HomeMy WebLinkAbout94-07255
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'Form 668 (Y)
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I(Aev, Oelob., , Q93l
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Depurtment of tho Treeoury . Int.rnol Revenue Service
Notice of Federal Tax lien
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Serial Number
For Optional U.. by RICordlng Ol/lco
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AI provided by ellctlon. 6321, 6322, and 6323 of Ihe Inlernal Revenue
COdl, w. al8 giving e notice that taxes (Including Inlerast and penalUes)
, have baan a58allad agalnslth. lollowlng.nBmed taxpByer. We have mBda
I d.mlnd for paymant 01 this lIablllly, bul It remains unpaid. Therefora,
\ there II a lIan In lavor 01 Ih. United Slates on all proporty and rlghle to
proparty belonging to this taxpayar lor the Bmount 01 these taxes, and
additional p.naltlas, Interest, and cost. thaI may accrue.
IName of Taxpayer '1"1 ,i " " 1.11
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IResldence
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IMPORTANT RELEASE INFORMATION: For each assessment listed bslow,
unless notice of lien Is raffled by tl1e date given In column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
In IRC 6325 a ,
Tax Period
Ended
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Kind 01 Tax
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Identllylng Number
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Date 01
Assessment
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Last Day lor
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Unpaid Salanea
of A.....m.nt
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\Place of Filing
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Total $
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, ,This noUce was prepared and signed at
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the . day of
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Slgnalure
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(NOTE: Cerllflcate of alllcer aulhorillld by law 10 lake .:lcknowhlllgmenl5 I''; not US5tHltl,}llo the validity of Notice 01 Federal Tax lien "'.
Rev, Ru1. 71-466. 1971 .:2 C.B, 409)
Part 1 . Kept By Recording Office Form 668 (Y) (Rev. 10.93)