HomeMy WebLinkAbout97-02468
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Form 668 (V) (el Ocp.plmcnl of lho Treasury. Internal Rovenue ServIce
(Rov. Oclober 1993) Notice of Federal Tax Lien
Distrll:i ." '"., Serial Number , For OptionSI Uso Oy Rocordlng Olllell
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As provided by soctlons 6321, 6322, and 6323 of tho Internal Revenue C/7- JL/ IJ,;? r-TL
Code, wo aro giving a not/co that taxes (Including Intorest and penalties)
hove boon assessed against tho fOllowing-named taxpayer. Wo have made ""'1
a demand for payment of this liability, but It romalns unpaid, Thorefore, -') ()
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thora Is 0 lien In favor of the United States on all property and rights to .,. . I
property bOlonglng to this taxpayer for tho amount of these taxos, and r .. 'Il~
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additional ponaltlos, Interest, and costs that may accrue, .' r ,;'1
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Nome of Taxpayer - , l
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, uq L\:fcl
unless notice of lien is reWed by the date given in column (e), this notice shall, l,-c"" I ?:,cilU&
on the day following such date, operate as a certificate of release as defined
In IRC 6325(<1). I ','.-" , ;, ";:1. 1(, " ~,~ ~ It r ~.r' j ,';":' <'. ,-(1\ 5/(7<+3
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (e) (d) (e) (f)
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This notice was prepared and signed at
, on this.
the
day of
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Signature
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(NOTE: Cellifi,,'e of ofti,er ."hOtlzeo ty I,,, 10 !J.e ."""".'."'"'' i. ,,! ."."", lJ ". .J'" 'y 01 Nolice 01 Feuer" T""tn
Aev. Aul. 71-466,1971 .2 c,e, 409)
Part 1 . Kept By Recording Office
Form 668 (V) (e) (Rev. 10;9'
Form 668(Z) .1' I ,
(RovI1971
Depertment 01 the Treasury - Inlernal Revenue Service
Certificate of Release of Federal Tax Lien
Dlslrlct
Serial Number
For Use by Recording Office
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I certify that the lollowlng-named taxpayer, under the requirements 01 section 6325 (a)
01 the Internal Revenue Code has satisfied the taxes listed below and all statutory
additions. Therelore, the lien provided by Code section 6321 lor these taxes and
additions has been released. The proper olflcer In the olllce where the notice 01
Internal revenue tax lien was lIIed on ~I I,,, 'v. ,
,__ _.!.'''-'-'-', Is authorized to note the books to show the release 01 this lien lor
these taxes and additions.
Name olTaxpayer
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Date 01 last Day lor
Assessment Reflllng
(d) (e)
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Unpaid Balance 01
Assessmenl
(f)
Kind 01 Tax
(B)
Tax Period Ended Identllylng Number
(b) (e)
t()40 .12/3L/1984 2(IS-26-(13'3(~ f,.'t/l'3;t~87 1:1~,.t3it91-?-:- 6:~29.:?7
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P:ace 01 Filing
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This notice was prepared and signed at ___--'.'~~_L:~~-"-_
, on this,
the _~~~'fl,:1 day of ____l:!b~____n_ , _1.~.2J..'
Signature
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It~( II I {',,, r.r ".1',> ." "N',f'! di.I/I.'I';,,,1 r\ :.,"\ /,1 I,l't' .J ~ '1,,\:,',r;'lliJr~~_' 'S II(~I t"i_~t"ltl.li (" tt'l' ~.I!,Jifj.' ,-,' (f'r/'!'l-;l~f' 0/ AI','".,,,,. 1'/ f (',,,If,I' r.ll I!Orl fit!\' Ru/ 7'-466, f9lf.2 CO 4(f9)
PART 1 . RECORDING OFFICE
Form 668 (l) (n~", B 97)
CAT ~JO 600~61