HomeMy WebLinkAbout97-00428
Form 666 (V) (c)
(Rev, October 1993)
District
1 ..~'. '
Depertment olthe Treasury. Internal Revenue Service
--
Notice of Federal Tax Lien
Serial Number
! j.)ENN:-:;'ILV,Uf\1 I i\ '"-',~'.'.~) l,'::,!:.t
i As provided by sections 6321, 6322, and 6323 01 the Internal Revenue
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assesssd against the followlng.named taxpayer, We have made
a demand for payment of this liability, but It remains unpaid, Therefore,
there Is a lien In favor of the United States on all property and rights to
property belonging to this taxpayor for the amount of these taxes, and
additional penalties, Interest, and costs that may accrua,
,Name of Taxpayer '" I [1<An [,\ 1-'h'''1 ~I'
!
j ;'1 e r\ r::,{.I.l:;;
! Residence ?,)f, r,_ I I f.li; '.1'
SHl;:"I..)I~N~-:BUP3. pp. t72S7--j.'j.':.":4
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless nollce 01 lien Is rellled by the date given in column (e). this notice shall,
on tho day fOllowing such date, operate as a certificate of release as defined
In IRC 6325(a).
Tax Period
Ended
(b)
For Optional USI by Rleorcllng Olllel
...
No.
Q'l-lf'J'8' FTL
...
.
.
.
,,'
",
-1lC7uOpd
(llli 132.-103
~li 'lTl'ill\
Last Day for Unpaid Balance
Reflllng of Assessment
(e) (f)
Kind of. Tax
(a)
Date of
Assessment
(d)
Identifying Number
(c)
~
. .
':'41 12/31/95 23-24(1~:E'74 0)9/2J'96 lO"23/1}6 4721.:10
':141 '-'3/31/96 2:3-~~40~'B7 4- (1';1/ :::-.3 /3i) 1('/23/06 3813.00
941 (16'/3(1,1 '.3t,) ?3 -241)~'87 4 ('S/22/'~tS J(I/~~3if)G ~ 51)~;. 28
:Place of Filing
P tOot h 0 n '~lt f.~' V
CU~lt,~t'12n~ SI)untv
(a,oli<le, P:; 17'"'1.'1
This notice was prepared and signed at c' it '-.' t->', t..c t-,. f-",
the J'.t"dayof
[lecprrlte' 19 ~)I;,
, -'
Signature ~" t ,) ~#~~
Title
Total $
110T~.S8
..
, on this,
\.
Part 1 . Kept By Recording Olllce
(NOTE: Certlfleala of ollleer aUlhorlzad by law 10 laka aeknowladgmenll II nol allantlallO Ihe valldlly 01 Notice 01 Federal Tax lien
Rev. Rut. 71.466, 1971 .2 c,e, 409)
~:-\.t"'nup ['ff~cel' ~.:i"-'I:-.t.:!Lj~
\
Form 668 (V) (c) (Rev. 10/93)
I