HomeMy WebLinkAbout94-05656
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Department 0' the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
Serial Number
For Optional US6 by Rscording Ollie.
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As provided by sections 6321, 6322, and 6323 0' the Internal Revenue
Code, we are giving a notice that taxes (Including Interest and penalties)
have been assessed against the 'ollowlng-named taxpayer. We hove made
I demand lor payment 01 this liability, but It remains unpaid. Theretora,
there Is a lien In lavor 01 the United Slates on all property and rights to
proparty belonging to this taxpayar lor the omount 01 these taxes, and
additional penalties, Interest, and costs that may accrue.
Name of Taxpayer ,,: "I..,:
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless nolice of lien is refiled by the dale given in column (e), this notice shall,
on the day following such date, operate as a certificate 01 release as defined
In IRC 6325 a ,
Tax Period
Ended
(b)
Identifying Number
(c)
Dale 01
Assessment
(d)
Last Day lor
Rellllng
(e)
,19.00
CJ(.11 (;:D7SJ9:lJ
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Unpaid Ballncl
01 Assassment
(f)
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Kind 01 Tax
(a)
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!Placo of Filing
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Total $
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This nolice was prepared and signed al
. on this,
the
day of
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r Title
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Signature
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(NOTE:t';'!~'!r,I!U af o",<=,hr .'....th!HI!.ld by 1,10'1 "'J Uk,! ;y~'
Re'i Rul ;, 4i3.3, \:J1l .2 C O'4Cnl
,;{,!,:~,V',-'1'; " I'd ,,- >'111,,11 Ie lllll y,ll'dity 01 NOllCtJ 01 FedtHal Ta. bon
Part 1 - KepI By Reccrdin<] Office
Form 668 (Y) (Rev. 10-93)
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