HomeMy WebLinkAbout94-05654
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Dopartm.mt at Inll Tr.Jd wry. Intgrnal AdljonUtl SirJrvh::.
Form 668 (V) Notice of Federal Tax lien
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District SfHIJI NUll10er f'Jr ODfltJil,J{ L'jtJ by M81:ordl'hl Offi~tI
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AI provided by :sections 6321, 6322, and 6323 of the Internal Flevenue
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed agalnstlhe followlng,named taxpayer. We have mede
II demand lor payment of this lIablllly, but it remains unpaid. Therefore,
there Is a lien In lavor of the United States on all property .nd rights to .~-)
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property belonging to this taxpayer lor the amount of these tues, and -,
addltlonel penaltl8ll, Interest, and costs that may accrue.
Nama 01 Taxpayar , ,- ,
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IMPORTANT RELEASE INFORMATION: For each assessment Ilsled below, f/ 9 00
unlass notice 01 lien Is reflled by tha data given in column (a), this notlca shall, Ck..JJ. C67SJ9.L
on the day tollowing such date, ~perala as a certilicata of release as dafinad
in IRC 612Sla\. ,<~ I Lt'ill!
Tax Period Dala of Last Day lor Unpaid Balance
Kind 01 Tax Ended Identifying Number Assessmenl Reflllng of Assessment
(a) (b) (e) (d) (e) (/)
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Place of Filing
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ThiS notice was prepared and signed at
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Signature
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I~ ' j tI~'1 'j jiltl'!', or rl0!ict} 01 FedtHJI r ,I'< lion
Part 1 . Kt:pt fly rL?c:Jrd.flfJ Office
Form 668 (Y) (Rev 10.93)
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Form 668 (1) Ospartment ollhe Trsosury . Intornel Revsnue Servlc.
IA'" 6.g<) Certificate of Release of Federal Tax Lien
Oletrlcl Serial Numbsr ~or U.. by "eeordln; Ollie.
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I cer1lty that .a 10 th. 10nLwlng.nam. "'xpayer, the requlramenll 01 aectlon 8325 (a)
01 th. Internsl Revanu. Cod. hav. been ..tI.lled lor th. tusa listed below .nd lor
all ...tutory addltlona. Tharerore, th. lien provldad by Coda .actlon 8321 lor th...
t.... and .ddltlona haa bMn ralaaMd. Tha propar olllcsr In the ollie. whar. Ihl
notic. ollnl.mal rsvanu. tu lien w.. flied on .' " .
19 2... la In authorlz.d to no I. th. booka 10 show Iha raraasa 01 Ihla lIan lor
thu. tllla snd sddlllona ....
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Nem. 01 Tupsyer ~"J
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Tu Period Date 01 Lest Oey lor Unpeld Bslsnc.
Kind 01 Tax Ended Idantlfylng Number Assessment Rellllng 01 AaHllment
(s) (b) (e) (d) (a) (I)
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Placo 01 Filing
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This nolic. was prepared and signed at
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Ion this,
the- j I: day of :\;'1 i ,
. 19~.
Slgnatuw
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~l~T;a9~"rrll'Cdjtl cl OI'ICdf authr.:(i~Ud o/'aw to t.llI;:, JCllna\~!Ct:1<gmt!nts Ij no, t'SStJl1flllllJ r/ls ~.Jll''', 01 (..'tIf""C,Jfl1 0' Rulll.UfI 0' Ffldllfil T':J)f liff" Rev. Rut. 71.466. 19".2
PART 1 ' nECOROING OFFICE
Form tel (I) (Rov, 6-ij<j
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