HomeMy WebLinkAbout94-05658
'3:'~-iO Department of tne Treasury. ""ernal Rsvsnue Service
Form 668 (Zj
(AllY. ~O41 Certificate of Release of Federal Tax Lien
OlsHlet Ssrlal Number Far U.. by RecardlnQ Olllce
Pr, I I "de I ph i " .. ~:,~"t l._\ j'~<\
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I certify thot us to tho lollowln\l,name laxpayer, Ihe requlrsmenls of secUon 6325 (a)
ollhe Inlernal Revenue Code have been ..Uslled lor Ihe ,.... IIslad below snd lor
all statulory addlUons. There lore, the lien provldsd by Code seeUon 6321 lor Ihese (" ,
laxes and additions has baen released. The proper 01l1Otr ~1Io thI,olHSiI where the ',' I
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noll\l8lO1 Internal rovonue lax lien was lIIed on ' . . . ~'1
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19 _----' I. In authorized to nole the books 10 show the ralease 01 Ihls li-ln lor ' . - ,:~
these taxu and additions : (..- ;',p
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;;;;;;;'0 01 TaxpayeV' (1"<1::'! LL r. 'r'l
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COURT RECOf<OING XNFCtFlMATION: f15.uopd
Libel" Pa3e LIce No. Ser' i al 1'10. C'"''"'U I;) '3/55"0'
ilia r,la n/a. 94-5658
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Tor Period Date 01 Last Day lor (Inpald Balance
Kind 01 Tax Ended Idontllylng Number Asses.ment Rellllng 01 Asnssment
(o) (b) (e) (d) (II) ,'I)
1120 05/31/88 2:5- 1 ~j8:3t~(J6 1l/071C{O 12: I 07 19::< 5681.37
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Plac" 01 FIling Pr"tho)n,)tary
Cumber' I and Count'! Tolal $ 5681.:'7
Cat.' is Ie., PA 1 IO 13
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1 Form 668 (V) Oopartmtlnt 01 the Tred!Jury . Inlem\ll Ruvtnue Service
1 iR.~ C:;I,CcHr 1 'j j I Notice of Federal Tax Lien
IOislflct Seflal Nurnoer F.;r OPliiJll,,1 UJd by R6crJrdlflq Ollie.
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I As provided by .ectlons 8321, 8322, end 6323 01 the Inlernal Revenue
I Code, we are giving a notice that taxes (Including Inlerest and penalties)
have been assessed against the followlng,namad taxpayer. We have made e:>>
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e demand for payment of this lIablllly, but It remains unpaid. Therefore, .....
I Ihare Is a lien In favor 01 the United Stales on all property and rlghls 10 '"
I property belonging to thl. taxpayer lor the amounl of these laxes, and
additional penalties, Interest, and Cosls Ihal may accrue. -,
IName 01 Taxpayer t'
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Residence .c...
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I IMPORTANT RELEASE INFORMATION: For each assessment listed below, Ck..M 6D7S39..::LJ
unless notice at lien Is reflled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined R~ III 'it I~J
In IRC 6325(01\,
I Tax Period Date of Last Day for Unpaid Balance
Kind 01 Tax Ended Identifying Number Assessment Aeflllng of Assessment
I (a) (0) (c) (dl (9) (f)
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Place of Filing ",I, . ;,
'tillL '." l' : '",i. Total $ .. , '. . ~~ J .
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I This notice was prepared and signed at
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!NOTE_ /:")'1 '':.I!-'~! .;ll_~;;' ...',," ,_..: Ili \... !-j: ..." I
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P3rt 1 . K"pt 0,/ Rccording Office
Farm 668 (V) iR,jV 1093)
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