HomeMy WebLinkAbout97-00961
Dlpartment ollhl Trluury - Inllrnel Rlvlnue Service
Form 668 (V) (c)
(Rev. October 1993)
District
Notice of Federal Tax Lien
Serial Number
For Optlonel Use by Record/ng Olllce
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AI provided by IBctlonl 6321, 6322, and 6323 01 the Internal Revenue
Code, we are giving a notice that taxea (Including Interest and penalties)
have bean aSlessed agalnlt the following-named taxpayer. We have mada
a demand for payment of thll liability, but It remalnl unpaid. Therefore,
there II a lien In favor of the United State a on all proparty and rights to
property belonging to thll taxpayer for tha amount of these taxel, and
addlllonal penaltlel, Interest, and costs that may accrue.
Name of Taxpayar :: UP,':! I I' ' '" I C'
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Kind of Tax
(a)
Identifying Number
(c)
Date of
Assassment
(d)
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t't~ 4 '887/
Last Day for Unpaid Balanca
Reflllng of ASlesament
(e) (f)
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notlca of lien Is reflled by the date given In column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
In IRC 6325(a).
Tax Period
Ended
(b)
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Place of Filing
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This notice was prepared and signed at
, on this,
the
., day of , 19 _ .
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(NOTE: Certificate 01 etllcer authorized bV law to take acknowledgments Is not usentlal to the validity 01 Notice or Federal Tax IIln
Rov. Rul. 71.466, 1971 .2 C.B. 409)
Part 1 _ Kept By Recording Office Form 668 (V) (c) (Rev. 10/93)
Signature
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