HomeMy WebLinkAbout95-02280
; Form 668 (V) Deportment 01 the Troasury . Internal Revenue Service
'Ji:.ti.1 Notice of Federal Tax Lien
,(An. Oclob.' 1e931
- For Opllonal Us. by R.cordlng Olllce
.Dlstrlct Serial Number
AI provld.d b~'ieclion8' M2'1,'6~22, and 6323 01 the 'I"lsrnai Re'lienue t; '(r ::l~~O
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Cadi, wa Bra giving a notice that taxes (Including Interast snd penalties) FTl
hlv, been assellad against the lollowlng.named taxpayar. We hsve made
I d.m.nd lor paymant 01 this liability, but It remains unpaid. Therelore, .~. .
there II 8 lien In lavor 01 the United States on all property and rights to . .
, "
i prop.rty belonging to this taxpayer lor the amount 01 these taxes, and ,
1 Iddltlonal plnaltl.s, Intarest, and costs that may accrue.
IName 01 Taxpayer ,--'..
I VFE I'IEDICAL :::;H~V [U:~) J i'lC , .1 Cell-Pt_"" d t I ,', lJ
....,
I Residence ....
I ~73 I~LJLBERRY DR 3lE .:) .
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! MI'T'-'^I\JIC<;I<IIRF' F'A 170',1'; ../..", VI
I IMPORTANT RELEASE INFORMATION: For each assessment listed below, U'7,L'<.J ('.-I
unless notice 01 lien Is reflled by the date given In column (e), this nollce shall, ellH '3'C,,55
on the day lollowlng such date, operate as a cerllficate of release as defined
I In IRC 6325 a), l:l.tJ :J/jf/D
T.x P.rlod Date 01 Last Day lor Unp.ld B.I.nel
KInd 01 T.x Ended Id.ntlfylng Number Assessm.nt Rallllng 01 A.....m.nt
I (a) (b) (c) (d) (e) (f)
i
!
: '~41 12/:.::1/Q:? 25-1 hJ:;:.::8,:-i(l Ij3/1'l/9-'~ .)..fI J :,: I 04 :~OI'l1 .22
,
, 941 1):3/:::::1 /94 ;?f5 - 1 ~J:3:3::)90 1"',:../ ..:0/'-'4 1)1/..:.1)/1.14 '~068 .18
, 941 06/:::0/94 25 ~ 16::::3:::';/1) J ~:i 12/':'4 (J 1 I 1 1/ O~.; :3:330.17
941 0':) / :30/~/4 2.5- l,:".::::.:::~':-il) I (/.:::~:r'4 1.~/;:',:/O4 ;:;382.96
Place of Filing
F'1"othon(ltary Total $
Cumber I ,Hid (llun tv 10:362.53
\.111' 11.,1(1' ~" 1 , ',rl _'
This notice was prepared and signed at
,on this,
I'll I I ild l II' II I f1' "i\
the day 01
\.11 s t
_,19~.,.
Hpt I I '.,~
Signature /
Titlo
I'Ia II it ~Ie r
"f.. ,\1' : : (11--(1111\0
(NOTE: COfllllcalO 01 UlliCIH i!U1I10rlllld bV IIIW lu lilku ;1CkrHl....lltllgil1I)I1!., Ir, iltJlllr,SIlIl\I,11 10 11ll) validilv 01 NolleD 01 Fodoral Talt lien
Rev. Aul. 71.466, 1971 .2 CO 40gl
Port 1 . Kept By Recording Office
Form 668 (V) (Rev. 10.93)
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Form 668 (Z) , Depar.men. 0' 'ha Trealury . In'ernal Revenua Service
Certificate of Release of Federal Tax Lien
IAOv 5.941
Dls'rlct Sorlol Numbor For U.. by Recording Olllee
, , ' '. ,",
I certlly lho' as'o the lollowlng.nomo tax payor, 'ho roqulremonts 01 aecllon 6325 (a) , , .,
a. tho In'ernal Revonue Code hove been sallslled lor Ihe 'axes IIs'ed below and for 1
all s.atutory addlllons. Therelore, 'he lion provided by Code aecllon 6321 for 'hase :
, ,
laxes and addlllons has been reloased, The proper olflcer In 'he all Ice where the . }
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nollce ollnlernol revenue 'ox lion was 1II0d on ')
,
,
19 ~, Is In oulhorlzed 10 no'a tho books to show Iho raleose 01 Ihls lien lor ,
'hese loxes and oddUlons '.J , 1\
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Nomo 0' Taxpayor ., I
.. , ..j .. .
Rosldonco
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I U'.) LDpd
, I (.Lll IYj;).\l..
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, Il.u. 5~4q3
.
Tox Period Dole 01 Losl Doy lor Unpaid Balancs
Kind 01 Tox Ended Idenlilylng Number Assessmenl Roflllng 0' Assossmont
(0) (b) (e) (d) (e) (I)
: ! , , , ;
'" ,. , " . , I , ,.
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: L , , i , :
J , , ; I ',.
.. " -~ " , . ~ - . . , , .. , I ~ ,} i,
Ploce 01 Filing
Tolol $
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ThIS nollcu was prupnrt!d and !Hgnnd ill
. an thiS.
Ihe
day ul
.In___
SIUtl.11IJrf! .' P, I"'. . />11 /'
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I Tlllo
(flU rL ."1."/.',',1;,,, ", ,1" "'I "i,/flOIl/I'd tlr 1.11" ro I.l~tl ,J. ~"(f\'.'(frp'I":ls.s IlJ/ C!!wll/'.l' fo "Ie ~.1"("'y 0' CfuMed'.) 01 RelllflslI 01 F"ouriJI r,1I "flll Iluv Rul ".466. 197'.2
ClJ JJ'.j
PAA T I ' AECOADING OFFICE
Form e"IIIIA,v. &-941
CAT. NO DOO2el