HomeMy WebLinkAbout97-02476
Form 66B (V) (c) Ocpa.lmcnl of tho Treasury. Internal Revenuo Servlco
IRov. October 1993) Notice of Federal Tax Lien
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District Sorlal Numbor For Opriontll Uso by Rocofdlng Offlco
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As provided by sections 6321, 6322, and 6323 of the Internal Revenue I-TL
Code, we ore giving 0 notice that taxes (Including Interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of this liability, but it remains unpaid. Therefore, ( .~ (')
there Is a lien In favor of the United States on all property and rights to r 'oj '"
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property belonging to this taxpayer for !he amount of these taxes, and '-::. ".!
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additional penalties, Interest, and costs that may accrue, "
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Name of Taxpayer , 'D t:J
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Residence . ;-..) ..,In
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IMPORTANT RELEASE INFORMATION: For each assessment listed belolV, i}("\.l...XJp..J
unless nollce 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 ,.-"...1:1 1"'(11 W"?
In IRC 6325(a). Kd (~ICj SJ.-
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (e) (d) (e) (t)
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Place of Filing
Total $
This notice was prepared and signed at
, on this,
the
day of
,19_
Signature
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(NOTE: Certificate 01 c!!:cer a...lr,cr!ZC:l b)' i.l... l~ lJ~_tl d.or ':;'~'l'
RI", Au!. 71.466. '971 .2 CU. 409)
';r';e~':~ 1 ....,.1 e~st':-! J ~:: :~u... ,.J!t cf N;:.t.ce ot Federal Tallll.n
Form 66B (V) (c) (Rev. 10/93)
Pmt 1 . Kept Ely Recording Ollice
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