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Home My WebLink About94-04011 , Form 668 (Y) (R.v. OcIQb., 'un:l) I'll. Doportnwlll nl tllll ') ".lil~illty .lllll.'lnnl nl!V~IlLJO Servlco Notice of Federal Tax lien I~;~~~'~~;i-~J'l;"~-I-IJ'" . ..........-...-..... Phll.,.j~lpl" II ~L_,____,,_,.., ".I,':,~,,~~,I,___ AI provided by secllons 6321, 6322, ami 632:1 ul tile Illt'!llllIl Flovonuo , Codl, W8 .re giving D nollee Ihol taxes (Includlll{) Intelo';t alld f1ollaltlos) hlvl bun ISsessed agalnsl the followlng.named taxpayer. We hove mode I dlmlnd for paymenl of Ihls liability, but II r0Il111lns llnpllld, Thorefore, Ihltl 'I . lI.n In favor of Ihe United Sloles on 1111 prop<"rly IInd rlohts 10 proplrty belonging to Ihls lax payer fer the ol11ollnl of Ihese loxos, Bnd I Iddlllonel penallles, Inleresl, Dnd costs thot may IIccruo. IName of Taxpayer IlFAN, M I N 1<,1 I,)! O/iIIUIl," liSt} by Fiacardl"(I oni,iB ;Olstrlcl I ;ji q4 - L/O I I FTL : Residence . ::r l:'J U)L IJMI': I 1', ^ v.: /:AMF' 1I11,I" FA It"ll '';.11 - '.j) .L~ -"'--~ IMPORTANT RELEASE INFORMATION, For '''Jell ,li;;;o.':;:;'ll"nllis\.,rj below, unless notice of lien is reliled by the dato aiven ill enlun1l1 (.n. Illi:; Ilolico :;11;111, on the day following such dille, oporille as a corlllle"I01 01 ,,,I,,aso d:; dofined In IRC 6325 a , Tax Period D,lle llf Ended Identifying Numbor Assessment (b) (e) lri) "''1,<) u \.\ Lll Jl iL\J.U1 R~ Iyn'j , Kind of Tax (a) Lost Day for Reflllng II]) Unpaid Bal.nel of Assessmenl (I) \(140 1040 I ,:.:.;' :~. "l / ';': j I ~'_ .' :::,.' / "II,::'; Ill/,LI~,/04 ill/;>,/04 ;21'5101.7" :tt3'S',':J. '35 1 Z/ .J j /~~'';J I? 1:< 1 190 :01"U' :",11 ,"(II ,., I , -J.. 1 t 'Place of Filing F't IJtht)nl) tat'Y CUnlb('?'t-1 a.nd C,)I,lnt;~, C,'Lt' II ,; Ie, F'A 1. t(ll :-; Total $ 2~3'~/~:'1 . L~ This notice was prepared and signed at .'l'!t..,.,~ ~). '. 1;::'1"1 1 I .1.'J,~ I phi do' !-' J~ , on this, the .J(lt1d3Y()! JU11~! ,19-2:!. '0 / 'lLll-),~ ~ f' ./ ~.fI-.t.rl,.C. , , - -'[" . ,,----,-,------,-, [ lIlt. t 'I ,111 1 ~ ~ 1- (,I .: 1-11 (l(:.H1I. -.' -----.- SlgnatJre t' '.1 t F' ",I; I 1'- i. b ..~ L ! 1:1 J ,,', ~.' \ I I INOTE: C"<rlil,,',!!,. i,J ,)(L,..r .11;!1-'1I':'''' 1'1 .1,',' I.'i'l FltlV Hili /1 .1';1, ! 'I: I :' I, H _\1-'" i lil,)-I" I'! 'kl, n r)t h'dllr,JI Ll_ lip.n 11J1I11 6')0 (Y) (Rev 10-93) P;}rt 1 Kf'lll l.ly 11,'c'l!'dirl'! r)fli'~,' ("': 1-, ' i I...~' I I I I 'I II ( - 'j ,; I I '\ 1-;) , , .; J .. J I, .' \,1 I .' I 'I ( ~ ,,; ,Ji, "/~ ~ ,i (J .' f' ( .1 ,"'1 ,~ - , ," -'. . ~ : '-,-, . ',~l! l I" i:,-'\ ;'.\',' >1; I "Il': .