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HomeMy WebLinkAbout94-02171 ~, I l\- 6\\' \ f(" J. ; . . , ! l i i If ;, f ! ''1 I , I j l:~ '\P'j r I'" F (Ul'\rd- \ {r; t 'I~ I I,U.... r-ll ! ! ] .. , .. ._'-f '1 Form 668 (Y) fR'V' Oclobuf 1093) iDlstrlct Serial Number I As provlde~'~~1 ;;:~'I~~'~' ~;21, 6322, and 6323 01 the Int~;~'~I"~~~enue 1 Code, we are giving a notice that taxes (Including Interest and penalties) have been assessad against the lollowlng.named taxpayer. We have made a demand lor payment 01 this liability, but It remains unpaid. Therelore, I there Is a lien In lavor of the United States on all property and rights to property belonging to this taxpayer for the amount of these tax e., and I additional penalties, Interest, and costs that may accrue. Name 01 Taxpayer ERNEST J. I>JAL f'u', \Residence 17 r<hEI~NEI'lf1N \.1 RCl,C l' IMPORTAN;l:::~~l: :r~~~~~;I'~~: ;0: e'a~h assessment listed below, unless notice 01 lien Is refiled by the date given In column (e), this notice shall. on the day following such date, operate as a certificate of release as defined InIRC.B325al..r.r-. '" ,',r,",'""" ',,',Tr,;:, '. .H Tax Period Date of Last Day for Ended Identifying Number Assessment Rellllng (b) (e) (d) (e) Depertment 01 the Treuury . Internal Revenue Service \ - Notice of Federal Tax Lien Fo' Optional Us. by Raco,dlng Ollie. 91 - ;)/71 F1L 1J 9.00 pd 'I , .... ,.; -'-.' Z> .., . "" ~ Cl , Q M .... I N .' ( 1-_ f) ~ - C.Lu! 73 'il'C5 c.o i ..c. R.il q3~~ . ,j , UnpaId Balance I . , of Aasessment ~ (f) ,: . i -:,15':,1 . ,',li" " ;: {:~,:;: . i~1 1 4.,:,~,f). .n:... . I 'I 0: :"''''', " Kind 01 Tax (a) 'J4(1 .-!~.,) '";'4(1 : ..:_ ,I .:.: 1 i ,~:.r:-, 1 .2 / '~_~ 1 ," '~:.._: 1':' I:' 1 :":'1 .-, :; - ,] y .::; ~~ "~. ,. , ~,"'-1 ,.,.. :='4.,., , ,:,- J (,:>:4" ',' ,-' -, ,'" ,',', 1-::"':1;.-: ,,', i 1__:' (I,' ' 1 ;, .' ':';':':', ! ::':::> ':" t:, /.:,=, This notice was prepared and signed at ..t, I ; r.;, " . [ I \) J II " . ,) IJ Tolal $ :.::~.<;-r;J.. ,:.;: I \ ,J i , .oj ",) , on this, \,j Place of FIling Pt~,~, til,)f!I) t :11., !,~UrJll:.01. 11,,11 i.' \:i1 i, ~ (~,I' : ;;:, I ;J t F';. , ; 1 I I I .I' -'l. "\,~';' " r ,j I I j ~ D \1 t t ; the : ,', ,. day of '"'' ,19'_. Signature I Title . ' .:. .' J .I \\ ...... ." ,- .... l!_' .,,1 I c ,~ , J ~ (NOTE: Cl'n,f,c,t!f' of ofllcer aUlhorh&ld by law 10 lalo.o acki"lowll1dgments. IS not os.sonllal to tho valldlly of Nollce 01 Foderal Tall hen Rov Aul. 7',466, 1971 .2 C,B. 409) ...J" '-' Part 1 . 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