HomeMy WebLinkAbout10-7040Form 668 ()
(Rev. February 2(YD4) 883
r?CElF _ -...-
WAGE & INVESTMENT AREA #1
Department of the Treasury - Internal Bevenu. Service
Notice of Federal Tax Lien
?. Serif umber or Optional Use
Office
1e0 0 12/31/2005 XXX-, X-3984 01/07/12008 02/06 201..8 818.55
1040 12/31/2006 XX;K-XX-3984 02104/2008 03/06 12018 231.54
Signature Title
for DEBT K. UR:ST" (800) 829-`76 0
(NOTE: Certifica e of officer authorized by lam= to take acknowlr;c gment is riot e ssent:ia[ to hF
Rev. Rul, 71.466, 1971 - 2 C.B. 409?
Part t @ Kept By Recording Office
11-00-0000
v=alidity of Notice of Federal Tax lien
Form 6 ( )(c) (Rev, 2-2004)
CAT. NO 60025X