HomeMy WebLinkAbout99-00289
Form 666 (V) (c)
(Aov. AlIijlml 1997)
Department of lh\l Treasury. Intarnal Reven"e Servloe
Notice of Federal Tax Lien
Olltrlol
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Serial Number
For Opt/onllli.. by Reo~rdlnll Ofllo.
'II !'j'l
N\.). qq-3-8<1 F'TL
AI provided by lIotlonl 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a nollce that taxes (Including Interest and pens Illes)
have been 8B1ealled agalnltthe following-named taxpayer. We have made
a d.mand for payment of this liability, but II remains unpaid. Th.refore,
there Is a lien In favor of the Unlled States on all property and rights to
prop.rty belonging to thll taxpayer for the amount of these taxes, and
· addlllonal plnalllel, Interest, and cOltlthat may accrue.
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N.me 01 T.xp.yer
R.eldenoe
ii; i'
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien Is reflled by the date given In column (e), this notice shall,
on the day fOllowing such date. operate as a certificate of release as defined In
IRe 6325(a).
I Kind 01 Tax Tax Period Endad Identifying Number
I (a) (b) (c)
,
1
11 cl. uo (d
C \.1.. U I ~t :'XJLj '1
v<.~ '1'5'11)..
Laat Day lor Unpaid Balance of
Rallllng A.....ment
(8) (f)
ruo
(NOTE: Cnrlific,l/e 01 offic(J{ authorIzed by law 10 Itl^'o tfck'lowlodgl1lenls Is not 05.QOfllilll to tho validity of Nol/co of Fodoffll Tlu IiOf! Rev. Rul, "'468, '971.2 ca, 40i)
Date 01
ASlesement
(d)
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I Place 01 Filing
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Total
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This notice was prepRred and signed at _".__.___..___~___.._..._____.._~___
the ____~.' day of
Signature
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PART 1 . KEPT IV RECORDING OFFICI
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Fo,m "' (Y) (e) (Aev. 8.97)
CAT. NO B002SX i.,..'