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i Depertment 01 the Treoeury . Internal Ravenua Service
IForm 668 (Y)
1tRov, Oclobor 19931 Notice of Federal Tax Lien
IDlstrlct Serial Number For Optional US. by R.eordlng Ol/le.
i It i il 'J,' t r,h i ,J ." "t __ 94-
I As provided by sections 6321, 6322, and 6323 01 the Inlernal Revenue dOOCo FTL
I Code, we are giving a notice that taxes (Including Intereat and panaltlas)
I have baen assassed against thlllollowlng-named taxpayar. We have made
a demand lor paymant 01 this liability, but It ramalns unpaid. Therelore,
there Is a lien In lavor 01 the United Stalas on all proparty and rights to
1 property balonglng to this laxpayer lor the amount 01 these taxes, and
additional penalties, Interast, and costs that may accrue. , x:>
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Name 01 Taxpayer ',fT""'" ; "f'J ',\ " . -
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j IMPORTANT RELEASE INFORMATION: For each assessment listed below, ' ~. -
-~ c..o .uq C<) r.d
, unless notice of lien Is refiled by lhe date given In column (e). this notice shall, .t::-
I ~nnl~~:~5f(~:~~~n(g !suc~,~arl~: r~~~~ate.,~s,~ certificate of release ~~ ~aflned Cl.o.... '7/ 47'4
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Tax Period Date 01 Last Day lor Unpaid Balance
Kind 01 Tax Endad Identllylng Numbar Assessment Aellllng of Al8essment
I (a) (b) (e) (d) (e) (f)
I , ',1 ~t .._~/ :.:1/:;,.. I'. " 'f" , , , " "1 u'.F:~4.. ~l"i
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lace of Filing 1---"' r" .) t I. .:' n ':. 1; .1 f '
'. '.- -""=umo-e r+'"\ (I.J 'ln Total $ ',f /::: J . ()'~:
Cal~ , I S I ',:1 1 F'il 1 . '1 :,
i.,' llll-j 1 r-, o-J ,'~ !) 1'.J I n'~ 0"":1: .
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(his notice was prepared and s'rlJned at
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. on this,
e
'l day of ''1<; I
,19'_,
nalure
Title
.' .1,
(NOTE: Cerllllcilto of ollicur aulhorllod by law 10 take acknowlodgmonl5 is not ossonllal to the validily 01 Notice of Foderal Tall lion
Aov, Aul 71.466,1971.2 CB, 409)
Part 1 . KepI By Recording Ofllce
Form 668 (Y) (Rev, 10.93)
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Form BBS(Z)
(ROY,8.97)
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Depertment 01 the Treesury 0 Internal Revanue Service
Certificate of Release of Federal Tax Lien
Serial Numbar
For Use b Recordln Olllce
District
PEI'II":WL'/PI,I (11,
'2'3"~"~1 I~l 3'.;1 ;
I certlly that the lollowlng-named taxpayer, under the requirements 01 section 6325 (a)
01 the Internal Revanue Code has satlslled the taxes listed balow and all statutory
additions. Therelore, the lien provided by Code aecllon 6321 for theae taxes and
addition a has been released. Tha proper olllcer Iflr,t,h~ pll'F.B, where the notice 01
Intern; ,!1ly~nue tax lien was lIIed on' ,
" ,Ia authorized to note the booka to ahow the releaae of this lien lor
these taxes and addltlona.
Nsme 01 Texpayer JEFi=PEV J.I ~ I'I'PEH " l,i"'!JI"I~p
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Re81dance
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COURT RE'(;ClRPJ t.,,:. 1 'IF-Oc;:toI",l J 0/01.
LI':'~t P~ll'? I.J(': H.).
rl/~ ~!~ ni~
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~4 -~\(I('i..;t t. I
Kind of Tax
(a)
Tax Period Ended Identifying Number
(b) (c)
Date of
Aaaaaament
(d)
Laat Day for
Raflllng
(a)
Unpaid Balance of
Assessment
(f)
.t (14(' t '2 i 31! 19!36 19~, - 4(1'- '713 t '7 (l61 It:.' t 988
1(~4(1 1~'i31/J.~B7 19S..4(i-78j7 (.6/(16/1~IEJf!
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1"'7/ (I..=) I 1 ''::-98
r:1j /(16 Il'?~8
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34S4.44
43~'6.5?
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j.:; ~'(I t h P ~l'.' i'. ,\.,.. '.'
CUlllb~, I ::Hld (Ollnt."
C:1r"'11::1l'. pl\. 17(ll~t
$
Total
7'78l.113
,. d. t ':- tll,!' .,1,. ~q.
, on this,
notice was prepared and signed 3t
1)':-;1.11 ~II.J"-'f'
day of
1~':18
Title
aJ,;,O, I.."
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CerMC,l'tJ 0' oMcor nulhorlled by ItIw to tallo ltCkllCM'Wgm.ntl II not eSJential to the valid,ty 01 Cs,,,,icate 01 RoIINU' 01 Federal T'K lion Rev. Rut, 7'-466. '91'.2 ce, 4OS)
PART 1 . RECOROING OFFICE
Form H8 (Z) (ROY, 8.97)
CAT, NO 800281