HomeMy WebLinkAbout95-01029
Form 668 (Y) Department olthe Treaaury . Inlernal Revenue Service
(A."" OClober 1993) Notice of Federal Tax Lien
District Serial Number For Optiona' Us. by R.cording Ollie.
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, As provided by sections 6321, 6322, and 6323 01 the Internal Revanue
Code, we ere giving e notice that texes (Including Interest and penalties)
have been assassed against the lollowlng.named taxpayer, We have made
a demand lor payment 01 thla liability, but It remains unpaid, Therelore, ......
there Is a lien In lavor 01 the United States on all property and rights to -' , ....
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property belonging to this texpayer lor the amount 01 these taxes, and r-.J
additional panaltles, Interest, and costs that may accrua. " " co
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Name 01 Taxpayer "
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. ilq,l)U \"-l
unless notice 01 lien Is refiled by the date given in column (e). this notice shall,
on the day lollowlng such date, operate as a certificate of release as defined (u ~\ ,Sl''f()
In IRC 6325 at fl.1\ .. ~1.O'1'li'
Tax Period Date 01 Last Dey lor Unpaid Balence
Kind 01 Tax Ended Identllylng Number Assessment Rellllng 01 Aasessment
: (a) (b) (c) (d) (9) (f)
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This notice was prepared and signed at
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the , day of
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(NOTE: Cortificate at ollieo, aulhorlZAd bV law to tak.e .1cknowlodgments is not ussenliallo the validity 01 Notice of Federal Tulle"
Rov RuL 7',466, .97. .2 c,e, 409)
Part 1 . Kept By RecordIng Olllce
Form 668 (Y) (Rev, 10,93)
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Form 668(Z)
IA...-8.91)
Departmenl ollhe Treasury. Inlernel Revenue Service
Certificate of Release of Federal Tax Lien
District
Serial Number
For Use b Recordln Office
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I certify Ihallhe lollowlng-named lexpayer, under Ihe requlremenla 01 aectlon 6325 (a)
01 the Inlernal Revenue Code haa satlalled Ihe laxea lIaled below and all alalutory
additions. Therelore, the lien provided by Code aectlon 6321 lor Ihese laxee and
addltlona haa been releaaad. Tile proper officer I,,,, \he, officII where Ihe notice 01
Inlernal,{e\lllnue tax lien wee iliad on . .
, " la eutllorlzed 10 nole the booka to ahow the releaae 01 Ihla lien lor
Iheaelexea and addltlonl,
Name 01 Taxpeyer I', (, ",' ~ ",,, I
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Dete 01 Leat Day lor Unpaid Balance 01
Aaaeeament Rellllng Aaaellment
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Kind ofTax
(8)
Tax Period Ended Identifying Number
(b) (c)
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This notice was prepared and signed at
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(NOTE CefMcate of officer aufhOtrzed by law to tllkellClf.nowtedQmentt II noteu.ntial to lhe validIty ofCertJfla"" of R.hulsft 01 Fedeml TII. lion RfIV RuI. 71-46lJ. '911.2 en 409)
Signature
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PART 1 . RECOROINO OFFICE
Form eea (Z) lflOY fHI7j
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