HomeMy WebLinkAbout94-07258
o
I{ -
Form 668 (Y) Deportment 01 the Treoeury . Internal Revenue Sorvlce
; (Rev. Oelob'" 1993) Notice of Federal Tax Lien
District Serial Numbor For Opflonl" u.. by Recording Olfl"
I I 1" I 101, : ;11' ' . I I' , 1\q4 ~;)58
1 -
AI provided by eactlone 6321, 6322, and 6323 01 the Internel Revenue
, Code. we lIa giving a nollce that texes (Including Inlere~t and penlllUos) FTL
I
! hIve b..n .lIalled agalnsl the followlng.namod lax payer. We hove made
'I I demlnd lor Plym.nt 01 thle lIablllly, bul It remains unpaid. Therelore,
there II I lien In lavor 01 Iha Unlled Slalas on all property and rights to , ,
, I"
property belonging to thle tlxplyar lor the amount ot 1110.e taxes, and "
I
I IddlUonel p.neltlll, Intereel, Ind coels that may accrua.
iName 01 Taxpayer " II I,' I I !!'I'
- .
,
, ,-
- ,
':RBsldence I ,', ',i I I ::.~~
l,1l1 Il/\Ii' 'I, '" ,
. f.I1
..e.
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 'Iq,co f'C1
unless notice of lien Is reflled by the date given in column (e), this notice shall, <..\,l t\ , 'S '50?
on the day 10~\~Wlng such date, operate as a certificate of release as defined
, In IRC 6325 a , ~'.. :JollqS
Tax Period Dale 01 Last Day lor Unp.ld Sel.nce
Kind of Tax Ended Identifying Numbor Assessment Rellllng 01 A.....m.nt
, la) Ib) (e) (d) Ie) (I)
I
1 1',).1'1 1 I, I I I " ",1,1"1 -I" ,.. " ')"'" \ ~" .' 11.1 1. . ~1:-;:'::/. '':J4
I 111.1",1 1. :1 ;'_t,' l/1 ,.,Ilt 1'1 1,./ 1 ' '-I I : ,:, / t "', f I l,~ :' :-;:.:~ r (I . '~/.._;,
I l,').1'i I.. ' 11, I,;: 1/1 I;.(il 1'1 ,)l:,,'!..__" "1.1 II.' ./ t ,-:' 1).\ ": '(',.,/1.... ,~,(J
I "
I l'.l.\li \ .. ',1/:'" 111 ..','11,. I'! 11-,/1,'" .' '-1.1 ',1,. / t l:'i,l 1),'1- '.d",'~::4'\ . 1:':;1
I :,).j'l I. I '1 i'll I'll ",,'-' 1.:,(11 ,~n ,I~" 1 " ,,, I ',,:' ,/ 1 ~~, / (j "1 I:', -1- "!,;~, ~ .11
I
I
I
I
I
I
I
I ,
I
I
i
,
I
~Place of FIling
, IJI ') t 1'1 ':' 1'11.1 t d.! "/ Totel $
I , lilnht-I' 1<11..-.\ , ('UIII', 'I " , ( /'1 . .I'
I ..,1 I ' '~ I I: , I .\ 1.-,"'1.':
~.....
,...
r
r
r-
r
o
o
c
"
0,
o
I.:)
i,)
.;J
II
~
This notice was prepared and signed at
~~"II I j ".1' j f- 1 !" h 1 'I,' j' l\
, on this.
ll)
Ilhe " I " I day of
Ll(.\. 1:'(l1t"", I 19 ".1:1
, -'
(.
Signature
I ,t 11--1'
Title
f,:t,'.n, I j 11'''' ! 11 ;' I \ E'I
'-i,'.I11
'.1 11 ':.
..
(NOTE: COrllllcnle 01 oUlcor nulhorilod by law to tLlke ncknowllld!JflHH1!!', IS r.ot 8S5ent'al 10 the validity 01 Notice 01 Federal Tax lien
Re\!, Rul, 71.466 1971.2 C,B 409)
, Part 1 . KepI By Recording Oltlce Form 668 (Y) (Rev. 10-93)
'L '