HomeMy WebLinkAbout96-04239
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Form 888 (V) (0)
(Rov. 0,101.)111 H)[J~I
O.p.rltn.1I1 or Ih. Tr,oouIY . 1IIIItI1al R,v,"u, Sltvl.e.
Notice of Federal Tax Lien
] 60rlnl NlJl1l~~-;-_.--._'---"-_.""-- . For Op~oll" U.. by IIIC"OI~III~ 0'11"
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A. provld.d by IIollon. 8321, 6322, ol1d 6323 or Iho IlItornnl Rovol1uo
Cod., w. er. giving B nollo. thotloxos (Incluulng Inlolosl onu ponollloo)
hev. been ..",u.d BgBlnBllhe followlng.nomod tnxpoyol, Wo hove modo
I dBmBnd (or pBym.nt of thll liability, bul II romolfls unpolu, TholOfolO,
th.r. I. I lI.n In f.vor of Ih. United 6toles on 011 proporly ond rights 10
prop.rty b,'onglng 10 thl. loxpoyor for the amount or IhOBO loxos, and
Iddlllonel ponelllu, Inlerut, snd oosls thotmoy oecruo,
; Name or Toxpoyor
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IMPORTANT RELEASE INFORMATION: For ollcll llS~0~511l0nl Ilslu,1 bolow,
unluss nollco of lion 15 rofillld by thu uuto glvonln column (0), 1I11~ nollco sholl,
on the day following such dnlu, opornle 05 0 cOlllllcolo of rolon50 115 claimed
In IRC 6326(n ,
Tax Period
Endod
(b)
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( ~~ " I,) ~', ""1
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Unpaid BII.ne.
of A.....m.nl
(f)
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Kind of Tax
(8)
Idonllrylng Nurnbol
(e)
Dolo 0'
Anossr11onl
(d)
Loet Dey 'or
Aotllll1g
(0)
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This notice wos prepared ond signed ot ,',.., I ., 1" I.'
, on Ihls,
the : , I'dayat )11' , 19___::.
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Signature . , II rille
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(NOTEI Ce,IUlel'l or DrllCtt authorized by low 10 III"'u DcknowtedgnlGnl1 1M nol ..UtWallo lhQ valldlly of NOllee 01 Flde,a' Tulll"
Aov. Avl. 7HOS, 1071 .2 C.B. ~OO)
POll 1 . Kopt By Rocordln9 Offleo
Form 888 (V) (c) (Rav.10/93)
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