HomeMy WebLinkAbout95-03205
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Form 668 (V)
IA.~ Oclob8' t 09Jf
Deporlmenl ollho Troosury . Inlernol Rovenuo Se,vlco
Notice of Federal Tax LIen
f (1' {lplll'I!.1II1~" by Hf1cordmf1 0",C8
Dlslrlct lso"al ~ulnlll"
AI provided by sections 6321, 6322, and 6323 of Ihe Inlernol Revonue
Code, we are giving a notice thalloxos (Including Inlerost and ponaltles)
hive been 81s8lsed egalnstlha followlng.nomod loxpayor. Wo hove msde
I demand lor payment of this lIablllly, bul II remolns unpaid. Tharofore,
Ihlle II a lien In levor 01 tho Unllod Sloles on 011 proporly and rlghla 10
property belonging 10 Ihla taxpayor for tho omounl 01 Ihoao taxos, and
Iddltlonal penaltlea, Inlorost, and coals thai may accrue.
Name 01 Taxpayer
JfC I'Jl,J 0 5
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,
'Resldence
IMPORTANT RELEASE INFORMATION: For eacll a5sossmonlllslod l)nIOW,
unless nollce 01 lion 15 rellled by tile dalo given III column 10), tillS nollco sl1all.
on the day following sucl1 data. oporato as a certlllcalu 01 reloaso as defined
In IRC 6325 a .
Tax Period
Endad
(b)
ii',' l'l I,).J
. .'.1
Kind 01 Tex
(8)
Identifying Number
(e)
Dolo of
Assessmenl
(d)
"\lil ','.J:J'I</
Lest Day lor
Reflllng
In)
Place 01 Filing
Total $
..
Tills nollco was propared and slgnod al
tho
day 01
.19_,
Slgnaturo
._t~:_. __m.."_
...
i
-
,
. .
C::',
'P
~
.
~
I'
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Kl' ;)ltu>loL/
Unpaid eelance ...
01 Aeeulmenl
(f)
..
.
.
.
....
!..
.j.
I.
,on Ihls,
lNOTE: 1:1'1111,(.111' 01 1/If'f.I'f il'dl'<\I>'"'' tl, 1,1;\ (" Ii"" l" ,'.""''1'1
nnv fllll " 4lifj 11)'1 ;1 r n 40'11
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Po- ~d~lild, nt nof,(t> ulll'di.OIill tai liun
rOlm 668 (V) (Ilnv, 1093)
1'011 1 . \<"1'1 fly flrl,l1lllifl'l Ollic!!
Form 668 (Z) Oeporlmenl of Ihl Tr,"ury . Inllrnll R.v.nuI Blrvle.
IR.~ 6.Q41 Certificate of Release of Federal Tax Lien
Olltrlel Berlal Numb.r For UII bv Rleordloo Ottlcl
I c.rllly thel .1 10 Ihl lollowlng.nome lupayer. tho requlremlnl. olllellon 6326(1)
of the Inlernll Rlv.nu. Cod I hove been eeUelled lor thl tun 1I11ed b.low and lor ' ,
011 Ilolulory addlllonl. Ther.lorl, Iho lion provided by Cod. IIcllon 6321 for thelD .. I
.. .
luee ond oddlllonB h.. baon rolooood. Tho propor ollleor In Iho ottleB where Ihe "
nolleo ollnlornol revenuo lax lion woo 1II0d on - ~. -.- _.... ~_..._.-. ---.-.,---- .j , i
19 , IB In oulhorllod 10 nolo Iho books 10 show Iho 'OIOOBO 01 IhlB lion lor I, ,',
Ihese IUXOB and oddlllons .. ',1
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Nome of Tn.poye, ' ,
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Resld.nce
"bl") l..l..),d
. ,
, ! , I (d 1\ I.~'/ J Il~
" , ~ll 5,~ ')0"3
To. Period Ooleol LOBI Day lor Unpaid Bolonco
Kind 01 Tn. ~nded Idenlllylng Numbe, ABseBBmonl Retlllng 01 ASBosBmonl
(iI) (b) (c) (d) (0) (f)
I , , ,
. . ' ... , ..., . . , , .. , . . ' , . . . " . . ' ., . . .
--
Pineo 01 Filing
1 Tolol S
. ,. " I !'I . I
I .
----.
1111:; flolll"O war. pfllpillPIl and F.iOIllHI itl _
. on Ihls.
till' .m..', dolY 01 .~____~_ hi
;;~';;;'___L!;~t'~~_ J:'__ -
,I," i I +. i I .1., " I' r 1"I",,,,{!,,, I'. '.hl I"~ t...,-'/;~" "f",I.I"" ' ", ';', "1"I'~~I'''t,..' ,,1 /"1' l,j;>,I'1 1" (',lIf'/'1 ,Ihl pI 1f,'II',I'I' ill' l'tllll,ll r,II/"," Htl.' Hul ,~l "till 107'.'"
111/,'1
'IAnl I . nu:onUING off let
FOil" IlliZI IR.. 6.141
CAT, NO eoD211