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HomeMy WebLinkAbout94-02178 Form 668(Z) Oepartmanl ollha Treaaury . Inlernal Revenue Service (Rov,8.971 Certificate of Release of Federal Tax Lien Olalrlcl Serial Number For U.e by Recordlno Onlce , , I certify thaI the lollowlng-named taxpayer, under the requlrementa 01 .ectlon 6325 (a) 01 the Internal Ravenue Code ha. aatl.lIed the texee lIeted below and all atalutory addltlona. Tharelore, the lIan provided bV Code aectlon 6321 lor theae taxe. and addition. ha. been relea.ed. The proper onlcer In Ihe onlce where the notice 01 (, ..;' ( ') Internal revenue tax lien wa. lIIed on :~J " , , ....... , Ie authorized to note the books to show the release 01 this lien lor .. , :-! , - <J "f! these taxes and eddlllons. . " '- ,t'fl I)' '; l:J Name olTaxpaver ,. " ' _.l,) .",',1 jl-h , ' ,j :,~; ",#l,) Realdance :,-? ,"iil'1 , :,,) .~~:~ .. ~ ~1 <0 -~ , ,1105 ,l..lopd fl.* t{LJ No , ~ \q\;}\3 Kind ofTax Tax Period Ended Identifying Number Dale 01 Last Day for Unpaid Balance of (8) (b) (c) Assessment Reflllng Assessment (d) (e) (f) , , , , . -. ~ " . . , Place 01 Filing Total $ , This nolice was prepared and signed at ,on this, the day of Signature /~ I Tille ( j ,/'" I/'? '"c'. ';_:..-.....___.,.,..:;~, (NOTE. COf"r/CiI'O 0' officer lIu'horjzed by law to ta"8IJcllnowfedgmen's is not essentu" 10 the validity ot Certlficato 01 RoleasG of Fedoral Tax litJn RlW. RuI. 71-466, '97'.2 c.e. 409) PART 1 . RECOR~NG OFFICE Form "8 (Z) (ROY, 8,97) CAT, NO 600281 \ '"" ' ,-~~ I """~ ,...;, ^ k !' , .... 1'5' ~ , " . \~; 1 [Qt ( , L: " (...~~ g \ '\i ~.. ~ .,j.~"dt J!-tiA;, ". ,:;t ",~. '<,~~ ~ i\ ,; 'Il:i 1;;, \. 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"-~,>;(~_,,j-'<''''-'_40'' ,,) 'c;- Rj{ lq~.~t18 n I ~ &' I ,Ii! ..,_ 'tjt: ;... ! '\-'.' i'~ ' - I" \ ' &' r ~ r.~...'......~_..,...m'.'-.' ..~:--77\' >-1 t f ~ ' V I g."J, 1.0",- I L ,n \. ~ ~ \ . I-}l~---;-' -'-'--:-~I .'. \tB . · .1'.:. 2 I' ~i " i ' t ~i \~:~~T..... ~_...-.. "..'---,.. ~" -', .... \ Ig"' " ' "i$~ei '.\' ii?'lE I c J \"-~"'l,,-""'''~''-''-''''''- .... ,,,- ..-,,'.. ,~,;:--,J ,..,.1 h~ t . ,y">,, 1'~"~ i :'L ,:~s~, '"I' "~,4 -,' "-41 1 ' - 3; ''S1I::?Ir;' \ "\ ..~ ';< i . ."..'~.' .",1 I' t, ,~,; ....i ' ,..! .' , ,~I..._..t-'-,..- ..,-_....._,...__r.....'~'t~':;- < ~ l i ',li~.t t ,} '71 ;;<1; ,\ ~~'~~{:~,'~ ~ I "~ fr.::rJJ,-'t ' , '. t!i,3'?:t:-'! 1 ,L J~ ~ ' I '" ~~ I ! I ~;,:;. ,\ I~ I I I I ',;; :I,', ,0 ,ih 'i~ " , j", , '; ,:" \'.:> ~ . " "'\',..~/' , - ,>..~, -:;:7'. I \ \ \ \ 1 , '. I ' .l.l"-- ,',: f">_"" , '~".-.~---~"..~1~~!i!i.ri,~" ,,,-~""'..,,,...--,,,~ . \. , - . ,-'?<, ~ 7 ..-,~-' \ I , \:-- : \ . ~ "~" ~ ' - ) .\ . 71 1 ,\ .! 'j i I 1 { }, " ,.J,-:~ /\-: \ . II t I I i I \ ! 1 ~'J !~ ! .~ t~' ,- .~ '" o ~ ,':0- </l 1;; .. ~, :~'; '.-1'0.-" '-'::'fP<" '1; ,~ ."p' ; '<11 '.0' : . i!\" '.&. ,;&--~: . I,,',". (;:' c;; ..~;~.