HomeMy WebLinkAbout94-02783
w_..~.
.. r.:
!
.------,..-.-...-....--
_ Form 668 (V)
lA.v, Oelobll 1993)
Doportmont oltl1o Treoeury . Internet Revenue Service
Notice of Federal Tax Lien
IDlstrlct
II
I
Sorial Numbnr
I'M OprwfI.ll Us. by Recording Off,ce
r'
I f"
q~.. J1 ~3 ~
PiL
AI provided by sections 6321, 6322, end 6323 01 the Internal Revenue
Code, we ere giving 0 notice thaI taxes (Including Interesl ond penalties)
hava been assessed against the lollowlng-nomed texpoyer, We hove made
e damend for payment 01 this liability, but It remains unpeld, Therefore,
thare II a lien In lavor 01 the United States on ell property and rlghta to
property belonging to this texpayer for Ihe amount of Ihese taxes, and
eddltlonal penoltles, Interest, and cosls that may accrue.
Name of Taxpayar
,-
,.
f~ .'
1'-.J
r
C)
Residence
;;1.
;'1 i,
-
2
IMPORTANT RELEASE INFORMATION: For each assessment listed below.
unless notice of hen Is reWed by tho date given in column (0), this notice shall.
on the day following such dolo, operate as a certificato of release as defined
In IRe 6325(a .
Tax Period
Ended
(b)
Identifying Number
(e)
Dale of
Assessment
(d)
Last Day for
Aellllng
(e)
'ill/cop)
Lh II 1.3'"13<1
~# \LJl11
Unpaid Balance
of ASleslmant
(I)
Kind 01 Tax
(a)
I .'
I I
.
"
I;J
I,,)
L.l
Place of Filing
, "
Tolal $
, i
This nolica was plOparod and signed at
, on this,
the
'day 01 . 19~,
'P' " T~
",.,''-' y. .
, I,
1 Titlo
, I
~
I
Signature
~~"'~'
. ',I 4.'
. .
IU01E, ern.h, ,Ill' '" r.tf, "fl" 'Iii.' /I;' t"
IlI'1,' Il,jl 7' ,Iii; I!,:, . I H '1; 'I;
',:,',li'I,Ii-!
,Il"';""!"'''''''''!'
"11"1'1 jl',,'hl' Vill'll;lyul"Wh_"ol ftHll!fill . ill lIOn
Port 1 . Kept Oy Reeordln(l Olllee
Form 668 (V) (Ilev 10-93)
~,
I)
~)
~.)
I
[:
~
.
~
--- ----
'- 688(Z) "; ~ -! II Oep.r1m.nl 01 the Trellllry . In'..nll R.v.nu. S.rvlc.
(lIof. ... ,.., Certificate of Release of Federal Tax Lien
Dt.lrfcl Serl.1 Number Fo, 0,,"""" u.. ~y _"" om..
Ph' I adl' 11""'\' I 1\ ..; I .1 \ ;~" ,_, i
I celtlly Ih.1 .. 10 lhe lollowlng,n.m.d lup.y.r, the requlrem.ntD of netlon 6325
(.) 01 lh.tnt.rn.1 R.v.nu. Cod. hev. betn IItI,'I.d lor Ihe tue. 1I.I.d below .nd
lor .11 .1.lulory .ddltlon.. There'ore, Ih. tI.n provld.d by Cod. lIetlon 6321 for
lhe..I.... .nd eddltlon. h.. been rel....d. Th. proper ollieer In th. o<<lc. where
lhe notlet ollntern.1 revenue I.x lI.n w.. lII.d on " ., ' '
\,.1 " , ."
II .2.:!.-. I. .ulhorlled 10 nol. th. bookl 10 .how the rele8l' olthle lI.n lor Ihll. ."
IIx.. .nd .ddltlon.,
HI"" 01 T..peyer \.1 J II I AI'\:o \,j',('VI-,- ilK .. "I I" or ,1 t r (, II -
J"
w
"..Idlne. , ,
I r Alii AVI, , ;.l..:
" -
"IL(HA"jJ( :,:"111;(,. "" 1--",1 I ur'll/ ,. #.5CO~/.
. - -, '-'"
,J;;..
t/?# 15'3:.2/
COLllil nEUJIW 11~(1 11-11' lil,I'I/\1 J "1'1: i!i-:tI
L I Lit?" F' il ~1 t: IJC i- 11111. r l' I i.1 I I\J(,. I '5 tc "J, ~
"/ a Il/a 11/ a "., '~-i::<:: I t I
T.. Period Dete 01 Lael Day lor Unpeld B.t.net
Kind 01 T.. End.d Id.ntllylng Number A18e18m.nt R.llllng of A.....""nl
/.} (~} (.} (dl (.} /Q
9.jl (l'~I/~(I/':) : ..~ -.' IF, 7':';..:. 7 Ij, (_I:; / " " il.J,'.,'il.' ~:4'~14.~. 02-
tHt."" i( -If ....It . ... -10. ;t ,,,.. It " -Ii 1I11 . to '. It- 'tl: -lo. It IJ ,.... ~ . \0 It" , . jo, to"~: jJ.....,..JIi).... ~.~.,..~~*~~J~..~'..~
\") !'~ ~
co ...
r _ ,
, -.j
- ' ,
"
-
-
. II .; ., &:
" I": :'
-' . ,.', ....
,. , ,.. ~
-t ~..
.... ~. -
.. ~
Plecl 01 Filing .---
,. 1'1.+ t III) 'I It t ,}I 'r Tot.1 $
C tJlnloPI- I <.i,rld ( I:' 11111.: ">1 '-,'.L.~ . P;.~
C 01" I , c; I,.. l'A 1 f'( 'J:
--
,...,
n
n
~)
\....)
l,j
Thl. e.r1ll1c.t. W18 prepared and elgn.d at
"1'1 I 1 ;I,J\' j Lib I .j. I'A
,on Ihl.,
lhellltll d.ynlf.uu~-L-,19"'1
Slgn.lure _ ___ . I Till. , I, , , , , I, i .
(NOTE: CMrI""~I, rf rMr,., ~ blliw~"~fi "("nalt'l~8men's IS /lOr f1Htlnf'''' /() m~ 1.=111(1.1)' Clf Cpr1lf1t'''fe 01 Release 01 Federal T" LI,,, Rev Rul 71.468 '97'.2
C B '091 - '
'-'
CAT IjO Eooi't;l
Form lle8(Z) (Rev. 4-84) .
-.....
(~
'"",
(1
("\
("I
c
'"
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
rf)
00
e-
m
I
· cr-
.
. '.
.
.
.
.
.
.
.
.
I
1.
\
I"
I
.'"
.
w
I ~
I
c
::l
c
CD
,-
..I
><
~
...
o
CD
en
m
-
CD
a:
1'>
n.
...
."
...,......
~
....
.'
:,;....
~
:,\
"15 :J.
i
~
~
.'
~
I
i
.Ii ~
I ~
f
l
~
I
~
a
t'
"
~
!
l
i
~
n
o
o
o
o
o
o
c
.r-
\:;'
~
.,
o
Q
o
o
v
.J
v