HomeMy WebLinkAbout96-03458
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Form 666 (Y) (e)
(AlIv. OclullUr 1 9~l:l)
Cep.rtment of Ihe Tro.sury . Into",o' Rovonuo Service
Notice ot Federal Tax Lien
District SIHlal NLJIl11lur For Opl/onal Usa by Racordlng Oll1ce
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AI provided by lectlons 6321r 6322, and rj323 of the Internol Revenue ) ,1 I'lL
Code, we ora giving a notlclI that taxes (Including Inlerost and panoltles)
ha\le been assQSsed against the followlng.named taxpayer. We Ilava mode
e demand for payment of Ihls liability, bul It remains unpaid. Thereforor f-' ")
there Is a lien In favor of the Unltod Stales on all property and rlghls to , \
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proporty belonging to this taxpayer for tho omount of Ihase taxesr and , , I
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additional penalties, Interosl, ond costs thaI may accrllo. I . "1
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Name 01 Taxpayer I I !-111'1 'd II , , , , ,- ,.
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Aasldence '.:')
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unless notice of lion Is rofllod ty 1110 dalu given In COIUllln (e), 1111:' nutlce 011"11:
on tile day following slIch dale, operale ns 0 certlllcate 01 ruluasu as (Julllle(1 { ,~ Il l;r,,'6'~.::r
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Tax Period Date of
Kind of Tax Ended IdQntlfylng Number A,sessmenl Last Day tor Unpaid Bolanca
(a) (b) (e) (d) RoWing of Assessment
Ie) (f)
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Place of FIling I. I "l. h.:, I,,' t, Ii,
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, '1." 11'11. "~iI I", 1 Tolol $
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This notice was prepared and signed al
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f,the
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mOTE: Cerllflc81e or cfflcer authorized by law 10 I k 'k
AIY, Aul. 11,406, 1971 .2 C,B. 400) U 0 Il<; nOVwrtidglllOnllls nOIlI:isenllal10 tho validity of NOllee 0' FederBI Ta)C lI.n
Part 1 . Kept By Recording Of lice Form 668 (V) (c) (Rev. 10/93)
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