~f/~ ~;: ~~ r;lh,~,.jll't:~~1- . ~~.~' .,.:;" ...J,,,-' ,~" l'~ ..;, '_~' ,-.'1.-'1" '~/i: ,;>..r","~:: t.. ~. . ,~t ~;;::t~f~;;~< ' '",.,.,p.'\..u '~:i~ti1tJ~: ", <J'j""~"'!" ~~~ltf}~~'~n;:~ " '}'I.':<]" '"'-" ,,"'.J:~"-~~~ ;)1" rJ~f: .'; ,~-: - . I \ 1 I. - " ~ j i '!" I Depertment 01 tho Troeeury . Intornol Rovonuo Servlco Form 668 (V) I' .~, ", JlRev. Oclobor 1993) Notice of Federal Tax Lien IDlstrlct Serial Number For Optional Us. by R.cordlng Olllc. I I 'i'l I I :i,j~ I r.dl I il 1 F'I\ ' ~: . ,l (',. I ,.,," , ' 9'-1- 'd17'B 1 As provided by sections 6321, 6322, end 6323 of the Internel Revenue ~TL I Code, we ere giving a notice that taxes (Including Interest and penalties) 1 have been assessed against the following-named taxpayer, We have made ""q,00 (>c.1 I a demand for payment of this liability, but It remains unpaid. Therefore, there Is a lien In favor of the United States on all property and rights to I property belonging to this taxpayer for the amount of these taxes, and t- -" additional penalties, Interest, and costs that may accrue. =<> IName of Taxpayer ..... I ;~ II iF'--:'t'J .J HlI.JrF.h' ~" I I Residence c=- " .$:' , ,,1 I,) \"l,{f'JN~l(JIJD f.n : ; hi 1 '~ It> ..... " '. I\I'DI~I)FI'. , 1"1. 1 '~"<II:' '. . s- , :::IC I .,.1. -< " ~ IMPORTANT RELEASE INFORMATION: For each assessment listed below, .,,~ : ~ unless notice of lien is refiled by the date given In column (e), this notice shall, I on the day 'o~:owlng such date, operate as a certificate of release as defined eLL.tI 73805 I In IRC 6325 a . R.rJ 93 'IS Tax Period Date of Last Day for Unpaid Balance I Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment (a) (b) (e) (d) (e) (f) l'l-i- , . , : l /':j\' 'll.!-;,. -.. . , " " -.-~:,.... 1 . ':1~1 1,__' , t':'.tf' , ,. ," /"'1 ' Ii I_r,:~ '-.4. " " (I,:: l '.\~d 1 .72. .', 1 (1...1\;. - 1 ....:, ....\~<) _: ,~...4 ',' 'I");, In; 1- '-!;_:'1 ::..::::": - - ' - .- " .. I 1 Iplace of Filing F-'I"I.,ttl')nutiif' 'I Total $ I ( urnbE'r"' I <ltll:l c....unt , , t', <'.' ".'. I ':: al- I I ~~ I e 1 f~' J,\ I' 1 :.: j I , ..._r f"\ I" jIIlIl . . . . .' {", '.J .... ttt ... . i I ... ',I I I I." I L.' l . '- , ':J (../ \.,,,,,1 This notice was prepared and signed at F' I ,.., ,-\ hi , on this, I ! ' "" I the "'day of uj<i I ! 19 ,j , -' r' ,/"'" -.. I Title "-.'r ,,' !- ;, ;,;'~' (NOTE: Ct'rldicato of offlcor authoriicd'ba,tlaw to take aclo.nowlodgmcnts IS not (.>!;sentiallo tho validlly 01 Nollce 01 Foderal Tar. hen Rov, Aul 71.466,1971,2 C,B. 409) Part 1 _ Kept By Recording Olllce Form 668 (V) (Rev. 10-93) Signature ( ....../ '. v . \ .z,,:J ...~~ - , ,_' ,,_.'..~', ",---,:..::.;:,,,, <~'<<::":';~>':'-,i,-::<,;:.>},"'o_;,!ft: , , -,' -'j;"r": < q';"""YiUJ';_1~thr:~t~~i:..fl'~~--ri1f".1'.' " " ~,~ __ ':.t,,::':.:t~<lfiifP~~~~~ "~,,,,,,,,,,,:~~;.>e~~ \ - \ .~~:~" __,.""",i'i.~~~~~ ~ f.:' ~ ~. 0 0 ~.. lO.;~ ... .. 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