } PlaC8 of FIling ,', t h.. (I (. t oJ.ir / Total $ rn~' e- F I rl.rl ,j .:.url t. . .~ i ,\ . i 1 , -" " I I''; 1f.::\1 " [ '-'il I Ii f \ :\ I i , ! This nollc", was prepared and signed at r I' !' '- ~~ . on this. ". . ..., . the ~J t;, da~ ~'I""i~ ;~~T;;-:; -;::, . : 19 ~ '" Signatu~~ ~ b .~- // j-'~I ~rr \'" ,,'-<v' ,...,.. Tille ,'" . , ,'t (NOTI: Certlflcale of olflcII authorIzed by law to take acknowledgments is not ."ential 10 the validity of NoUe. of Fed".1 To lI.n Roy, Rul. 71.48e, 1911 '2C,B. 409) Part 1 - Kept By Recording Office Form 8ea IV) (c) (Rev. 10/93) I "'" " . .. , , ,I ... "'l t" " " J .J " ) ) J. ~ 00"