HomeMy WebLinkAbout97-01536
,
form 666 (V) (c)
,Rev, October 1993)
,District
Depo-tment 01 the Treasury - Inlernol Revenue Service
Notice of Federal Tax Lien
Serial Number
For Opllon./I.I.. by Recording Olllc.
AI provided by IIctlonl 6321, 6322, and 6323 of the Internal Ravenue
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed against the followlng.named taxpayer. We have made
. demand for payment of thll liability, but It remains unpaid. Therafore,
there II a lien In favor of the United States on all property and rights to
proparty belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, t1 q, LD pd
unless notice 01 lien Is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined c.co-.cl 1/48:3.J. ""
In IRC 6325(a), R rl 500,1't,'
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment .
(a) (b) (c) (d) (e) (f)
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This notice was prepared and signed at
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day 01
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(NOTE: C.lllfleol. of oflleer ,ulhorlzed by law 10 take acknowledgment. I. nol OI.enllallO Ihe valldily of Nollee 01 Fadarel T..lI.n
R.v. Rul. 71.468, 1971 .2 C,6. 409)
Part 1 . Kept By Recording Office
Form 666 (V) (e) (Rev. 10/9'
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