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HomeMy WebLinkAbout95-03499 Form 668 (Y) (R.v. Oclobllf 11)1131 Oep.rtrllulIl ollhu Tru.Rury . IlIlerllol R.~ellue Ser~lc. Notice of Federal Tax Lien --r;llllal Nl/rnllur 1'IIII.d,J, 11,1"lI' IJ~._ I I III AI provided by secllons 6321, 6322, and 6323 ur the Internel Revenue Code, we Ire giving a nollce thaI taxes (Including Interest and penaltlee) hive been 8118l1ed against Iha rollowlng.named taxpayer. We have made I demlnd lor payment o' this IIsblllty, but II remolrle unpaid. Thara'ore, there II e tlen In lav/)r 01 Ihe Un lied 51atge on all property and rights 10 proplrty belonging to Ihls laxpayer lor Ihe amounl 01 theee 10 xes, and IddlUonll1 penIIU.., Inlerast, Ind cosls Ihal may accrUf!. Nama of Taxpayer 1>11 1 :..1","-1 I' .\. "I.I i ,., ". (.111 ,," IMPORTANT RELEASE INFORMATION: For euch assessmenlllsled below, unless nollce 01 lien Is rellled by the date given In column (e), Ihls notice shall, on the day following such date, operate as a certificate of release as defined In IRC 6325 a . Tax Period Ended (b) Olstrlct 01 "j 1"'1 oil 11.'11 ,Residence l,'II) 1'\llhll ',f 11--1)111'1'111 "1',\ 1."'.1 II: , Kind 01 Tax (a) Dale o. Assessment (d) IdanUlylng Number Ie) ;14 I L.: .' r I "/,.. ',i.-I j , .. '. I I I 'i .' "'4 L (.I'., ; ..' , .' '.'4 ':"~ \ Li : J " ':;4 , J J"..r"'!).'l ,~' 1'1 j,: ,I _".1 ! -'l 'j.:',-i,,'.)"),'.,l:,..l .;~ t~~1 L I ,':W)l,jl ,.1 "/' I .j 'i 'I'''' . '''~ 'i, "1.'1 Ii 1\ '";1;;.; Place of Filing ! (, th.)notiii" '; ll/obf:1 f :,uld CnIHII;" ,ii" II ,:,1(11 1"'1\ ;','1l" This notice was prepared and signed at 1'1" 1,1>1, 11't, I"" 1'/\ the 1<(; " day of I, J If L' ,19~, ~Jt~f ,:~ 2, 'r 1-,lf O(II/tJ/tdl Utitl.!!.lJlIJCOfdl"(J Olllc, \I '( ,) .H(n rlL , ~... I". li r-.., ,.. " 4; w .... ~l- ~ '&"7. lJU I'd (., II 'i1;Ju'.'n IHI ';n I 'i " Lasl Day lor Reflllng (e) Unpllld Bllencl 01 ASllllmlnt II) 11<' ;..!I,'j JIi.' ';','l).j 11,1/:,''-!.I'" 1''/':''i.,)'''.':-''.1 -:~~ ,_I). ':'In , 1 .". :U,,' , .:.::) 1'1 1-':;,: 1,1., j ',I;, 1';1/4)1', Total $ .( '{ (':1. / , , on this, j, f'jl'II\I( ! I! ! I ( 1'1 .)t 1.11"1 ParI 1 . Kept Ely Rccordlng Office (NOTE: Cortdic,lle 01 olli ,'.; ~uli,ollllld by I.\w!o Iilkp ;lcknu,....I"rJljlll'.I1!.. 1'- IlIl! ,.!'J~;IJllt',llllllho vnl'dlly 01 NOllcO of Fodernl fa.. lien Ray Rul 71 ,160, 1971 . 2 ~* 40(l) Form 668 (V) (Rev. 10-93) , , (' t', . , , " ' " . ... . . .. ... , ' "