HomeMy WebLinkAbout94-07257
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: Form 668 (Y)
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I (Atv. Oclober , 003)
Daportment 01 the TroBsury . Inlernol Revenuo Service
Notice of Federal Tax Lien
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District
Senal Nllmber
For Op,!;;!"al U.. by R.aordlng O/lle.
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AI provided by eactlonl 6321, 6322, and 6323 01 the Internal Revanue
COdl, we are giving I notice Ihlt laxes (Including Inlerest and panalllee)
heve been a..eSlld agalnattha fOllowing-named taxpayor. We hava made
I demend for paym.nt 01 thl. lIablllly, but It ramalne unpeld. Tharelora,
there II a lien In lavor of tha United States on all proparly and rlghtl to
prop.rty b.longlng to this Ilxpayer lor tha amounl 01 tha.. lax8l, Ind
Iddlllonel penlltlll, Interall, and COlt. that mey accrue.
Name of Taxpayer II" I,''i,,, ','\I'! " ,
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Residence
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice 01 lien Is reflled by the datil glvel1ln column (e), Ihls notice shall,
on the day following such date, operale as a certificate of release as defined
In IRe 6325 a .
Tax Period
Ended
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Kind 01 Tax
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Identllylng Number
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Date of
Assessment
(d)
Lost Day lor
Rellllng
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KII "lu 4q4
Unplld Balance
of A.....m.nt
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lplace of FIling
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Tota' $
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,This notica was prepared and signed at
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, on this,
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,the ' 'I . I day of
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n,~, 1.'1111) "-'I ':~,l
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Signature
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Tille
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(NOTE: Car!ilicate 01 alficer authorized by Inw to I"ke acknowlodgmonts 15 not o55enll<1110 the \l1llldlly 01 Nolice ot Federal Tall Ilen
Rev. RuI71-46G, '971 - 2CB,409)
Part 1 . KepI By Recording Oltlco
Form 668 (Y) (Rev, 10-93)
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