\ ~. "I . i,.~\' ,~"'l : , , ,~ ",",' -'.':,1 I -,~ \:i1' "ql '" ~;'~!"'1 '. ''''.' 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'~ .C', " . << ';',;\,~ l I l,.,~'" j .t I' "l:;" .Ii, , \" "'" " , ' ", .", ';\: t. II,."", , , " I " , " " \., " I' , , '; \,,' I , \, ,.,! \.' 1 I " , I i " , , , , ,\ , " . .. " , p i 1'1 \ g ! I c;, it) j , i II !~ ! <J IrJ 'd ' I' '"I ~;j I ! ... ,.... "., '- 688(Z) Department 01 Ih. Tr.IIUry . Inl......1 R....nue 8IrYICI " CJlow,"'''' Certificate of Release of Federal Tax Lien Dlelrlllt I IMrlll Humlllr ,., lito - F'h I I adll I ph I Ii' f"A ":9.}11(.l/::,7.4 I certify thll II 10 ItMt lollowlng-nlmed '''plV.r, Ihl rltClulr.m.nll o. HCtlon 8325 I ....- ; (I) 01 IheInllmll R'''IIIu, Code hi'" bltn ..,I.lltd 'or Ih. I.x.. 1I.,td IIIlow Ind , . ,\,/ , 'or all ...lUIory Iddlllonl. Th.....o..., Ih. lI.n pro"ldtd bV Cod. ucllon 8321 'or I lhe.. ..... .ndllcldlllon. h.. bltn ...1..Nd, Th. proper ollle.r In Ih. olltce wh.... , lhe nollce ollnl.rl\ll rI".nu. ... lI.n w.. IIII1c1 on ~1I I 'I t '" . /\ ,) 18 ..2:L. I. lulhorlztd 10 nol. Ih. book, 10 .how Ih. r.I.,.. o' Ihl. lI.n 'or Ih... t' ..... Ind Iddlllonl. . . , . Hlrna o. TIXplV.r DE 1\ N 1..'" - f ~IIN 1(1 . . . ~~ -....I.nce :;',71H CI,IIIJI~t;IA AVL C,\MF' HilL, F'A J ,.." I 1 '.,.1 ,,:\ I 11(, L'I.)\,d COUF'! r~ECCIFm I 1% INFCII''''IA I II'I'J: I.'\"" tel TlJ~''-l Llb.n F'''8~ 11(1 N... :__,t,.'v'i Ii I I"J (< ~ "0 n/ il n/a r.;, d '-I ~1 4')11 ftl ;:)(.)L/Yl T.x Period Oil. o. ...., O'V 'or Unpeld ..lIInce Kind o. T.x Endtd Id.ntlfylng Humlllr A.....m.nl R.llllng o. A_","",' (.) (b) (<) (d) (.) If) lu.Ft 12./ ,:1 /::\9 ~'() I II., :,..1 1 ,\ I.:. "( I '.:, ::.; I) 1. ;' ;..'/,:..1 ').1- 2':.1(11. T7 104') l,:/:j l/'II, ,:/)1 \'':>' ,",:,'1 1 I -:- / ,~.:I I ':.1;': t),\ /;,:~i;,/l)4 ~:O'5'~J. ]0 ....-It.. .'. M'*~-'- ...It- .'.It- It,-~ It-..... IHI: "M~ II'. II Itlt.',.." Jl:'1t .lIltll:..... ....* *'l,It.It......-.H~...1t ...It-"*M"~"****.****** , II, , , , , , r. , "' _.,-, PIKe 01 I'lIIng F-'~-') th ':'fl(1 t J 1'",/ Tolll . Curllbp~.l d,fld , ',:'UI! l',v _:",:")61.12 l:n'l I r.; I p ~ FA 1 l(, 1 ':: c ,... ~ ,"- " - , o ,-. , ("\ " o o o o o ,,~- , o o " o u Thll cerllllo." WII prtpllrllcl .nd alllnllcl at f:hll<l.,tl:jlph,~~ F'A . on thl.. v thtlHt:h d.yotN!!VFq.tlb~t-, 18 '/oj. 81gnllu... \TltI. , h [ ,'f, ',;, I'. [:. ~T~J c.;errtl/c,lr. o'omc., IUfhorlztd by"w to talf, IIcknowfldQlm,nts '5 not "s,nNSI to th, valldi/y 01 C,rfificat, 0' R,I"" 01 F.o.ral TIX L*' Rev, RuI. ",... ".,,-, \0,,1 u -' CAT NO &0028t Form Ml(Z) IR..., .....) '"