HomeMy WebLinkAbout94-02515
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nForm 668 (V)
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Depertmonl cllhe Tronury . Inlornel Revenue Service
Notice of Federal Tax Lien
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Fo, Opliona' Usa by Racordlng Off/c.
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AI provided by secllons 6321, 6322, ond 6323 01 Ihe Inlernol Revenue
Code, we ora giving 0 nollco Ihol taxos (Including Interesl and penalties)
hIve been assessed ogalnstlhe lollowlng,nomed taxpayer, We hove modo
a demlnd lor payment ollhls liability, but II remolns unpaid, Therelore,
Ihere Is 0 lien In lavor 01 the United Sloles on all property and rights 10
property belonging 10 Ihls loxpayor lor Ihe amount 01 theso laxes, and
additional penoltlos, Interesl, and costs Ihol may accrue,
Name 01 Taxpayor
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IMPORTANT RELEASE INFORMATION: For each assossment listod bolow,
unloss notlco of lion is roliled by tho date givon in column (e), this notice shall,
on the day following such date, operate as a cortificale of roloaso as delined
In IRC 6325 a .
Tax Period
Ended
(b)
Kind 01 Tax
(a)
Identllylng Numher
(e)
Date 01
Assessment
(d)
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Last Day lor Unpaid Balance
Rellllng 01 AII8Ilmlnl
(0) (f)
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This notice was prepared and sloned at
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Signoture
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,UOTE: (nl'I(,l'f1 n' MUir'" :1()t~l"!ltl'f1rt h,' !;'\w In Ll~f' ,'If ~,,,,,.'I,;j!j!111'1:1' I'. Illll t)f,~,t!nll,lllo Ihl! vnlltJll,' 01 NOIICIl 01 rotJtlfal Tal Ilcn
nuv Ilul 71 .JUl 1 ~I/ 1 ;' I; 1\ 41)'11
PUlt1 . KCllt By Rccordlng DilleD Form 668 (V) tllov. 10-93)
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Form 888 (If/l D.p.rtm.nt 01 Ih. Tr...ury . Inl.rn.1 R.Vlnu. S.rvle.
Certificate of Release of Federal Tax Lien
(Rev. &-141
OI.lrlel S.rl.1 Numb.r For UII bv A.cordlng Ollie.
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I e.rtlly Ih.. II 10 Ih,'ollowlng,n.m. IUP'YIr, the requlrtment. olllellon 8325 (.)
01 Ih. Inl.rn.1 R.v.nu. Cod. h.v. bltn IIIIln.d lor the lext. lilted below .nd lor
.11 .I.lulory .ddltlon., Th.rtlore, Ihe lien provided by Code ..ellon 8321 lor Ih..e , ,.'}
I.... .nd .ddlllonl h.. beln rel....d, The proper olllcer In the olllee where Ihe . . "1
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nollce ollnlern.1 rev.nue Ie. lien w..lIIed on 1'1<. '.. 11 , '.,
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191.1--, I. In .uthorlzed to note the book. to show Ihe relooso 01 this lion lor . ;'1
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Nemo 01 Tupeyer 'lJl II .
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'OUllT RECOIW1Wi I NF orH~A '11D1~: CLLtlI413U'l
UbI'''' Paqe UCC Nil, ~~tH ,;:.1 I~o.
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Tox Period Data of Last Day lor Unpaid Balanca
Kind 01 To. Ended Identllylng Number Assessment Rellllng 01 Assenment
(a) (b) (e) (d) (e) (I)
L04lJ 12/31/85 3SI3- 4(l-11_~5r:J 11/116/92 02/05/t)2 9520.80
1/.140 12/31/86 JE,L1" 41 1-1'351.:. ,'/16/~11 01/15/1)2 5655.76
1(140 1 ;"/3l/B7 Jh13-4U -1 ':15E, ;"/16/'31 111/ 15/02 1234.75
HHHHUU .'HUH.U ~.~~.~..~..*...;. ~H.HUUU HHH.HUHH U
Placa 01 FIling
F'",JthllnIlLat'v Total S
ClIInbel'land Count y 16411.31
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This noliea was prapared and sIgned at
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, on thIS,
the ;,";I\," day 01 ~;el,telobpt, ,lU.!1..-
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Slgnalura
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TIlle
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~~T:09ft""h:alt.. 01 (I"'C61 Butl1orrll!d by 1<l1t'0 r.1..., o1Clo,Il01\!t"ll1mt"l/S I~ /1,), t'S~t>n",lllil lilt! ~'d"(1.I)' 01 C~,Mca'" 0' nfl/flUe 01 (Bel"" TI' lien Rev /lul 11.166. 1911.'
PART 1 . RECORDING OFFICE FOIm ees (ZIlRIV. &-;4)
CAT. NO 8002el