HomeMy WebLinkAbout94-07254
IForm 668 -'
I, .. Deplrtment of thl TrelS'Jry , Internel Revenue Service
(V) Notice of Federal Tax LIen
rRO" OClO." 1;;3\
District Serial Number For Optional U" by Racordlng Ollie.
I j:'t.1 \",j.' 11011 I q . I i\ '1-11\ , :tl c; J-/ - '7 'd.5'-/-
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AI provided by eeetlonl 6321, 6322, and 6323 of the Intornal Rev.nue FTL
I Cod., we .r. giving I notice thattaxel (Including Inlerast and penaltlee)
I hlv, been ...aued Igaln't tha lollOwlng.nllmed taxpayer. W. have m.d.
. d.mlnd lor payment 01 tnl' lI.blllty, bul It remains unpaid. Therelore,
there I. . IIln In ravor of the Unltad SteleB on all property end right. to '"
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proplrty b.longlng to thl. taxplyar lor tho amount 01 thaae taxos, and
Iddltlonll p.nalll.., Inlare.t, .nd cOlltlllhat may accrue.
Nama of Taxpayer I:.:: I'/\!'\ II "1\1 I idll\d il'l\ . ': "I l,"t .it I ',III ..
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Resld~nce .11 I 111',111 r ! 1.11', '.llll.,[.jlll'J _.-j
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IMPORTANT RELEASE INFORMATION, For each assessment listed below, U'I \JV ~,\
unless notice 01 lien Is reI lied by the date given in column (a). this notice shall, ,v..' 78:;0',"
on the day fO~~OWlng such date, operate as a certlllcate of release as defined tZll.
In IRC 6325 a . ;Jo<.\'l ~
Tax Period Data 0' L..t Day for Unp.ld B.I.nc.
Kind of T.x Endad Idantllylng Number Allaaam.nt R.lIl1ng of A...I.m.nt
(s) Ib) Ie) Id) Is) If)
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This notice was prepared and signed at
Ph I 1,01," I ph I 'i. 1','11
, on this,
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the
1 :'.il; h day of
bj.,:,V19lflblal
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Title
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Signature
tilt Oav 1.1 ":-~llt ':'Y1!1
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(NOTE: CorllliCIlIf) 01 olllCtJ( rJuthorilult by I[lW to lalq} II(knOwllljfJl1111~I"i 15 nIl! B%anllllllo the va.lidllV 01 Notice 01 Fftderal Tax lien
Rev Aul 71.406, 1\l/1 '2 c; H ,IO~))
Part 1 ' Kept By Recording Olllce
Form 668 (V) (Rev. 10-93)
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