HomeMy WebLinkAbout95-02824
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Form 668 (V) D.pertmlnl 01 lh. Trenury , Intltn.1 R.vlnu. B.rvlcl
: (Rev. Oclobll 19Qi3) Notice of Federal Tax Lien
District Serial Number FOf Optional Uti by Recording Ollie.
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I A. provld.d by Itcllon. 6321, 6322, .nd 6323 01 the Internal RevenuI H<' r'fj
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i Cod., WI ere giving a nollee Ihet tex.. (Including Inlerllt and panalll..)
! h.v. b..n .......d .gllnlllhl lollowlng,named taxpsyar. We have midi
. d.m.nd lor p.ymlnl 01 thll IIlblllly, bul II remalnl unplld. Therllore,
lher. I. . lI.n In Ilvor ollhl Unllld Slet.. on all proparty and rlghll 10
prop.rty b.longlng to Ihll Ilxpayer lor tha amount 01 thlle tax.., end
.ddlllonll p.n.IlI.., Inler..l, and cOlli thaI mey accrua.
Name 01 Taxpayar I " i',l i ;- :: ;11
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Residence 1 II! : : ' l' -
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IMPORTANT RELEASE INFORMATION For each assossment listed below, 'li'ic';\11
unllts notice of lien Is reflled by lhe dale given in column (e), this nollce shall,
on the day fO~~~Wlng such date, operate as a cerlillcale 01 release as defined I .. 'I ,)I.':J(::) 1)11 ~"J'rI,1(j
In IRC 6325 a ,
TIX Period Dstlol Lall D.y lor Unpaid 1.I.nc.
Kind 01 TIX Endld Idlntllylng Number A..lllmlnl R.llllng 01 A.....m.nt
(a) (b) (c) (d) (e) (f)
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!place 01 Filing
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This notice was prepared and signed at
,on this,
the ,,"," day 01
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tNOTE: CtHldlfiJlflll1 olhLI'I tlllttlOfllu(j bylaw I'J 1,1;'1! ,Il~! .".,IHIIJI1'I'HI" I., I .1 1.~"fqlhllllJ thlJ ~djllJdy uf NotIce 01 fedlH3lfa. hen
HfJV flul 71 4f;fj l~lJl ;' 1- H <111'11
Pari 1 . Kept fly Ilr-cordlng Olllce
forlll 668 (V) Illov, 10'031
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