HomeMy WebLinkAbout97-06371
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i:ii6l~'lcl ~ -, .--- 160rlnl Numbor -,-_.._--, 1'01' \:!!? by Jlocordlno Olllco
I corllfy Ihnllho followlno.nnmod la~pnyor, undor Iho l'oqulrOlll01110 of ooctlon Q326 (0)
01 tho Illlornnl Rovolluo Coda hoo oollotlod Iho Inxao lIo10d bolow Bl1d nil olnllllory
nddlllolls, Thoroloro, tho lion proyldod by Codo oocllo/1 Q321 'or Ihooo ln~oo ond
nddlllollO hno boon ruloa.od, Tho propor oHlcar In Iho o"'co where Iha notlco 01
Inlomnl rovonua lo~ 11011 woo "'ad 011 . ,
, 10 outhorllOd 10 nolo Iho book. 10 show Iho 1'010000 0' lhls 11011 lor
Ihooo lo~oo nnd odlllllons,
Noma of Tnxpnyar
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Rooldonco
Kind 01T0~
(a)
To~ Period Ended Identltylng Number
(b) (0)
Date ot
Assessmant
(d)
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Leet Doy tor Unpeld Balanco ot
Rellllng' Assessment
(0) (f)
Ploce 01 Filing
Tolol $
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This nolleo was preparad and signed at
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, on this,
the~_,_ day 01 _'
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(NOTE: Cmlillcnlo ofofficlJf IIlJ/ftoruod hy Inw 'e) tn/HI nr:know/nd(}ment,' Is not eS6011/1I11 to rho val/dlry o( Corl/fic/I/n of Rolonao o( Fodomf Tlu lien Rsv, Rul. 7t.4ti8, 197'.2 ce. 409)
PART 1 ' RECORDING OFFICE
Form sse (Z) (Iloy, 8.97)
CAT, NO 600261
Form 000 (V) (e)
(f,luv, ()Clullul l!)n:lj
OI!fJll'11111Jlll I)' 1110 rf'UlllllUY .lnllHlllll IllJIJUlllll, tiorvlcu
Notice of Fedoral Tax Lion
DIGtrlcl
Surlnl NUIIlI!,,,
'----']:"-;;C)I'/;;;n!'.!Y60 by nocordlno aTIiCiI
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A5 provldod by SOCtl0l15 03~1, 6322, ul1d 6323 01 Iho Il1tornnl ReVOl1l10
Code, we orB giving II notlclI thottoxos (I1,clutJlnu Intoroat ond pOl1eltlos)
hove boon esseBsod ogalnsttho tollowll1g-l1omed lnxpnyor, Wo hove modo
Q domond tor poymont at Ihls Ilublllty, blll It romnll1s unpold, Thoroforo,
thero Is n lion In tavor ot tho United Stotea on 011 proporty ol1d rlghls 10
I propllrty belonging tf) this taxpayer lor tho omount 01 lhouf,l 10XIIU, and
oddltlonol penoltles,ll1terest, and costs thllt moy nccrllO,
,NllmoofTllxpuyer I III', " " '1I1i' I',' '"II "
Rosldonco
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IMPORTANT RELEASE INFORMATION: For eoch ossessment listed below,
unless notice of lien 16 refllod by Iha dale given In column (a), \1116 notlco shall,
on the day following such dale, operale as a certlflr.ole 0' relollGe llS dollnod
In IRC 6325(a),
Tox Porlod
Endod
(b)
, KInd ot Tox
(a)
Idllntltylng Number
(c)
Dotll of
Assessment
(d)
1J,q,~'.q) Jp~~r
l'..l~t HI3'7~ \~,jj 5'6'b'~<I
Lasl Doy tor Unp.lIld BlIllIna.
Rollllng ot Assessment
(0) (n
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Totol $
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: This notice was prepared and signed at
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"on this,
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,the
day of
i . ~ I, 'I
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, Signature
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(NOTE: Certlllcot'- ot officer authorized by raw 10 toko llcknowllJdgmonts Is not Q!Jsontlal to Iho valldlly 01 Nollce 01 Fed"al Tax IIln
AIV, Aul, 71.4GS, 1971 .2 C,O, 409) .
PorI 1 - Kopt Oy Recordln\) Ofllco Form eea (V) (0) (Rev. 10/93)