HomeMy WebLinkAbout95-02823
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Form 668 (V) Deparlmanl ollhe Troelury , Inlllnel Revanue Sarvlel
(nlV Oclob., IIHI.lI Notice of Federal Tax Lien
Olslrlcl Sellnl Numbe, f-o, Op'llllIJI USP b)' Recording Offlc'
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AI provided by aectlona 6321, 6322, and 6323 01 the Intornel Rovonue 1.\, 'I' .") '8 ,] 3
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Code, we are giving a notlco Ihal tax os (Including Interesl snd penalllea)
hlvl bean ellellad egelnsl the followlng.named laxpayer, We have made
, I dlmlnd for payment 01 Ihll tlablllty, bul It remains unpaid. Therafore,
therl II I IIln In lavor 01 tha United BlalOl on all property and rlghtl 10
I proplrty bllonglng to thll Iuplyer for the amount of Ihsll laxOl, and
I Iddlllonll plnllllll, IntarOll, snd COltl Ihsl may accrue,
,Name of Taxpayer I '.j),.; , if:l;
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jResldance I 'i ,..., ' 'I ,
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IMPORTANT RELEASE INFORMATION: For each assessmenl hsled below. 'U f. ( '-' f~ I
unless notice DIllen Is reliled by Ihe date given In column (e), Ihls notice shall,
on Ihe day following such dale, operale as a certificate 01 release as dolined \. i\~1 iitJ,JU,) f' fj J 'j :1'~1
In IRC 63251al-
I Tax Period Date of Last Day for Unplld Blllncl
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i Kind 01 Tax Ended Identifying Number Assessment Reflllng 01 Allellmenl
(a) (b) (c) (dl (e) (I)
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'Place of Filing
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Thla notice was prepared and signed at
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the " I, day 9')
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Signature /,
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(NOTE: Cflfllllf:alR 01 ollictH dun'Or'll!tJ!ly 101'" 10 1;j~IJ ,I( ~.t"'^'.'dWl\""I~ ", !
flav nul/I 4H I!HI ;' C B Mil}l
11"<,1",1',11 h) P'l! ~'dlldIIV 01 NoII(ft 01 fetlaral f8l110n
rOfln 660 (V) Illev 1093)
PorI 1 ' Kepi Ay fIocordlng Olllee
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