HomeMy WebLinkAbout97-05356
Form 666 (V) (e) Dopa-trnonl 01 Ihe Troosury . Inlernol Rovenuo Service
(Rev. October 19931 Notice of Federal Tax Lien
District Serlnl Number For OptlOIl.1 U.. by Recording O/lloe
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A. provld.d by lIollon. 8321, 6322, and 6323 of th. Internal Rev.nu. , . .n ~.-)
Cod., w. art giving. noUo. thet t.xu (Including Inter..t end p.naltl..) , .J ,)
h.v. b..n .......d .glln.t thl followlng.n.mld texpeYlr. W. h.v. med. 'n J
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. d.m.nd for p.ym.nt of thll IIlblllly, but It remelnl unplld, Therlfore, ,
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\h... I. . lI.n In f.vor of the Unlt.d Stlt.. on III property and rlghtl to -
prop.rty b.longlng to thl. tlxplyer for the .mount of th... t.xu, end , :('.
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.ddltlonll p.nIIU.., Intlrut, .nd co.t. thet m.y Iccru.. , I
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N.m. of T.xpayer .,', ,II!
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, IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless nollce of lien Is reWed by the date given In column (e), this notice shall, ,',q\ \4LX..1~'
on the day fo~:~wlng such date. operate as a certificate of release as defined
I In lAC 6325(e . \'~ti. f; '7().~E)
I Tax Period Data of Lest O'y for Unp.ld I.'.ne.
Kind of Tax End.d Id.ntlfylng Number Assessment Reflllng of Au...m.nt
, (s) (b) (e) (d) (e) (f)
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Place of FIling
Tot.1 $
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. This notice was prepared and signed at
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the __ dRY of
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Signature
Title
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(NOTl. C"IIII01I. 01 Otll,,, .ulhorlud by I.aw 10 'ak. ocknowl.~gm.n" I. no' .."nll., 10 th. volldlly 01 Nolle' 01 ,.dOl.1 'u_
R... Rul. 71,400. 1871 ' 2 C,B. 4021 ,. ., .uMo, ',",,' .
Plrt 1 . K.pt By Recording Offlc. Form'8I (V) (0) (~1~f
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