HomeMy WebLinkAbout96-02672
Form 660 (Z)
(n". HI)
District
Deporlment ollho Treolury . Inlernol Revenue Service
Certificate of Release of Federal Tax Lien
Serial Ilumber
Far Un by Rlcordlng OlllcI
I cattily that os 10 Ihe lollowlng.nome loxpsyer, tho requlremenls 01 seellon 6325 (a)
01 tha Inlernol Rovonuo Code heve boon lollllled lor Ihe lexos listed bolow and tor
011 stolulory oddlllonl. Thoreloto, Iho lion provldod by Code socII on 6321 lor thelo
lo~oa and oddlllons hes been reloosod. The propor ollleer In tho olllee whoro the
nolleo ollnlornol revonuo tax lion wos 1II0d on
19 --' Is In outhorllod to note Iho books to show Ihe roleose ollhls lien lor
thOle luxu and addlllons
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-. Department 01 the TrlDoury. Intarnel Revenue Service
Form 668 (V) (c) Notice of Federal Tax Lien
(Rev. October 1993)
District Serial Number For apI/on.' u.. by R.cordlng Olflc.
I I,; j t." . I NI;), %,. ;;JtJ.:7,:;! FTL
As provided by eectlons 6321, 6322. and 6323 of the Internal Revenue
Code, we are giving a notice thaI taxes (Including Interest and penalties)
have been asa88sed agelnalthG followlng.namad taxpeyer. We heve made
a demand for payment of this liability, but II remelns unpeld. Therelore,
there Is a lien In favor of the United Slatu on all properly end rights 10
property belonging 10 this taxpayer for the amounl of these taxes, and
addltlonel penaltlu,lnteresl, and coata that may accrue.
Name 01 Taxpayer ' id , I j ~, I ,j I ,\ I
'\Id !Ii ',11111
,,'
Residence -,'lllt .11 ; l t ,
II!' 11/llil ., Id . , - .
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 11 q ,Co 1',1
unless notice of lien Is reflled by the date given in column (e), this notice shall,
on the day followlno such date, operate as a certllicate of release as delined C\lj! I~'j a.~ 1
In IRC 6325(a). f\ ,\ 3li'1&1L/
Tax Period Dele 01 Lasl Day lor Unpaid Balance
Kind of Tax Ended Idenllfylng Number Assesement Rellllng of Aasellment
(a) (b) (e) (d) (e) (/)
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(, t.;:' I I. . ;1 . '. . ., 1 \"j. 1,_.1.:2.1)j)
Place of Filing ,,0,1
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,t,,: . ,. Total $ llj,::t .;,";.':1
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This notice was prepared and signed at
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day of
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I TE. e.. CI'I olnti' ~utholl"d by law 10 laka acknowledgmente I. nol l..enllallo Ihl vllldlly 01 Nollce 01 Fld..I' Tunln
Rlv. Rut. 71.400, 1971 .TC,e, 409)
Part 1 . Kept By Recording Olflce Form 668 (Y) (a) (Rev, 10/03)
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