HomeMy WebLinkAbout96-06154
orm 668 (V) (c)
Rev. October 1993)
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Depa,tment olthe Treosury , Internol Revenue Service
Notice of Federal Tax Lien
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Serial Number
For Optional Usa by RfCordlng Olflce
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N" i lli' ll.'I')ll III
\ As "rovlded by eectlons 6321, 6322, end 6323 of Ihe Internal Revenue
, Code, we are giving a nollce that taxes (Including Interest and penalties)
have been assessed against Iha followlng.named taxpayer. We have made
a demand for payment of thle lIablllly, but It remains unpaid. Therefore,
there Is a lien In favor oflhe United Sletes on all property and rights 10
property belonging to Ihls laxpayer for Ihe amounl of these laxea, and
I additional penallles, Inlerest, and cosls Ihal may accrue.
IName 01 Taxpayer
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!Resldence
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Ilq .co III
IMPORTANT RELEASE INFORMATION: For each assessmenlllsled below,
unless notice 01 lien Is reWed by the date given In column (e), this notice shall,
on Ihe day following such date, operate es a certlfleate of release as defined
In IRC 6325 a .
TalC Period
Ended
(b)
Identifying Number
(e)
Oata of
Asseasmenl
(d)
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Last Oay for
Reflllng
(e)
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UnpaId Balance
01 A..e..ment
(f)
KInd of TllC
(.)
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,Place 01 FIling
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Total $
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This nollce was prepared end signed 01
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the day 01
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(NOTE: C.rllllcall of officer authorized by raw 10 lake acknowledgments Is not essential to the valldltv or Nolle. 0' F'~Ir.1 Tax 111n
Rlv. Ru!. 71-466, \97\ .2 c.a. .oe)
Part 1 . Kepi By Recording Olflce
Form 668 (V) (c) (Rev. 10/9~'