HomeMy WebLinkAbout96-04045
Olp.rlmlnl ollhl Tranlury . Inlemnl RlVlnUI Slrvlcl
Form IlIlB (Yl Ie)
(Rev, OCtolllll 1 \JU3)
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Notice of Federal Tax Lien
District SOllol NUlIlllijl Fo, Opl/onll UII by RICo/ding 0111"
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A. provided by I8ctlons 6321, 1l322, ond 6323 01 Ille Inlernol Revenue ~ Ilv' quI \) t=1L
Cod., w. ere giving a nollca Iholtaxos (Including Inlerosl ond penollles)
hev. been 8.eeued egolnallhe followlng.nomod lo~peyor. We Ilove modo
. demand for poymenl of Ihl. liability, but II rOl11olns unpold, ThertllOIl, ,
Ihell Is . lien In fevor of th. United Sloles on 011 property ond rights to
property belonging 10 till. lo~poyer tor Ihe amount of those loxes, ond , , I
eddltlonel p.nsltl8l, Interesl, and costs thot moy occrue. 1
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Name of Taxpayer , ,J,
J I ~ t ! /\ " .1.11 1'1 , I III " ,I
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Reeldance ' .
1'1' I. lli',111 l"fJl: 1'1,
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IMPORTANT RELEASE INFORMATION For euch ussesslIlont lis/cd below, II ' /.\. \.' ,.1
unl~ss notice 01 lion Is lofllod by tile dulo given In colull1n (el. tillS notlco Sl10ll,
on the day following 6uch date. operate as a curt,flcato 01 ,olease us d"llned ( ""'1' 1:)'11'14')
In IRC 6325(a), ,~ .\ "lllJ'i3
Tax Period Dote 01 Lest Day for Unpaid Balanc.
Kind of Tex Ended Idenllfylng Number Assessment Retlllng of Aneum.nl
(a) (b) (e) (d) (0) (I)
\'.).111 I 1/11;J I , " 1 JI,:. I, 1'1 '. ,'.': :'1'1 1'111 J, ;;,",
I".jll I, . ,) \ .I:,'; I ,'. ~., " I I'll " 1/' i i 'jt I .,'I'(J.'I II ,,:'J1 il. ';I?
Illlli 1.:: I ,j! 1'.1.1 ] , " , ,,' II'," "", " 'II 111"1. ,'Ill (I('.~. 74
ll:,lll t" .' -J I ' J~.' I, /, ' " I J':I I J ! / I)" ' ,I" ,r,O 'l . j / I ,I J ' d~/~h. (, L
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Place of Filing
l.llIJUtIHllli-111"Y Tolal S
c Ilhll, ':..1' 1 ,~lll d C(JlJI'l j ,. 1,1('[:'). [',,1
,',.." I " ,,' 11'1 1 "'1 ,
This notice was propared and signed at 1'1" I ,,01, II"" I,'. 1',\
, on this,
Ihe ,,',I " day 01
,111i'l"
,19~.
Signature
Tltla
1'1; II.. 1"1
,',' J 1)\ 1,1111,1
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(NOTE: Certlllcat. 01 ollIe., aulho,lzed bV 111'1'f 10 luke 11'~no\'wltllllJm.nllls not lSuntlallo lh. ~Blldltv 01 NOllce 01 Ftd".1 Tu lien
AIY. Au!, 11.460.1911 .2 C,U, '100)
Pori 1 . Kept By Recording Olflce
Form 66B (Y) (c) (Rev, 10/93)
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