HomeMy WebLinkAbout97-00953
Depertment 01 the Treuury . Internal Revenue Service
Form 668 (V) (c) Notice of Federal Tax Lien
(Rev, October 1993)
District Serial Number For Opl/onal Usa by RecordIng Office
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As provided by sections 6321, 6322, end 6323 01 the Internal Revenue Q'7-C?53 FTL
Code, we are giving a notice that taxes (Including Interest and penallles)
hava been assessed against the lollowlng.named taxpayer. We have made
a demand lor payment 01 this liability, but It remains unpaid. Therelore, n .0 0
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, there Is a lien In lavor 01 the United States on all property and rights to -T1 -;J
property belonging \0 this taxpayer for the amount 01 these taxes, and ~,' c"1 ~l :!I
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, additional penallles, Intereet, and costs that may accrue, ", ,1~
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,Name of Taxpayer l:.'. ,,1
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I Residence ).~ .J
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, IMPORTANT RELEASE INFORMATION: For each assessment listed below, ''IIq,<..x:..>fd
I unless nollce of lien Is retiled by the date given in column (e), this notice shall,
, (~~:d d.->-/'7S'
, on the day following such date, operate as a certificate of release as defined
I '-Ili''.l'c,,':!
, In IRe 6325(a). KI1
\ Tax Period Date 01 Last Day lor Unpaid Balance
, Kind 01 Tax Ended Idenlllylng Number Assessment Rellilng of Assessment
! (a) (b) (e) (d) (e) (f)
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Place 01 FIling
\-1 i , Total $ i :.!.'
This nollce was prepared and signed at
. on this.
the day of .19_,
$Ig ,'"" CfJ~m~i-1 "",
(NOTE: Certlllcate 01 ollie., aulhorlzed by law 10 lake acknowledgm.nt. I. nol ....ntlallo the vatldlty of Notlc. 01 Fad.,a' Tn tI.n
R.v, Ru!. 71.466,197\ .2 C,B. 409)
Part 1 . Kept By Recording Olllce Form 668 (V) (c) (Rev, 10/93)
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