HomeMy WebLinkAbout98-01866
,..,
-- - .
!'arm 888 (V) (0) Department of the Treaeury . Internal Aevenue Service
(Rev, AugUSI 1997) Notice of Federal Tax Lien
,
i'Dletrlot Serial Number For Opl/on.' U.. by RfIf)onl/nfl otfIOI
Pi: Ii .. 1 ,I .. ,\lu, (1'6 l(~l(l~t)
I
i A. provided by 8eollon. 8321, 8322, Ind 8323 of the Int.rnll Revenue FiL-
I Cod., w. Ir. giving I notice thlt tIX.. (Inoludlng Interut Ind penlltle.) ,', ,it "'l
I hlv, been I..e...d Iglln.t the followlng.nlm.d tlxpayer. W. heve made , " \I
, . ,
II d.m.nd for payment of thl. IIlblllty, but It remllne unplld. Therefor., ' ) ,]
there I. I lien In flvor of the United Statee on III property Ind rlghtl to , I ,
'1\
I property bllonglng to thle tuplyer for the Imount of thele taxew, and c' ',rOJ
.-;C)
.ddltlonl' penllll,s, Interellt, Ind coatI thlt mlY acorue. ., ': . "
- ; .l~l
Nlme of Tlxpayer ," )
, , ; '} .,-,
, .::!
" ,-' :\:,~
; (l)
, ~"..
R..ldence ,
IMPORTANT RELEASE INFORMATION: For each assessment listed below, ,'lq,U.)pI
unless noUce of lien Is rellled by the date given in column (e), this notice shall, r" \\ \ ,~,). ';\ ~A
on the day following such date, operate as a certificate of release as defined in
IRe 8325(a), (l...io ul\3;l3
Kind of Tax Tax Period Ended Identifying Number Date of Lalt Day lor Unpaid Balance 01
(s) (b) (e) AII.aament Rellllng A.....ment
(d) (e) W
I - .
ILL , , , : ' ,
I
!
I
!
I
I
I
I. ,
I Pllee of Piling
I ' , " Total $
I " .- , ,__1 ',j'! ",
I , ,
i ,
r'"
('
f'
r
(
(.
(
.
..
. I"
..
..
..
....
'.'t
...
~,,t
I
I
iThls noUee was prepared and signed at __,:_____:__
\.
, cn this,
\.
the __._, day of ______~______ , n__~_~_
'i-' ,
, Signature
/) La
(,.~;,lc~,CI.....!,:"~,.,_, ,
(NOTE: OMIt/calo 01 officer ltull1or/.lsd by law to tak~ acknowledgments Is not essen/lal to tho validity 01 Notice of Fedoral Tax lien RtJv, Rul. 71.468, 1911.2 C.8. 4OQ) . ~a
-\.." I
PART 1 . K.ItT IV RltOA01NQ OPI'ICI
Form HI M (0) (AIV, 1-87)
CAT, NO e0025X (.;I