HomeMy WebLinkAbout94-05657
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IForm 668 (Y)
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Dopartmont 0' tho TrClJ5ury . Internal Rovenue SerlJlce
Notice of Federal Tax Lien
Serial Numb"r
F,)f {}pli\lIl,JI U1d by AdCardl11Q Office
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As provided by secllons 6321, 6322, and 6323 01 the Inlornal Revenue
Code, we are giving a nollce lhat taxes (Including Interest and penalties)
have been assessed against the 101l0wlng,named taxpayer. Wo have mada
a demand for payment (II this liability, but It remains unpaid. Therelore,
there Is a lien In favor 01 the United Slates on all property and rights to
property belonging to this taxpayer lor tho amount 0' lhese taxes, and
addlllonal penalties, Interest, and costs thaI may accrue.
Name of Taxpayer
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unles,- notica 01 lien is I'efiled by the date given in column (e), this notice shall,
on lhe day following such date, operate a3 a certificate 01 release as de lined
in lAC 6325(01)
Tax Period
Ended
(h)
/900
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Kind 01 Tax
(a)
Ide nil lying Number
(e)
Date 01
Assessment
(d)
Last Day lor
Reflllng
(e)
Unpaid Ballnee
01 Assessment
(f)
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Placo 01 Filing
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ThiS notice was prepared and signed at
, on this,
day 01
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Part 1 . Kept Oy n,'corclil1'l Office
r ,"'" 668 (Y) 1F1,lV 10-931
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