HomeMy WebLinkAbout97-00432
D.p.rtm.nt 01 th. Tr.asury. Int.rnal R.v.nu. S.rvlc.
Form 668 (V) (c) , ,
(Rev, Oerober 1993) Notice of Federal Tax Lien
District Serial Number For Opl/on.' Us. by Recording 011I"
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f' ICJ,IN'.: \'l'l01H." .'....j , " q'l- '43:1 F'IL
AI provided by aecllons 6321, 8322, and 8323 of the Internal Revenue
Cods, we are givIng a nollce that taxes (Including Interest and penalties)
have been assessed aga/nsl the followlng.named taxpayer, We have made
I de mind for plyment of thl. liability, bul It remains unpaid, Therefore,
there II . lien In flvor of th. United States on all property and rights to ,0 C)
property belonging to this tlxplyer for the amount of these taxes, and '--.l "
addition II penlllles, Interest, and costs that mey accrue. . " ~ I
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Name of Taxpayer j')
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Residence , , . J-.
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~'f 1-; I,d II I t'l~' If 1,1' ." r:~ ',rn
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. IVI.wrl
unless notice of lien Is refiled by the date given In column (e). this notice shall.
on the day fOllowing sueh date. operate as a certificate of release as defined <",-,1.l I")'\o~
I In IRC 6325(0). ,'Ill 41'1t1
I
I Tax Period Date of Last Day for Unpaid Balance
I Kind of Tax Ended /dentlfylng Number Assessment Reflllng of Assessment
, (8) (b) (c) (d) (e) (f)
If.'4r) 12/3 i.. /'3::: u q -.:.n~ - ,~~'~ r.~' ,): I ~"3"; 4 )(i .: ,:;..~ :' Il:~ 11~Y' ,/.11
jf:40 l~l " :Jl/';"4 1 84 -- 48-- J~~ ':: 1.6/(1::': ~S .,"," '( '.:; II)::' 42(;S. nl]
11)41'1 t;~/:ll /(~I~ 1 ':34.- 48-<1~'_: i':3 .I~'.,/ ~l",. ~_Ii~ (I..:) / ..:.?/i ,( E:'31_1~ ~ 3?
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Place of Filing
P, IJ t,1'1 (1 n 'I t 'c.t' l Total $
t: I j:n h,~! ' ; ~ n J (IJ lj n t'/ 11287,41
(,::'r' 11 'S 'j e. PA j 7" J :I
This notice was prepared and signed at
/' , , " ~ t., 'J t"; h. 1'1
. on this,
the -)(,t.hday of
J::\I'.LL'I. \' 19 :-:1/
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Signature tv.. 117.
10" "Am)>: ["'l"E il.l. ,'E'.J:-if
Title
f\';ANilt3ER Z'3-(rl-f)t.Jl)CI
(NOrE: Corlllleall 01 olllell aUlhorlzed by raw 10 laka aeknow/.dgmlnl. I. nol ....nllallo Iha velldlly 01 Nollel 01 F.doral Tull.n
Alv. Aul, 71.466. 1971 . 2 c,a, 409)
Part 1 . Kept By Recording Otllce
Form 668 (V) (c) (Rev. 10/93)
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