HomeMy WebLinkAbout96-06152
'11 668 (V) (~) Depa'tmenl ollhe Treasury. Internsl Revenue Service
v. October 1993) Notice of Federal Tax Lien
Itrlcl Serial Number For Opl/one/ U.. by Recording O/llce
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;AI provld.d by ncllonl 6321, 6322, end 6323 of Ihe Inlernal Revenue (c I ');~ \ IL
jCod.. w. are giving a notlc. that taxGI (Including Inlerest and peneltles)
! have bIen .......d again It Ih. following. named laxpayer. We have made , I')
/. d.mand for peymenl oflhl. lIabllllY, but II remalna unpaid. Therefore, .
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I ther. II . lI.n In favor oflh. Unlled Slales on all properly and rights to -, ,
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, prop.rty belonging to thll taxpayer for Ihe amounl of Ihese lax~s, and ",'.;
, additional penalllGl, Inleresl, and coslllhal may accrue. I l'J
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'Name of Taxpayer , ; :J)
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Residence ... ,
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IMPORTANT RELEASE INFORMATION: For eaeh assessment listed below, Ii' I ,l'l.' ~,,\
i unless notice of lien Is reflled by Ihe date given In column (e). this notice shall,
, on the day following such date, operate as a certificate of release as defined C.~A t-.l \"1.,.")~".>l('{
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. In IRC 6325(al. i'--'\ q,', ;)FJI
I Tax Period Oate of Lasl oay for Unpaid Balance
Kind of TalC Ended Idenllfylng Number Assessmenl Reflllng of Assessment
(a) (b) (e) (d) (e) (f)
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'Place 01 FIling
\tl' Total $
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.Thls notice was prepared and signed at
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(NOTE: CerllllcallJ 01 oUlcar authorized bV law 10 taka acknowlQuQmonlllls not o5sentlullo tho valldity 01 Notice 01 Fed.rlll Tax II."
RI', Ru!. 71.40e, 1e71 .2 C.B. 409)
Part1 . Kept By Recording Olflce Form 668 (V) (c) (Rev. 1 O/9~'
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