HomeMy WebLinkAbout97-00959
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Dlpartmlnl at the Treasury - Internal Rlvlnul Slrvlce
orm 668 (V) (cj Notice of Federal Tax Lien
~ev. October 1993)
Istrlct Serial Number For Optlona' U,e by Recording Olllce
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AI provldad by sections 6321, 6322, and 6323 of the Internal Revenua qrr-QSq FTL
Coda, we are giving a notlca that taxes (Including Intarest and penalties)
have bean assBlsed agalnlt the following-named taxpayer. We have made " _"l 0
a damand for payment of thll liability, but It remains unpaid. Therefore, -.! 'I
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there Is a lien In favor of the United States on all property and lights to .,- '..,
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property belonging to thll taxpayer for tha amount of these taxes, and 2~ . ",
additional penaltlel, Intarelt, and costs that may accrue. :.J;' ~:. . I
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Name of Taxpayar "<' ""J
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, "'1. C:O\y J
unlass notice of lien Is reflled by the date given in column (e). this notice shall, c..-.,-'" \ .,,~I\C{'C:
on the day following such date, operate as a certificate of release as defined
In IRC 6325(a). I\tI. "I ~'6'loq
I Tax Parlod Date 01 Last Day lor Unpaid Balance
, Kind olTax Ended Identifying Numbar Assessmant Raflllng 01 Asselsme!lt
, (a) (b) (c) (d) (e) (f)
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:This notice was prepared and signed at
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the
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Signature
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(NOTE: CorllUeato 01 oUlea. Bulhorllld by law to take aeknowl.dgmantl 'I not ....nllallo tho validity 01 Nolleo 01 Fodoral Tax lI.n
R.v. Rul. 71.466. 1971 . 2 C,B. 409)
Part 1 . Kept By Recording Office
Form 668 (V) (c) (Rev. 10/93)
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