HomeMy WebLinkAbout97-02933
Form 6eB (V) (cl Depn~lment of tho Troosury. Intornal Rovonuo Servlco
(Rev. Oclober 1993) Notice of Federal Tax Lien
District Serial Number for Opl/on.' V.. by R.eordlng Ol/les
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As provided by sections 6321, 6322, end 6323 of the Internal Revenue i=TL
Code, we are giving a notlca that taxes (Including Interest and penalties)
have been assessed against the followlng.named taxpayer. We have made
. . demand for payment of this liability, but It remains unpaid. Therefore, " "
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there Is a 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 " ..
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additional penalties, Interest, and costs that may accrue. , ,
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Name of Taxpayer ( ''T'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, ~q.c>c::>~
unless notice of lien Is reliled by the date given in column (e). this notice shall,
on the day following such date, operate as a certificate of release as defined o....n \:?Aastf
In IRC 6325(a). P-," 5Q~O'd
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Rellllng of Assessment
(a) (b) (c) (d) (e) (f)
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Total $
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This notice was prepared and signed at
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day of
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Signature
t:-Ijj.(;;:\ 112 C'(.::...:: "";'<,
Title
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(NOTE: C,rllflee'. of oUlcer authorized by law to take acknowledQments Is nollSsenl1al to the ~8lldity of Notlc. a. Flderal Tlx IIln
RIY. Rul. 7H66, 1117\ .2 C.B. 409)
Part 1 . Kept By Recording Olllce
Form 66B (V) (0) (Rev. 10/93)
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Form 668(Z)
(RovO.97J
"1''-.1
Deportmonl 01 the Troaaury . Internal Revonue Service
Certificate of Release of Federal Tax Lien
Dlalrlcl
Serial Number
For Use by Recording Onlce
PEI"H:,'fLI/;\H [I~
~~3/~'/ 2.'-344."
I certify Ihat Ihe lollowlng-named laxpayer, under the requirements 01 section 632S (a)
01 the Intornal Revenue Code hes aatlsfled the taxes listed below snd ell statulory
additions, Therelore, the lien provldad by Code section 6321 lor these laxes snd
additions haa been released, The proper oNlcer I~. IW~ ~lfl,~e whera Ihe notice 01
Intarn,\, ,~v~nue tax lien waa lIIed on ,. . .. .
, la authorized 10 note Ihe books to show the release 01 Ihls lien lor
Ihese taxes and additions.
Nama 01 Taxpsyar
11, LARRY Cll\I,Il.LUK<: I
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Rsaldsnce
5681. CREEVV I HI fl[J
11IECHANICSf?UP.('" Pd, l..'7(II.::S-'2'I'~S
CClURl PECORrlJNrj HIFOPt'l.L\l )O~I:
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P-~ Lnuqz
Last Day for Unpaid Balance of
Reflllng Assessment
(e) (f)
'Klnd olTax
(e)
Tax Period Ended Idenllfylng Number
(b) (e)
Dale of
Assessment
(d)
t 041'1 1? I 31 / 1 ~~88 2(12- =\:~ - 3'_:':;' L (11j I 2.'~! 1 9(::~S (17 I ::\~ I 21 II "IS
)~14(1 j?/3j./l~9? 202-36-3~?J ]2/1:'9!1.~~6 1)1/1.'8'2007
t(~14(1 12.1 3ll199':3 2t'I'~- 3(~-3'~2l (V~ I :::'1" 1 ~~~,..3 1f) /23 I 21'I"h~
104f) 1 ? /:1l.l 1. ~..l,?S ~:(l?- 36- :-!~21 (18 I 1 '2 I 1 ~'36 I~'? III '~'(I(IG
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23211.00
86.86
4497. ,:".,
J.l.6'?,66
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Place 01 Filing
Pt~.) t h (I tl;.'l t ::.t- \I
1;'lIl1ber 1 :tn.! ":Ol"~ntv
1~,8,'ll~lp, P,:J. J":-'.ll~~
Total
$
8'"1/4.42
This notice was prepared and signed at
~)'11~1::'I,ut"qh. Pi,
. on this.
the
nSt" ..1 IJI'l.:'
day of
]~'~8
Signature
O'(:cLL~~";;...........
Title
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(NOTE: Certlftc.l/0 at officor authonzod by h1w to takellclmowlodgmiJnts is not essentlsl to the \'8lidlty of CerMiCiJte of Release 01 Federal Tax lien Rev. Ru/. n-468. '971-2 C.B. 409)
PART I ' RECOROING OFFICE
Form &68 (Z) (Rov, 6,97)
CAT, NO 60026 I