HomeMy WebLinkAbout97-02009
'arm 668 (V) (c) /1 ' I~;t Depa,tmont 01 the Treasury. Internal Rovenuo Service
(Rev, Oclober 1993) Notice of Federal Tax Lien
District Serial Number Fo, Optional U.e by Roco'dlnQ Oll/cs
I 1'1' ~IN:::Vt. V/ltl [1\ :!:l'1{l/.....'~I',':;j'~ /110, Q'7-'d.roq
, As provided by sections 6321, 6322, and 6323 of the Internal Revenue f=TL
, Code, we are giving a notice that taxes (Including Interest and penalties)
, havo been assessed against the followlng.named taxpayer. We have made
, ':) :..,
a demand for payment of this liability, but It remains unpaid, Therefore, o_J ~ ,
,
there Is a lien In favor of the United States on all property and rights to . . ,
... "
, :11
property belonging to this taxpayer for the amount of these taxes, and 1'0' , , 'r -
" --'. ,:n
, addItional penaltlas, Interest, and costs that may accruo, '.' . '_J ' ',)
lC)
:Namo of Taxpayer r .... '"
DENNIS & ZlJE n rHECH,(J[;!\ 1 n'~ ,:0)
, :';J
, ",I il
, ~'.J
":1
iResldonce :') .J~
900 GREENBRIAR 1.>11 .. 0) '...
"Ice HIIIJ J <.. :jUUI1'., , I" ., J "'.'~J~ 1 ~f J:':J
,
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ""q ,LO~d
unless notice of lien Is reflled by the date given In column (el, this notice shall,
i on the day following such date, operate as a certificate of release as defined (,,-11 I::FIIO'7
In IRe 6325(a), "tt 5/03,
Tax Porlod Date 01 Last Day for UnpaId Balanc.
i Kind of Tax Ended Identifying Number Assossment Roflllng of AS80ssment
(a) (b) (e) (d) (0) (f)
!
1040 1 ;'~/31/9S 100"3(1-7184 11/25/96 12/25/0G 94926.37
,
,
i
,
,
,
,
I
,
,
,
'Place of Filing
,
, P."ot:.honut~H"Y Total $
, Curnbet'l and County 94926.37
I C ",'1 i c 1 p Pi\ J /('1 '"
,
,
,This notice was prepared and signed at "' d,t-oh",'"I, PA
I
, on this,
the 01,. t. day of A[ot., 1
,19 ~47.
~Slgnature Cr' Title
~!4{f, V:l f'...'...,.'
. ,",,'vf," ........... .... "/;1'
fOt, PATlnc ",CrU:..JEI'l:;;I-I\CC;v
11Ii'I'I/\GLR Z:3-(ll-.(Il)(H)
(NOTE: Cerllllcate of oWe" authorized by law 10 taka acknowledgments Is not essential to tho vnlldlly 01 Notice 0' Federal Tax II,n
AI'. Aul, 71.466, 1971 . 2 C.B. 409)
Part 1 . Kept By Recording Office
Form 668 (Y) (c) (Rev. 10/9'
~
,'\
,W',
,--.\
..
/
,..,
<:!
I ~
I
j
..
....
.....
!i
"'"
...
, I"~
.
.
. .
~
...a
-.)
I
<;l)
8-
-0
004
..
. .
. .
. .
..
'.'
..
','
,"'
Form 668 (Z)
(Rlv, ~94)
Dlltrlct
Depertmlnt of the Treeeury . Internel Revenue Service
Certificate of Release of Federal Tax Lien
Serle I Number
For U.. by Rlcordlng OlllcI
I certify thet al to the followlng-nlme taxpayer, the requlrementl 01 lecllon 6325 (I)
of the Internal Revanue Code havI boen 18111 tied lor tho taxel listed bolow and lor
all statutory addltlonl. Thlrolare, tho lien provldod by Code loctlon 6321 for these
taxel and addlUonl hal been reloased. Tho proper olllcer In the olllce where the
nollce 01 Internal revenuo tax lien was 1II0d on
19 -' I. In authorized to note the books to show the reloasa 01 this lien for
these taxes and addlllons
Nome of Taxpayer,
(') <D q
F -.l
.. t" -j
i;r ,,, \-:lrrJ
r " .iJ
., w "~~
I::'
.. :)c
, "r'."
_.-n
... )-:.-
'-l)
,0 ("lrn
:-:t
, :" ?'l
..
..... 1:J -.
Residence
''l\5,COfd
w..:i\ I'-ICOlu\
...
./ .,....
R.t1 5'7ol.j.q
Kind 01 Tax
(8)
Tax Period
Ended
(b)
Idenlilylng Numbor
(c)
Dale of
Assessment
(d)
Last Day for
Retlllng
(0)
Unpaid Balance
of Assessment
(f)
...., f'
Place of Filing
Tolal
$
This no lice was prepared and signed at
, on this,
the
day 01
,19_,
..,
Signature
a:b..:...LU;,j~
Title
(NOTE Cor/ll'CJ/tJ of off,cer autflortlooby law to tall.e acl.nolo\tfc nlt.'l1tS'5 not cssentf.ll to the val,dlly 01 CerMC.Jte 01 Relo,lSO 01 Federal Tal ben Ro.... Rul, 71.466, 191'.2
C,B 409)
PART 1 ' RECOROING OFFICE
Form sea (I) (Rlv, ~94)
CAT, NO 6002SI
!
',I'
, ,
l
i
i,
,
"
~,
"*-'-' ,
.D ..
-J
I
Q.)
~