HomeMy WebLinkAbout95-01476
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Form 668 (V) H '.1. Department 01 the Treasury. Internal Revenue Service
(Rev.Octobor 1(9)) Notice of Federal Tax Lien
District Serial Number For Optional Us. by R.cordlng Ollie.
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As provided by secilon!. 6321, 6322, and 6323 of the Triterna( Revenue F1L
Code, we are giving a notice that taxes (IncludIng Interest and penalties) :0::
have been assessed against the followlng.named taxpayer. We have made "
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a demand for payment of this liability, but It remains unpaid. Therefore, '"~
there Is e lien In favor of the United States on all property and rights to ....'
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property belonging to this texpayer for the amount of these taxes, and . C5
additional penalties, Interest, and costs that may accrue. '.
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Name of Taxpayer .-' ,~:;. ~1 ......
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F- e llENNINGHIJVL t..' ""'"
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Residence
p (I BOX G13
, ~11 DDLfl mIN. FA. 1 ? 015/ - \..6 1 ~
IMPORTANT RELEASE INFORMATION: For each assessment listed below, fjCl.00 pd
unless notice of lien Is refiled by the date given In column (e), this notice shall, (: ~qJ 7q 5''1;;
on the day following such date, operate as a certificate of release as defined
In IRC 6325 a), f1.1l 'd.?.5;;l?,
Tax Period Date of Laat Day for Unpaid Balanca
Kind of Tax Ended Identifying Number Asaessment Reflllng of Assessment
(a) (b) (e) (d) (a) (f)
1040 12/31/87 20,1 30-8~:71 r)'j/ 23/ 91 1 ()/,,3/0 1 8663.47
Place of Filing
ProthonlJtar v Total $
Cumber-Idnd (' (llJ n t.,' 13663. 47
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This notice was prepared and signed at
, on this,
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the .". , day of
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Signature
Title
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(NOTE: Cerlllicato at oHicor authorlzod by law to lake acknowludgm~nls IS not oS5onllJIlo Ihe valldltv 01 Notice 01 Federal Tax lien
Aoy. Aul. 71.466. 1971 .2 C.B. 409)
Part 1 - Kept By Recording Office
Form 668 (V) (Rev. 10.93)
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