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96-05801
- arm 668 (Y) (~) Oel',,'llI\en' 01 Ihe Tro.~u,y .Into,n.' Revonue Servlco Rev. OclulltJ' 1 U9:1) Notice of Federal Tax Lien - Fe; Optional U,,, by Rflcoralng Ollie. District Se,'al Numbe, I~ll ( lllJ' r,80 I F-rL A. provided by sections 6321, 6322, al1d 6323 of tho Il1tornal Rovol1uo Cod., we or. giving a notice lhallaxos (Including Interosl and penalties) heve boon assossed egalnsllhe followlng.named taxpayor, We have mada . - lSt , e demand for payment of this liability, bul II romalns unpaid. Thereforo, f, "h there Is e lien In favor of Ihe Un lIed Stoles on 011 properly and rig hIs to ..., -, ',- '" I,m property belonging 10 thl. laxpaY$r for the amount of Ihose laxee, and C!:': -l .ddltionel penalties, Intereel, end costs thaI may accrue, t-.~ ~.., ':~j <.'1 - Neme of Taxpayer f:',' ::.1. ~ l~ ' .. ...'. '): I :r,j , ~7 ,jr ;J., Residence .. :::I 'i~ :q -- 0 - ~ IMPORTANT RELEASE INFORMATION: For each as~es"ment Ilsled below, 11'1 I unless notice of lien Is refiled by the dale given In column (e), lI"s nctice shall, ~jVt.. on the dey following such date, operate as a certiticate of release as delined ( " "I;)' 1.1QU In IRC 6325(a), ~, .d. 1.1 Lj "-}lv~ r Tax Period Date of Last Day for Unplld "llano. Kind of Tax Ended Identifyln9 Number Assessment Reflllng of A.....m.nl (a) (b) (e) Id) la) (f) , 1 i .,. , , , I " ' " , I j ',. ; ~. , , , , , " .! - , !'-' I ~ , , , , ., I ., , , ':l,\',J, "!'l , , , , ,. l"l';.ur , " , " ,1"1 : :1 ~.':: u l..1 , , ,'-'1 ,I , , " , " , " 11.'" . I,.." ~ " , ., , , , , , l'IIoi'I.:31 " II , '. . 'I, " -.j ,",' .r}:.,: . :i'( , , , 1 <", " , .1 t i: . ki~ ,.'" I '.I , I, , , ", , " , ;"1 ." I II i ,':1,', ,.j. , , , , . ,',' t!:.H..!;'" , " . : , " , ., ..-'1' ,'I'j , , , " , " , , /.. I .'111 Place of FIling Tolal $ " , , , I,j , , ' This notice was prepared and signed at , on this, tha day of ,19~, Slgnalure re j'...,,-.11 (NOTE: Certlflcato 01 olllce, 8-llhorll.ed b;.' low 10 lilks ackno.....lddgmen19 Is not usenllol to the validity 0' NOllc. ot Fedltlll Tax lI't1 Aov. Aul. 71.46S, 1971 .2 c,a. 409) ParI 1 . Kept By Recording Office Form 688 IV) (c) (Rov.l0/93' ,. . ".~ ,.. .. ".. , , I I I I f ,. " " " , " ! " " " " , , I' , " " , " 1 , " , 2 \ ""1' ',' , I!) " I , , " " , " , " .9 , CJ " ,I " , jf,:rr' . , ", , " Ll " , '-\" " , I' ., , , , , ., I , , 'I''' " ,; Ii "iL r, " "';1' , :r , , " , , "I ): , , , ; ;,1 " I , '. , , : " , , , " , , . ~ ~ .. . . "If";