HomeMy WebLinkAbout96-05113
Form 66B (VI (c) "'I Depo'lmenl 01 Ihe Treasury' Intornal Rovenue Servlcl
[Rev, October 19931 Notice of Federal Tax Lien
DIslricl Serial Number For Option.' LlI. Of R,cordlnQ om,.
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As provided by lecllonl 6321, 6322, and 6323 01 Ihe Inlernal Revenue q~, 5//3 rTL
Code, we are gIvIng a nollce thaI taxes (Including Inleresl and penallles)
have been assessed agalnlt the followlng.named laxpayer. We have made
a demand for payment of thll lIablllly, bul 1\ remains unpaid. Therelore.
there Is a lien In favor of the United Stalu on all property and rlghls 10
property belongIng to thll taxpayer for the amount 01 Ihese \lxes, and ,
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additional penalllll,lnterut, and cosll thaI may accrue. t ~ "
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Name 01 Taxpayer j
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. IMPORTANT RELEASE INFORMATION: For each anessmenl Ilsled below. ",; ~. <, \,d
unless nolice 01 lien is reMed by Ihe dale given," column (e), Ih,S nollce shall, \' \10 _, \ 4 ,"'\<'
. on Ihe day lollowing such dale. operale as a certlf;cale 01 release as delened
In IRC 6325(a), f' ,\ 4 ',)')'i
Tax PerIod Oal.ol Lest O'y for UnpalcllllaftCt
KInd olTlX Ended Identltylng Number AII.um.nt R.lIl1ng of A....."'.nt
(a) (b) (eJ (aJ (t) (t)
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Pllce 01 Filing
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Thl' ncHe was prepared am1liglled al
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day 01
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Form 668 (Z) , D.parlmen. ol.h. Tre..ury . Inlernal R.v.nu. Service
(Rev. ~J Certificate of Release of Federal Tax Lien
Dlalrlcl S.rlal Numb.r For U.e by Recording Olllu
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I cerllly theta.to the lollowlng-name texpey.r, the requirement. olllKllon 6325 la)
ol.he Intarnel Revenue Code he". been uti aIled lor lhe tex.a Us'ed below and lor
aU atetutory ecldltlonL Therelore, the lien provided by Code IIKlIon 6321 lor these " ,
tex.. end additions hu been releated. Tha proper o"lc.r In the o"lca where .he '. j ,
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notice ollnttmlll revenue tex lien was filed on
1 g '---, I. In authorized to note the book. to ahow lhe r.l.ase 01 this U.n lor ' .
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lhese textS and ecldltlon. .. ,
Nam. 01 Tupay.r ,
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Tn Period Dele 01 Last Day tor Unpaid Balance
Kind 01 Tax Ended IcIenliIying Number Assessment RelUing 01 Assessment
(a) (b) (e} (d} (e} (I}
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