HomeMy WebLinkAbout96-02667
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" Olparlmlnt ollhl Trellury . Internal Ravlnul Slrvlcl
Form 66B (V) (c) Notice of Federal Tax LIen
(Rev. October 1993)
District Serial Number For Optlona' U.e by Recording Olllce
110 ! ,.j.. !j'l, , f\l.c., Cllt-_ ,1l.ll!, '? l-IL
AI provided by Itcllons 6321, 6322, and 6323 01 tho Inlornal Rovenuo
Code, we ere giving a nollce that taxoa (Including Intorost end ponaltles)
hsva been aueesed against the lollowlng.nomod toxpoyor, Wo havo modo
. demand lor payment 01 Ihle liability, but It remains unpaid, Thoreloro,
there Is a IIsn In lavor 01 Ihe United States on 011 proporly and rig hIs to
property belonging 10 this taxpayer lor the amount 01 Ihose taxos, and I
additional penalties, Interest, and costs that may accruo.
Name 01 Taxpayer 11,\'1111/\ I: 111"-\1;!:1 ", I I
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: Residence " Iii I I ' ilL, 1 1,1',
1.jlJI;11Ii I ,',I.III.tJ' "f. I i' 'I :. . i
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IMPORTANT RELEASE INFORMATION: For oach assessmenl Iistod below, Ill).L'() \)( I
unless notice 01 lien Is rellled by the dato given in column (e), this nollce shall,
on the day lollowlng such dale, operate as a certiflcato of releaso as doflned l'u l~ \-;,}~,li3'
In IRC 6325(111: \~. t\ 'J~u:I'i?
Tax Period Date 01 Last Day lor Unpaid Balsnce
Kind olTax Ended Identifying Number Assossmenl Rellllng 01 Asseument
! (/I) (b) (e) (d) (e) (f)
1',1 . ~ i I \,,' I" I I, 01' ' , , , ,),' 1'1 " ""'.
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Place 01 FIling
I. I "t I,,' - III ' t ,~,
( IlInl'l I I,dld '\1111, Total $ "I " I.
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This notice was prepared and signed at
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, on this,
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Title
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(NOTEI C"lIl1cIII 01 olllCli.olho,llId by low 10 loko ocknowlldgmlnlll. nol I".nllll to Ihl Yllldlty 01 Notlcl 01 F"d,,"1 Tullln
RIY, Rul, 71,488,1871.2 c,e, 409)
Port 1 . Kepi By Recording Olllee Form 66B (V) (e) (Rev, 10/93)
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