HomeMy WebLinkAbout95-03211
u__.. -_.',--- ----,.. _'U ."' ---
Form 668 (V) Doportmont ollho T,on.,,,y, Inl.lInol Rovonuo Sorvlco
{Ru Ocloblll lUg J 1 Notice of Federal Tax Lien
Dlstrlcl SOflill NUllltWf fIll ()1I"'''1,11 U511 b)' AlIC,,,dlflQ 0llle6
AI provided by secllons 6321. 6322, and 6323 01 the Inlernol Rovenue \\ (i~), ~ ~;1 \ \
COdl, we are giving a nollce \hol taxes (Including Inleresl end penallles)
hlvl been auened agalnal the followlng.nomed toxpoyor. We hovo modo FTL
I dlmand for payment of this lIablllly. bul II romolns unpaid. Thoroloro, m-
ther. I. a lien In lavor of tho Unllad 510les on 011 properly and rights 10 ", '.
. prop.rty bllonglng to thla taxpayer lor Iho amounl or Ihese laxes. ond ,
-
Iddlllonll plnalllll, Inlerest, and cosls thai may occruu. ','
Name 01 Taxpayer -
-
.fa
Residence , !ii
!I' ,
.....:, .
" ~
IMPORTANT RELEASE INFORMATION: For oaell assossmont IisttJd bolow. 'tll,' L(, .'( I
unless notice 01 lien Is reliled by Ihe dato givon in column (01. tllis nolico sllall, f
U,u\ "", "'/
on the day lollowlng such dato, operate as a cortll'calo 01 roloaso as dullned '.,.... I
i In IRC 6325 al: ~u J l..n..f j (.1
; Tax Period Dele 01 Lasl Day lor Unplld aelence
Kind of Tax Ended Identifying Number Assessment Rcllllng of Alsesemlnt
(a) (b) Ie) (d) (e) (I)
,
i i.
,
.
,
Placa 01 Filing
, ' !"II' I ,il Tolal $
j" i \!j.j "!lil , .
. . I,' , " , , .
This nolice was pro pared and signed 01
It!
, on this,
Iha I
day 01
.19_.
Slgnalure
J_:~'~
IUOTE: CI!rldicatl! olollJUlr ;\\Jllinl'lI'll by 1,10'. r" !,i~l' 01' ",,,,,'.I""~l't, '1
nev flul 71 -Hili 11)/\ ;:'L Il ,In'l)
. ",:1.'
",; 111(1 f!11~ .,i!,ll:ly ill Hoh(fl 01 !"priura! Tal hall
rorrll 668 (V) Inuv, 10,03)
Port 1 . Kept fly Ilet'Ordill[1 Ollico
" ...
,
;-,
, ,
.'.'
" ,
~
...
...
j,
I, .
--
Form 66B(Z) Deparlmanl 01 Iha no..urV . Inlernel Revonua Service
(R.....e.lIl) Certificate of Release of Federal Tax Lien
Dlllrlel Soliol Numbor For Ule bv Raeordlna Olllee
..
I e"lIIv Ihallhe lOllowlng,nemed le'pavor, undar Ihe raqulremenll 01 leellon 6325 (a)
01 Ihe Inlernel Ravenua Coda hll aelllfled Ihe Iual 1I0led bolow and 011 .Ialulorv
addlllona. Therelore. Ihe lien provided bV Code loellon 632' lor Ihelo laxee end
eddlllon. hee bun releeaed. The propor allleor In Iho ollleo whoro Iho nolleo 01
Inlornel rovonuo lex lion wee lIIed on ,
________. I. aulhorlzed 10 nole tho book. 10 ahow Iho roloa18 01 Ihla lion lor
Ihelo la,ea and eddlllona.
Name 01 Tupaver
Aelldenee -
. ;
, , " i ,1
1. 'i '.1...,..1
. ' ' lu I' I~oilj('l)
"'II U 'Jl kV)~
Kind olTa, Ta, Period End.d Id.nlllv1ng Number Dale 01 Leel DaV lor Unp.ld e.l.nce 01
(/I) (b) (e) A.....m.nl A.llllng A.....m.nl
(d) (/I) (f)
;
,. . . , ',-" , .""'"; . ' . , , .. . .. . , -. , , . ,-. . ...... t. II.. I"
Plae. 01 Filing
Tol.1 .
This notice was prepared and signed al ----.-
. on Ihll.
the
dav 01
- I ____,
Signature / I '" 'c, , rille
(t~OTE Cort,fWilf" pI P"ICPl/tllfl1,'lUflrJ "V IlIw 'II '1l~f1I1"~Illl"'fl'ffjJ/fIfillf' I. 'Iof "U,WIII! to 'fl. \,o1l'llltr I"~ ("'llr"l~it'. vI Mel,nt" (I' f'IIB/.1 r,u IlfJn n,l' nlll 11."StJ. HI1'-' C S .,>9)
rAn! t . nEconnlNo OHlCI
f'0I1n'" (ll (RltV eU1)
CAI NO llOOZ11