HomeMy WebLinkAbout97-00948
Departmenl 01 Ihe Treaeury . Inlernal Revenua Sarvlce
Form 668 (V) (c)
(Rev. October 1993)
Olslrlcl
Notice of Federal Tax Lien
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As provided by sections 6321, 6322, end 6323 of Ihe Inlernel Revenue
Code, we are giving a notice that taxes (Including Interest and penallles)
have been assessed against the followlng.named taxpayer. We have made
a demand for payment of this liability. but It remains unpaid, Therefore,
\here Is a lien In favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue.
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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 01 release as defined
In IRC 6325(a).
Tax Period
Ended
(b)
Kind ofTax
(a)
Date of
Assessment
(d)
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Last Day for Unpaid Balance
Reflllng of Assessment
(e) (f)
Identifying Number
(e)
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This notice was prepared and signed at
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(NOTE: Cerllllcal. 01 offlc., aulhorlzed by lew 10 lak. acknowl.dgments Is nol ...enllello Ih. validity 01 Nollcl 01 Fld.,al Tull.n
R.v, Rul, ".466, 1971 .2 C.B, 409)
Part 1 . Kept By Recording Olllce Form 668 (V) (c) (Rev, 10/93)
, , day of
Signature
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