HomeMy WebLinkAbout94-07240
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" Oeplrlmenl 01 lh. r,.oeury . Inlo",ol Rovenue Service
I Form 668 (V)
I(R.v. OClob,r 1993) Notice of Federal Tax Lien
, For Opl.on.' Us. by R.cordlng Ollie.
IDlstrlct SOllal Numbor
1 f'l-! I (_1.1111,1., \. Iii j :' tl ql.j_ 'lJ.I.fO
FTL
A. provided by lIectlon. 6321, 6322, end 6323 01 the Internal Aevenue
Code, we ere giving. notlc. Ih.. lax.. (Including Intere.t end p.neltla.)
h.ve b..n .....e.d egaln.tlhe 'ollowlng,nemed laxpeyer, We have mad.
a d.mand for paym.nt 01 'hi. lI.blllty, but It rem.lns unpaid. Th.rafore,
there ,. a lIan In !llvor of the Unlled Slel.. on ell property and rlghta to
property belonging to this texpey.r lor the emount of Ih.se tu.a, and
additional penaltlee, Inter.et, end coets Ihat may eccru.,
!Name of Taxpayor 1"1111 I, , , I I
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IResldence ,'I -
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IMPORTANT RELEASE INFORMA nON For eoch assessmentlistod below, 'II q, vlJ I'd
unless notice of lion I~ rolllorj by 1110 <1;,10 glvon In column (e), Itlis notice shall, <. "''' '1 '1 ). S'1f-
on Ihe day f~:owlng suetl dalu, opomlo as a cerllllcate 01 release as defined
In IRC 63251a , fl..1\ JlJ44 <f
Tax Period Dale of Last Day for Unpaid Balanca
I Kind of Tex Ended Id.ntlfylng Number Asaassment Aeflllng of A.....m.nt
I (a) (b) (e) (d) (e) (f)
I 1'1.101 I ,! I: , I.l!l I II~,;, .... ,.,: .' ';'.1 (II::. / ,:.' ~~: /I)..~ FI4 1 I!;,. . ~::l")
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jPlace 01 FIling
I ~JI. I.' t: h(,,.,o t d..r '/ Total $
( I.Jrnbrt"l.lnd C(lunt '/ 1:',41/';'. :~~'~J
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This notice was prepared and signed at
t"'h I I ad" I ph I a, r'A
, on this,
th.
l J ;..~ t II
day of
1'1 (I V l-,'I'n b €.'1 '~I.'~
,19_,
Signature T'lIe
j " r ,.II:.- f r l~lh J I (,
n F." V e r I U t' 1,1 f j I! P I
~-_ .~( (j~, - 1 .l!'~~l-)
(NOTE: C.Hldlc.,lf~ 01 ollleor .'ull1orizod by law Ii) t.1~e .1':Knowlt!d9t1lerll~ I'~ noll)SSfH'!I,}1 10 Ihe validity 01 Notice 01 Federal Tax lien
n"... Hul It 466, 1971 2 C 8 40'11
Part 1 . Kept By Recording Office Form 668 (V) (Rev, 10,93)
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