HomeMy WebLinkAbout97-01534
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Form 660 (V) (c)
(Rev, Octobor 1D03)
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001'(1'11110111 of 1110 'flllllflllV .lllluII"" Ilnl/fJ',,'Q f;I)",lr.1
Notlco of Fodoral Tax LIen
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,District
Sorlnl Numbor
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AI provided by sections 6321, 6322, and 6323 of tho Internal Revenue
, Code, we are giving a notice lhattaxes (Including Interest and penalties)
have been assessed against the following. named taxpayer. We have made
· demand for payment of this liability, but It remains unpaid. Therefore,
there Is . 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
I additional penalties, Interest, and costs that may accrue.
iName 01 Taxpayer
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IResldence
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IMPORTANT RELEASE INFORMATION: for each assessment listed below,
unless notice 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(0).
Tax Period
Ended
(b)
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Kind ofTax
(a)
Date of
Assessment
(d)
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Last Day for UnpaId Balanc.
Reflllng of Assessment
(a) (f)
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Identifying Number
(c)
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(laCe of Filing
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'This nollGe was prepared and signed at
, on this,
the
day of
,19_.
, Signature
/N')j.(';f\ m e,,,C"~"l""~"';
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(NOTE: e"lIl1eall 01 off/elr aulhorlzod by law 10 lak. aeknowl.dgmlnlll. nol .".nll.llo thl vllldlly of Nollel 01 F.d,,"' Tox IIln
Rlv. Rul. 710488, 1871 .2 c.e. 409)
Par! 1 . Kept By Recording Oftlce
Form 868 (V) (e) (Rev. 10/9"
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