HomeMy WebLinkAbout97-04307
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Form 668 (V) (c) Ot'pa~tment of tho Trcnsury . Inl~rnJI ROlJcnuo Service
(Re, OCf,'llL" 1093) Notice of Federal Tax Lien
District Sellal NlIl11fJer FQ' Opt,;,;nal Us. by Recording Oftie.
N~), 01- 1../ 307 FTL
Aaprovlded by aectlons 6321, 6322, and 6323 of the Internal'Rollenue
Code, we are giving a notlee that taxes (including Interest and pen3lties)
have been assessed against the following-named t3xpayer, We have made .
I damand 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
property belonging to thIs taxpayer for the amount of these taxes, and
Iddltlonal panaltles. Interest, and eosts that may accrue,
Name of Taxpayer
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Resldenee
IMPORTANT RELEASE INFORMATION: For each assessment listed below, I\q,u:.'~c1
unless notice of lien is reflled by the date gillen .n column (e), th,s not,ce shai!,
on the day following such date, operate as a certificate of re:ease as det,ned C. ,.uI \ 'Jfl..... ':;'
in IRC 6325{a), p.... ~'.)\'eS
! TlX PerIod Date of Last Day for Unplld Bllance
KInd of Tax Ended Identifying Number Assessment Reflling of Ass...m.nt
(a) (b) (C') (d) (e) (f)
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PllIee of Filing
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This neticl! was prepared and Signed at
. on this.
Ill,
day 01
.19_
~ignatur.
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