HomeMy WebLinkAbout96-01496
Dlplrlmlnt 01 1111 Ttlasury . Inllrnal FlI.lnUI SlrvlCI
'arm MIl (Y} (c) Notice of Federal Tax Lien
(Rev, October 1993)
District Serial Number Fo, Opl:onal V.a by R.,.,dlng 011/<1
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AI provld.d by ..cllon. 8321, 8322, and 8323 cl the Internal Revenue
Cad" w. .r. giving. notlc' that taxes (Including Interest and penaIU,,)
IIlIv. been .....sed .galn.t the followlng.named laxpayer. We have made
. d.m.nd for p.ym.nt of thl. liability, bul It remains unpaid. Tharefore,
th.,. Ie . lI.n In flvor of the Unlt.d States on all proparly and rights 10
prop.rty b.longlng to Ihl. laxplyer for Ih. amount of Ihne tAxes, end
.ddltlon,1 pln.,II.., Inler..t, Ind coats Ihat may accrua.
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Nam. of rlxpayer ,
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. $, 1.\)0 \)(.t
unlesa nollce of lIan Is refllad by Iha date given In column (e), this notice shall. I:''-'t\ \]'J :1" ,....1
on the day following such data, operate as a certificate of release as defined
In IRC 6325(a), ~,\ 'A,.,..)"'I
, Tlx P.rlod Oala of Last Oay for Unpaid B,'anc.
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KInd of Tex Ended Idenllfylng Number Assessmenl Reflllng of A....sm.nt
; (a) (b) (c) (d) (a) if)
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; This nolice was prepared and signed at
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(N TI: etnnlcal. 01 o"re..euthollud bV law 10 lake acknOwlilJgmlint:s Is not u'nunllal to the validitv of Notlc. ot Fed.ral Tax lI.n
Ro., Rul. 71.468. 1971 . 2 C,8, 409)
ParI 1 . Kept By Recording Olllee
Form 668 (V) (e} (Rev. 10/93)