HomeMy WebLinkAbout94-04016
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IF 668 (Y) 11'-' Dopnnllwnl or tI", rll'(l'H1I y, 1111'" n:llllc'lcIHJ" Sorvlce
;"~~".,, '""~ N:II:eot ~edcml Tax Lien
I ~ -.---- --(~~liiil~;;:;TI ),'i;' by IltJ1:OnJInIl Office
,District H" I" ,]" I ,,,, I d, I.. J:~:~_NII~I~"iJ~'~--' '1'" ,t', "-._..~(;~_ 40tlD FTl...
As provided by sections 6321, 6322. and 6323 lIf lile Internal r1ev~nue
Code, we are giving 0 notico that taxes (Including Inlere:;l ond pelillltles)
have been assessed agolnst the followlng.mlmed taxpayer. We hove made
. demsnd lor payment 01 this liability, but It remains unpnld. Tlloreforn,
there Is 8 lien In lovor 01 the United Sloles on all flrofl~r1y nnd rights 10
property belonging 10 Ihls taxpayer for the nl1101lJ1t 01 Iho$o tnx()s, and
I additional penalties, Intere,t, and cosls thot mny accrlle,
IName of Taxpayer I ,.>,rm J N i\ (i\hIT,I',lll (.
IResldence~2~< N I'.j['cc; I ::; r
CARL 1 :,',;1. F, F'A I ,"J i.'
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IMPORTANT RELEASE INFORMATION: For ooell ,1:IC,GSSI1Wnl Ilst>JrJ IJolo\\',
unlesa notice of lien Is r"tllod by 1I1e datI) glvon "' colul11l1 (n). 11,1:, nollcl) silall,
on the day following such dalu, operalu as 0 cc'ldlc:,t,! 01 roh.!<lco ~I'; dull/led
In IRC 6325 a ,
Tax Period
Ended
(b)
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,-'L.. 11 7'1:10"(
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Kind 01 Tax
(a)
Identifying Number
(e)
Dale of
Assessment
(Ii)
~ll ,nll;;,
Lost Day for
Rellllng
(u)
Unpaid Blllnce
01 Assessment
(f)
$
1040
1040
12/ ..,'I /::)9
12/31/';1,,"
11'1",- ..:. '.'.' - ,) ,f".. 4~;
11r -- f:')I:, --';/~: 4,:;
I"f~) / 1. ',J'" '-:14
1-)~5/24/9:~)
('//,,/115/(1-'1-
1)1--,/;;','::)/c):::j
80';")'~/. 2:;:1
1:31 . 6~:
$
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ID
Place of Filing
..~
F-' I" (I t h (I n '1:1 t a,.. y
(:unlbet"land C:(IUrlty
Ca,'lisle. FA ll,)!::<
Total $
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This notice was prepared and signed at
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Pdrt 1 "Kept !t,~. n. '-:ldi:~'1 n:rl"('
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