HomeMy WebLinkAbout97-00960
Dlpartmanl ollhl Treasury - Inllmal Revlnul SIIVlc.
Form 668 (V) (c)
(Rev. October 1993) Notice of Federal Tax Lien
District Serial Number For apI/Dna' Use by Recording Olllce
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, AI provided by lectlonl 6321, 6322, and 6323 of the Internal Revenue
Code, wa ara giving a notice that taxes (Including Interest and penalties) F\L
I have been assBSsed against the followlng-namad taxpayer. We have made
. dlmand for paymant of thll liability, but \l ramalns unpaid. Therefore, '-' .;) (')
there II a lIan In favor of the Unltad States on all property and rights to ~: -.j -n
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proparty balonglng to this taxpayer for tha amount of these taxes, and d'ji.: ,." ,\=11
additional penaltlal, Interest, and costl that may accrue. .,..... .;-J
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ame of Taxpayer -
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, \1q . eX) {l<:!
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 of release as defined ev-iI l,,>?,4GP,
, In IRC 6325(a). ~ '-I ~nO
, Kind of Tax Tax Period Date of Last Day for Unpaid Balance
Ended Identifying Number Assessment Reflllng of As lelsment
(a) (b) (c) (d) (e) (f)
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Place of Filing
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, on this,
This notice was prepared and signed at
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Signature
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Title
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(NOTE: CIIUlleata 01 olflear authorlzad by law to tako aeknowlodgmontsl. not ISlantlal to tho validity 01 Notleo of Fodoral Tax non
Rov, Rul. 71.486,1971.2 C.B. 409)
Part 1 - KepI By Recording Office
Form 668 (V) (c) (Rev. 10/93)