HomeMy WebLinkAbout96-04237
Doplrlmln' o. 1111 Trulury . Inllrnol fllvonUI SO/viol
. ,Form 668 (VI (0)
(RllY October I Un:l)
Notice of Federal Tax Lien
Dlslrlcl 60tlol Numl)el ~, Opt,'?!,O' Un by R"ol~'np Olll'!....
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A. provided by ..cllonl 6321, 6322, and 6323 01 Iho Inlolllol Aovonuo q,l~'7 elL
Code, we or. giving. nolle. Iholla~OI (hlcludlng Inlorosl and ponolllos)
hlv, bltn .......d Igllnlllh. 'ollowlng,nomod lo~poyo" Wo hovo modo
I d.mlnd lor plymlnl 01 Ihll IIlblllly, bul Il remolnl unpaid, Thoroloro, ,
th.r. II I lien In Ilvor 01 Ih. Unll.d SlolOl on all proporly and rlghls to
prop.rly bllonglng 10 Ihl. lo~pay.r lor lho amounl or lhosa IOXOI, and ,
Iddlllonll p.nllllu, Inlerol', and COI'S Ihol may accruo, I)
Name 0' Taxpayer Ii ''.' I ';1 ,',
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Residence , II. I I
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IMPORTANT RELEASE INFOnMATION. For eo(h 055eSblllel11 Ilsled below, \\.,' ~"J I)' I
unless nollce 01 lion 15 tolllod by 1110 dole glV0l1111 colul11l1 (e), Il1ls 110llco sl1oll,
on Iho doy followlno such dole, oflurAte 05 a ce,lll,colo of loloase as dolll100 ~ ,~_ ~~ IJ''l'lo,''rt
In IRC 6325(0). I!, It '1114~'"
I Ta~ Period Dolo 0' Las' Day lor Unpl/d B.I.ne.
· Kind 01 Tlx End.d Idon'"ylng Numbo, Anossmon' Rollllng 01 A.....m.nt
(0) (b) (e) (d) re) (I)
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1,-'1, , I I. I I ' , I " , " 1,- .
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"Place 0' FIling
f I ./\ 1,"11.1\.. Tolal S
11,11"1 :, I' llln' ;" I.' .
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This nollce was prepared and sl9ned 01 --'- I ,. ",. "
, on Ihll,
Ihe ' ""day 01
!" I',
, I 9 --.:.. '
SlgnBll,lre
/',,.1 '( ')1 r ..1,1 I I ' f..
Tille
II" t.,
.' ,..,.' _, !-I ~ 1" ...' . ".' l....
1\ r I II
(NOTE: C"UlIcal. of ollie., aulhotlUd by low 10 taka acknoYwludgf11.nll II nol IIUIHlollo the ....al1tJlly of Nolle. of F.d".1 rn lien
A.v, Au/. 71,406, 1971,2 ce. 400)
PorI 1 . Kepi By Roco,dlng Olllco
Form 668 (V) (0) (Rev, 10/93)
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