HomeMy WebLinkAbout98-00692
,-.
Form 668 (V) (c)
! (Rov, Augu,t 1997)
Dopnrtmont 01 tho Troasury - Intornnl Rovonuo Sorvlco
Notice of Federal Tax Lien
'\'
( \
: Dlltrlct
,
Sorlal Numbor
For Opl/ona' U.o by RocorrJlng omo.
("
l ,
,
i': L ;-1; .1'. I! " \
! As provided by sections 6321, 6322, and 6323 of the Internal Ravonue
ieode, we are gIving a notice that taxes (Including Interest and penalties)
"ave been assessed against tha following-named taxpayer. We have made
i a demand 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
I property balonglng to this taxpayer for the amount of these taxes, and
': additional panaltles, Interest, and costs that may accrue.
; Nsme otTsxpayer ' , ,
j\,(\J ..
q~- Loq Q
.. ,
,...
I
I J
t; .
~,
\-Tl
,...
;,'
(' .'71 C)
I' ::;) -.,
-" I
:. , I 'q
, I J Ii ..
I .;:"
'.~)
C '-I :(')
I ,
.... i:-jJ
()
~? ,lil
.'.::',
',,' ",,.
:''':l
, '.' -..,
;
I
I
I I
I'"
,
1""' l.
I
r
i Rssldsncs
I
I
I IMPORTANT RELEASE INFORMATION: For each assessmsnt IIsled below,
I unlsss notice of lien Is reflled by ths date given In column (e), this nollce shall,
I on the day fOllowing such date, operate as a certificate of release as defined In
i IRC 6325(0).
I, Kind ofTsx Tax Period Ended Idenllfylng Number
(8) . (b) (e)
, '
i
1 . ~,
I. ,",:11.: ."
.:l "
, ~' I',
" ,
Dste 01
Assesement
(et)
.1Iq,co~
(>Jo..~ l'lIQ'15
p...l u q-;l'\
Lest Day for Unpaid Bslance of
Reflllng Assessment
(9) (f)
,
\
('
1
c
j
j
"
)
")
.
I
,
I
.J ,)-!r:
I. !"1 (
Ii:
I I'
, ,
I ,.."
..
; .,'.' .'"
,"
,.
"
,,-,,',1 'of
II I ~ I
.\ j):l'~
J.f)'::.~
,,'I'
, ,
:0'
'.'.,'1 !
"
1..'
,.:,
'..
'I
I
I
(
. '1
.~
'Plsce of Filing
1...'
; ,
'J'
Total
$
'-..
h
, '.
< I
r i
I.
/"J.J_-,' I... ., "
(A"t.........t.v"'--" l-/~J/J-r--..". !
litle
(... at
, on this, "
.oi
\".J
~ . .
...
;Thls notice was prepared and signed at'
,
:the ,,' day of
:
: Signature
,
(NOTE: Cortificate of officer authorized by law fo tako acknowrodgmonls Is not eSSOn/i,ll to tho v.llidity of Notice ot Fedora' Tax lion Rev. Rut. 71-466, 1971-2 c.E'. 409)
.....
PART 1 .. KEPT DV RECOROING OmCE
Form 666 (V) (e) (Rov. 6.67)
CAT. NO 60025X
......
....
, .a.
"'"
..
.,
;-, )'
" Ii
,I
,J
r'1
"i"('
..
r - . ; ~ ,
..
.
"
.-1'
...."'.,_.,. ""';",'-)'
,I i:'
" 'I,"
'1)
oj; " i.:
,J
.'~I,- :
Ii
;!,
.' " ,'~ ',!
C
,
",,)',:':'." ~
., ~._'-,.,: ;-',' ),' ,-":';J.,j
..
. ~ .
'I:
',',,'
, ):.'
.'''i
',) D ."..,~,
:' fl~, ,'f'; ,-
.
-'c''''
\d",,",'
,)
'.;
1
);_;'~'j! ',:n'.:
,;\ d. 1-;
l ' fr ~ f)
u!'\~ ;"/
;\,
, ,
'.',
','
'.
,~ ;
~,\>i
~'
~
N
,',"
;', ~ ;.
0.:.
....
.
.
I ,
.
.
.
i
, .
,
.i
I . ,
-l
.
ij .
1
"I
~
1j
~
I.
d.- 5-9~ ~'- ~\'\.~Y\-L UlJ-h
~~ Q.("V") ) IG\.lC.fku.~ rru:dd ~
'n.Jl~ ',S Q.
j
:., "
\;i~ ::'~. ~,.:,lIop
{11 V~:~)
(...
, ,
,.:'i:,
.~. 'rl) i1'),