HomeMy WebLinkAbout95-03293
Form 668 (V)
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Dopo,ln..nl ollho TlooBury .Inlolnol flovonlJ. SOlvlco
Notice of Federal Tax Lien
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AI provided by sections 6321, 6322. and 6323 01 the InlelllOl l1evenue
Code, wo aro giving 0 notlco Ihol laKos (Including Interest nnd penalties)
have been sssesaed ogelnsltho lollowlng.named laKpayur. Wo hove modo
a demand lor povmont 01 Ihls liability, but It remains unpnld. Thoreloro,
there Is a lien In lovor 01 tho Unltod Slates on 011 property nnd rights to
property belonging 10 this tSKpsver lor the amount 01 these tOKes, and
additional penaltlaa, Inleresl, and costs tholmov occruo.
Name 01 TaKpayer I A'II " 1'.1 III ,,r,.. 1111
Residenco
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IMPORTANT RELEASE INFORMATION For oach assussnwnlhslod bulow,
unless nollce 01 lion Is rol,led by 1110 dalu g,vun III column (oj, 11115 nOhce shall,
on the day lollowing such dato, operalo as a cor\,f,cale 01 ruloase as dul,nod
in IRC 6325 a ,
TaK Period
Ended
(b)
Kind 01 Tu
(a)
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Place 01 Filing
Identlfvlng Number
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Dale of
Assessment
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Unpaid Balance
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Last Day lor
Rellllng
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Tolal $
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This notice was prepared and signed at
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the . '. \ 10 day 01
Signaturo
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(NOTE: LI'II,I'lahl!l1 uti'! I" lljllol)"<'1'-I!it "1/, ',j L,i-,
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,,_, ", .11 1-) th" \lilll(ld)' 01 NallfO 01 Ffldlllftt Ta. lien
POll 1 ' Kepi By f!ocorllillO Olllco
form 668 (V) (flev, 10,93)