HomeMy WebLinkAbout95-02277
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Dopartmonl of tho Treasury - Inlornol Rovenuo Service
\Form668 (V) l(l((
dRlv. Oelob.' \9931 Notice of Federal Tax Lien
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1DIslrlct Serial Number /--", Opllonal Usa by Rocording Olfie'
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. AI provided by 88cllon8 6321, 6322, and 6323 01 the Internal Revenue . ) "
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I Cadi, w. are giving a nollce that taxes (Including Interest and penalllee) HL
I hlv, blln a.....ed agalnltthe lollowlng-named taxpayer, We have made
I I dlmlnd lor paymant 01 thll lIablllly, but II remains unpaid, Therelore, ,..
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\ thlre II I lien In lavor 01 the Unltad Statu on all property and rights to , .
proplrty bllonglng to this taxplyer lor the amount 01 these taxee, and
! Iddltlonll plnelllll, Int.reat, and costs that may accrua,
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IName 01 Taxpayer L- .
T II~OTHY S HIII'f: ,.,
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, 8013~; Rt:FnI (,ERIIT I UN :.\' II ( - .
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iResldence wmTZV II.LE -
6035 RD '-'-'
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, ENOL II , PII 1"70;:r,- \ \ 58
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, IMPORTANT RELEASE INFORMATION: For each assessmenlllsled below,
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unless nollce 01 lien Is rellled by the dete given In column (e), this notice shall, (u.I' :-)L.il.5tj
on the day 10~:~Wlng such date, operate as a certllicate of release as defined
In IRC 6325(a . (Z,U ;n\'i1C,r")
; Tax period Dete 01 Lest Day lor Unplld alllne.
I Kind 01 Tax End.d Idanlllylng Number Assessment ReWlng 01 A..ealm.nt
I (a) (b) (e) (d) (e) (I)
I 941 03/31/9: 2f5--1 '-:.4') 1 ~:) 1 "1/11/"'1 0(1/10/0,\ Fji:.7. :35
I 941 06/:30/9:c 25'-16491"1 117/11 /"'4 <)(1/11)/1)4 :370 _ 16
i 941 09/:30/9:; 2.5'-164')1'i1 '''1/11 / \1.\ ,):)/ 11)/04 271.11
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Place of FIling
Pr'" t \1,)1'1') tal" Y Tolel $
Cumher-' find (IHJnt\.. 1708.62
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This notice was prepared and signod at
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, on this,
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!the 1 h th day. 01
til" Ie h
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Signature
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Tille
h'I~Vt!nUp uf r I Let.
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rld~ OCinrli1i ;~:mud;~in
tNOTE: CIH1111l;illu 01 olllCIH aulllllfll1tll tlv 1,1'.'0 to Ll~1I ,\(~,rl()/iI1H1UI11I'nlc, I'; nOlIlC,',!!nlo;ll1n 11\0 \lallcijl~ 01 NollCO 01 Fudllrlll Tnl lIun
nU\I. nul 71 ."Mi, 1~1l' . ~ c n -\(l'll
Purl 1 . Kept By Recording Olflco
Form 668 (V) (Rov. 10.93)
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Form 668 (Z) Depertment ollho Troasury . Inlornal Revonue Service
(Roy. 5.Q41 Certificate of Release of Federal Tax Lien
Dlatllct Serial Number For Un by Recording 011 lee
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I certlly that aa ID tho lollowlng.nema tupayer, the requlremonle 01 IIctlon 6325 (e)
01 the Internel Rev.nu. Code hev. boen aatllll.d lor th. texulllted below end lor
1111 Itetutory addltlDna. TheralDre, th. lien provided by Code eoctlon 6321 lor thll.
tUII8 end IIddltlonl hOI be.n releBled. The proper olllcII In the olllce where the , c.-
notice ollnlsrnel revenue tex lien wee med on u" fi
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19 ~ 'I In euthorlz.d to nDle tho bDDks to shDw Iho roloase 01 this lien lor . , -
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these taxoe end oddltlons
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NomD of Taxpayer, ".". -
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Residence 1\, ., " , -
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~l\",d ; '1-.~~-(/'5 l\ch :)7\'11 (1_\ 1\ ~1";J 'J ',.-J ';:h ;1u u!it(
Tox Period Dolo Df Losl Ony lor Unpaid Bolonce
Kind 01 Tox Endod Identllylng Number Assessmenl Rellllng 01 Assessment
(a) (b) (e) (d) (e) (I)
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II; ". .. " ',' . . ~ " . . . .;! '. p- .. . ". " .. . .. r' . .. ~ ~ ..
Ploce 01 Filing
I' .. i! Tolol $
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This nollc& was prepored ond signed at
, on Ihls,
tile
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day of
.19_
Signature ;' I~~:u
(HOTE: CllJII!~.l/u uf O"Hlt ,11,lno(l:ud by IJ~" '" I,J"-" .1,lInow'ea~mt'I1/' IS nul n~t'/11!.I' 10 /fill ~,IJ 11,r~ 11/ CI'lr,II~'JllJ 1.1/ ""',1.1111 0' (110,,,,11 T.u/j.t! R.v Ru/. 7r...~S. 1971.2
C.1l '09)
PAUT 1 . nECOnOltlC OFFICE
Fo.m eo. (I) (Rev. 5-Q4)
CAT. NO eoll2ll