HomeMy WebLinkAbout95-01470
Form 668 (Y) Department ollha Traasury . Internal Revenue Service
(Rev. Oclober 1993) Notice of Federal Tax Lien
District Serial Number For Optional Uso by Rocordlng Oil/co
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As provided by sections 6321, 6322, and 6323 of the Internal Revenue FTL
Code, we are giving a notice that taxes (Including Interest end penalties) =
have been assessed against the followlng.named taxpayer. We have made ..., .-
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e demand for payment of this lIeblllty, but It remains unpaid. Therefore, . ,....,
there Is a lien In favor of the United States on all property and rights to .. ,.....,
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property belonging to this taxpayer for the amount of these taxes, and -"
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additional panaltlas, Interest, and costs that may accrue. . , w
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Name of Taxpayer , "'l:-.,", s:
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Residence :'! , ],1'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below.
unless notice of lien Is refiled by the date given In column (e), this notice shall. rlCl .CO pel
on Ihe day fo~:owlng such dale, operate as a certificate of release as defined
In IRC 6325 a \!'<<t1 ?C/otl~ Rll ";l?l511
Tax Period Date of Last Day for Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (c) (d) (9) (f)
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'This notice was prepared and signed at
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(NOTE: Cerlllicalo 01 ollicer authorized by law 10 lake acknowludgments IS not ossuntfal 10 lho valJdlty 01 N')lIco 01 Foderal Tax lien
Rev. Rul 7'.466. 1971 .2 C.B. 409)
Part 1 . KepI By Recording Dlllce
Form 668 (Y) (Rev. 10.93)
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