HomeMy WebLinkAbout97-00159
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Dep.'tment 01 the Treasury. Internal Revenue Service
Form 668 (V) (c)
(Rov,Oclobor 1993)
District
I'UII~:;YL Villl! 1\
Notice of Federal Tax Lien
Serial Number
;;- j' i/: ! (~.L' '
For Opl/on.1 U.. by Rscordfng Ollie.
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As provided by sections 6321, 6322, and 6323 of the Interne I Revenue
Code, wa are giving a notice that taxes (Including Interest and penalties)
have been assessed against the followlng.named taxpayer. We have made
s demand for payment of this liability, but It remains unpaid, Thorefore,
there Is a lien In favor of the Unltad States on all proporty and rights to
property belonging to this laxpayer for the amount of these taxes, and
additional penalties, Interest. and costs that may accrue.
Name of Taxpayer ROBU,l I" ~ '::.H I HU.', , I'll 11101 I/\N
Residence
1 'iii', ,.',nH'll illl
C/\F~I.J'.~L.r~, Fit' l/"J'~!-Jj<~~n
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien is reliled by the date given in column (e), this notice shall.
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a),
Tax Period
Ended
(b)
Kind of Tax
(8)
Identifying Number
(e)
1041.1
11,)4<)
11)'VJ
1;</31rl]
i~I/]1;'-~4
-1? 1]1 /~oiS
1 (.:12-3('-1 S11
1,~;<'-3<)-1 1011
Lf92-3r)-1~;11
Place of Filing
Pl~othonot-.cl\'~)'
CUillbet'lnnd County
Cilt" icle, F'A 171)13
Date of
Assessment
(d)
OS/ 2:~/~1i].
(,I':; /2L\'/ rj(~
(IEI/(IS/fJG
This notice was prepared and signed at
Pl!:l.sbUt"'qh. I~/l
the
l'Ith
day of
f.~'6
.19_
{'eceHll,Pt
Signature I,J;!f-v.1o. 11' c..c.-:>>-'\1-' ~
I U I f'ffflt1 c (,. '~F'tlrJLW,F I;:l'C',
Tille
I/Cj ,OU;'(I
1,IIJ31(N
tit! L\T1Lol
Last Day for Unpaid Balanc.
Reflllng of Assessment
(e) (f)
()(~,I 22: ()4
(Jf;/r!j 11)';';
V3/U4/06
1700.34
2902.41
2687.67
. '
. .
Total $
7:~9(1. 42
. .
, .
. on this.
t-li\H/1lJF:.H ?3 .1-'1 --1)11( le'
(NOTE: Certlflcate 01 olllesr authorized by law to lake acknowledgments Is nol essential to the vaUdity of Nolle. of Federal Tax H,n
AIV, Aul. 71.466. 1971 ,2 c,a, 409)
Part 1 . Kept By Recording Office Form 668 IV} (c) (Rev, 1 O/9~'
Form 668 (Z)
(Rev, H')
Dapartmanl 01 thl Tr..aury . Intarnll Ravlnua SlrvlCI
Certificate of Release of Federal Tax Lien
Dlatrlct
Sarlll Numbar
For U.. by Recording OtllCI
I clrtlly thl' aa 10 thl 101l0wlng.namsllxpaYlr, thl requlrlmenta 01 aectlon 8325 <el
01 Ih. Intarnl' Rav.nuI Cod. hev. ba.n altlafl.d lor the t.xea IIstod b.low .nd lor
oil st. tutory Iddlllona. Th.r.'or.. th. lI.n provld.d by Cod. section 6321 lor these
texes .nd Iddltlona h.. been r.I....d. Ths prop.r ofllc.r In tho olllco wh.rs th.
notlc. 01 Internal r.v.nust.x lien w.. fII.d on
19 --' Is In luthorlzed 10 no I. ths bookl to show Ihe releas. 01 this lI.n lor
thaso taxes ond additions
Name 01 Toxpoy.r
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Residence
,4t5,U(j~d
Cll.1I \4(;O\.Q'
(U.5'lo'-l'f?
Kind 01 Tex
(a)
Tax Period
Endod
(b)
Identifying Number
(e)
Date 01
Assessment
(d)
Last Day lor
Reflllng
(e)
Unpold Balanco
01 Assessment
(I)
Place 01 Filing
Total
$
This nolice was prepared and signed al
, on IhIS,
Ihe
day 01
,19_
I Till"
(NOTE CC>f(d'C.lll1 0' officer .1urhoflled by 1.1W 10 ',tile .1CllnOrlolt'(Jgflll",ts IS not ('.~~"n/,.lllo IIlil \i.I'ItMy 01 CerMe.l1ll or Rete,un of Foder"l riU /!en Rev nvl ".466, 1971.2
en -ID!))
Signature
(2l':...,LU:.J:,"-
PART I . RECORDING OFFICE
Foom eos (Z) (Ro., 6-9')
CAT, NO 600261
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