HomeMy WebLinkAbout97-04315
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Form 668 (V} (e} Depirlfl\!:!nt of Ow TreJsury .lrlH.nnal ncvenue Servlco
:Rev, October 1 gg:n Notice of Federal Tax Lien
District SCllai r;~ifl1~}er Fo! Or:rif1nal Use by Recording Offic,
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As provided by secllons 6321, 6322, and 6323 vf Ihe Inlernal Revenue
, Code, we are giving a nollce that taxes (Including Interest and penall;es)
have been assessed against the followlng.named taxpayer, We have made
I demand for payment of this liability, but It remains unpaid, Therefore, '"
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there Is I lien In favor of thl United States on all property and rights to .
property belonging to this taxpayer for the amount of these taxes, and
Iddlllonal penlllles, Interest, Ind costs that may accrue. "
'Name 01 Taxpayer ," ' ,
Residence '.
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IMPORTANT RELEASE INFORMATION Fer each assess'l1enl iistec beloN, 6'"i \.:I...'~\\
unless notice of lien is reflled by the cate g,.,en In column ie). 1~,S net,c," sha!I,
on the day following such date. operate as a cerMicale olle!ease as cef,nec \:,"'J...~ \"l;1~(t~
in IRC 6325(a), "'t! 551(('1,
Tex Period Date at Last Day for Unplld Slllnce
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (e) (i1) (e) (f)
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Place of Filing
Total $
ThiS notice was prepared alld signed at
. on this.
t~e
day of
.19_
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SIQl'lature
Part' . I':I!~t 8, ntcOf\w'g O!!;ce
F_H1IY}(c) (Re. le9))
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