HomeMy WebLinkAbout95-02820
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Form 668 (V) Deperlmonl ollhe Treo.urv . Inlornol Revenue Service
tn,., O,Iotllll 199Jl Notice of Federal Tax Lien
Dlsltlcl Senal Number rm OfltJ(lll.ll USfI by necoram" OffIce
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AI provldld by secllons 6321, 6322, end 6323 01 the Inlernsl Revenue
Cod., WI all giving a nollce Ihal laxes (Including Inleresl and penallles)
hlv, bltn auesled agalnll Ihe followlng.nemed laxpayer. We have made
. d.mlnd for plymsnt of Ihll lIablllly, but II remains unpaid, Therefore,
thar. II . IIln In Ilvor ollhe Unlled Slates on all property and right I to
prop.rty bllonglng to Ihll laxplysr lor Ihe amount 01 Iheu laxel, and
.ddltlonll plnlltlel, Interul, and costs Ihal may accrue.
Name of Taxpayer II J I ! 11\1':' (11,1,'.1 III , ! . ,I. .
Residence I ! AI,! 1\\.1
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IMPORTANT RELEASE INFORMATION: For each assessmentlisled below,
unless notice of lien Is reliled by tllO date given In column (e). Ihis nollce shall, \.I11l.\..;pl
on the day following s~ch dale, operata as a cerlillcale 01 release os delined
In IRC 6325 a), \" I' \.V,Jl''J I,'ii :)',:n.J
Tax Period Date of Lesl Day for Unplld alllnc.
Kind of T.x Ended Idsntlfylng Number Asseument Rellllng 01 A.....m.nl
(a) (b) (c) (d) (e) (f)
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Place of Filing
1 ' , '11' I I' Tolsl S
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This nollce was prepared and signed at
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. on this,
the 1,'1,1. day 0' "I"
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tNOTE: Ct'lIlhcahl (II o'huH .WltH)
A'h' flul 71 4(J6 \9" ,. ( Ii 4l\'
till hV IiiI'> 10 l,ilol' ,I( ~'\)~ l'dll" ,-"t~ I'. "!II",',I",I,,11 !,I nil' ~al'lIll)' 01 NolltO 01 f-adllflll Ta. hIll
rOlm 668 (V) Inov, 10.93)
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I corllly thot OS 10 Ihe lollowlng'nlmllupever, Iho requlremel\ls 01 ..,tlon 6325 (I)
ollho Intornel Rovenu. Cadi hovl been IDtllfled lor Iho lexel Usled bolow end lor
III Ololutory addlllonl. Therefore, Iho lien provldod by Code loetlon 6321 for IholD
tueo and eddlllonl hot been refu..d. The proper ,,"leer In Ihl ollleo whore Ihe
notlee ollnl'rI1ol revenuI tu lien wne lIIed on
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19 __.J I. In uuthorlzed 10 nolo Ihe book I to Bhow Iho releolo ollhll lien lor
Ih8le texas end .ddltlonl
Oepotlmel\l ollhe l,cnllllV .11\10rnol flevenue Service
Certificate of Rolease of Federal Tax Lien
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Kind 01 Tox
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Tnx Porlod
Endod
(b)
Idonlllvlllg Numbe,
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AhSCSSIIWfll
(d)
lOBI DoV for
Rellllng
(e)
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Plnee 01 Filing
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10181
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ell NO 600111