HomeMy WebLinkAbout95-02281
1 H T':' Nor J (r t-llt~l"\r c T I; IIF\' \'11 HAl 1'1111 1\'1
~'lll J l ,t I I I ~"' I) I IN i I: ~ / J I} I' 'II
.,
Form 668 (V) Departmanl at Ihe TroDDury . Internal Revenue Service
IRev, Oelob., 1993) Notice of Federal Tax Lien
District Serial Number For Optional USd by RocordJng Dllice
Ph I I .l,t" I oh 1.1 ._" , . J I', I " '. .". ~ '; 1 J\(ffj d. d ;~ I
AI provided by ..c\lone 6321, 6322, and 6323 01 the Intarnal Revanue
Code, we Ire giving, nollce that tuee (Including Interaet and panallles) FTL
hlv, b..n ,..e..ed ,galnltthe lollowlng.namad taxpayer, We have made
I demlnd lor payment 01 thle lI,blllly, but It remalna unpaid, Tharelore,
th.r. Ie a IIln In lavor 01 the Unlled States on all property and rights to
property belonging to thle taxpayer lor the amount 01 these taxas, and
Iddlllon,l penellles, Interest, end costs that may accrue.
'Nama of Taxpayer AI'II >REI-' ^ NULL .
,
,
! -
IResldence -
200 W I LWOflD AVEc ....,
f...n
I 11ECIIMJ I C;[:IIRI',. 1"'/\ t Il,l' ;~:!I)1 'I III
I
I .'{()OPd
j IMPORTANT RELEASE INFORMATION: For each assessment listed below,
. unless notice of lien Is rellled by the date given In column (e), this nolicu shall, (l, II 't'() /55'
,
I on ~~ ~:! following su<.:h date, operate as a certificate of release as defined P-Il (}L{f"
InlRc 2 .."-""" .....".-n'^' n.". .,.. ..., .
,
I Tax Period Date 01 Lest Day lor Unpaid eelance
I Kind 01 Tax Ended Identllylng Number Assessment Rellllng 01 Aneeement
, (a) (b) (e) (d) (e) (f)
I
i
I 10010 121 .: 11 :::, 1 III ..:.... ::1' ',. 1'5 / 2"~'; :~:'"( u(~,/ :':-:;';.'') :,~l):j5. J:-1
"
, 1').10 1 .: I~.J J / :'J'~1 111) .;.: .. :;1) .., I )1:",... ;,;:~::; / 'II) n,.,/ ~~-,. /l)t"i .j5.~:5. 1 II
I '.",J
,
I
I
I
I
I
I
i
I
I
I Place of Filing I-\t-j) t Ill') Ill) t ,1 f' ~
I I: UlOb 12' I .111 ~ 1'1,1111' Total $ l fj(.,t) .')()
I i :t.1- I i ''i It', ,"'I' 1,'('1
1'1.., ";",11 R II C n t din <l D.\ t: ;1 :
,
II : t.~ 1 11 -' ~--,; d~' 1;
:Thls notice was prepared and signed at
r,t;! I l"I.IJ,111 ,;. 1\
. on this,
.19~..
Tlllu
'111'1 . .1.' .1:,
(NOTE: COllIlICillO O,,)III(Il' ;Iu!tl0rlllJtf hy 1,1W 10 l,l~ll .lor'n"loll(j'I1.,!ll' I', 1'<Jll:',','~1I1;,11 !u lilt' "-,llill1l1' ur tlOlll;l/ 01 rfldoral TiU llun
Rov, Aul. 71..tli6, 1911 .2 C 11 4091
Part 1 . Kept By Rccordlng Office
Fa,", 668 (V) (Rov. 10.93)
.
,.-
, ,
I"~
, ,
, '
....~ '
'.