HomeMy WebLinkAbout95-02804
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Form 668 (V) " " D.partm.nt oltll. r....ury 'Intern.' ".venu. Service
(Rev Oclob.r l\Hllt Notice of Federal Tax LIen
- F Of Ofl/ilJildlll.. b)- nBCOrOlnQ Offlc'
OISl,lct SUflal NlIl1llJur
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A. provided by .ectlons 63210 6322, end 6323 or the Inlemal Revanue
Cod., we ate giving a notice Ihal laxn (Including Inlere.1 end penaltlea)
hlv, b..n s..e..ed egsln.lthe lollowlng.nemed laxpayet, W. have mad.
I dem.nd lor paymenl 01 Ihl. liability, bul It temaln. unpaid. Therelotl,
.h.re I. I lI.n In Ilvot 01 'he Unlled States on all ptoperly and rlghl. 10
prop'rly b,'onglng 10 Ihl. Isxpay.r lor Ihe amounl 01 Ihese lax.., .nd
Iddltlonll p.nlltl.., Inl.r..., end co.', Ihal may acctue,
Name 01 Taxpayet L tJ(,1 1 Hil'!H!.k; IIJ', . '. ,., I; ,( fll I";
Residence /'(1 [-H),':
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IMPORTANT RELEASE INFORMATION: Fo, each assessmenllisled bolow,
unless notice of lien Is relilod by the date given In column (e), this notice shall, "1111 ,of
on Ihe dey following such date, operate as a ce'tIIicale 01 'elease aB delll1ed
In IRC 6325 al. 11'11 ",'t ), J 1-'11 'J 'J ~TI
, Tax Period Date 01 Le,' O,y lor Unp.ld ell.ne.
Kind 01 Tax Ended Idenlllylng Numbet A..e..menl Rellllng 01 A.....m.n.
(a) (b) (e) (d) (e) (f)
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Place 01 Filing
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This notice was p,eparud and signod al
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, onthll,
the ,',Foil, day 0\
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lNOTE: Celllllt'lI!I' 01 nll'(fll f1(llll(Hlll'll hy- 1,1\'.!o Ll~l' ..< ~I i!,\II':lil'''l"''IL , 1,,,1. ".l;! t' I,; 1"1' \;tl,ddr I)t 'j(Jrllll f,t 1"\ljJI,11 I.u 111111
Hav nut 7t-4fi(; nil! ;' \, II 409)
Pnrt 1 . Kept fly flaccrdlng Olllco
1 flfln 668 (V) (l1"v 100:11
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