HomeMy WebLinkAbout95-03923
Department ollhe Treasury. Internal Revenue Service
.orm 868 (V) (c) Notice of Federal Tax Lien
qev, October 1993)
)Istrlcl Serial Number For Opl/on.' U.r by Recording Olllca
, 1-1 ( (t), -n.)~
As provld.d by .ectlons 8321, 6322, and 6323 ot the Internal Revenue FTL
Code, w' Ire giving I notice thaI taxes (Including Interest and penalties)
have been l..eSled Igalnst Ihe tollowlng.named taxpayer, We have made ,
. demand tor payment at this liability, but It remelns unpaid, Theretore, :
there I. . lien In favor of the United States on all property and rights to
property belonging to thl. taxpayer tor Ihe amount at these taxes, and
Iddlllonll penlltlll, Interest, and costs Ihal may accrue. ,
~ame at Taxpayer r-
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless nolice at lien Is refiled by the date given in column (e), this nolice shall, 1\1;.0':"\1-\
on the day tollowlng such date, operate as a certificate of release as defined
In IRC 6325(a). CuI> ',,:l,',r,'1 R-tI 'J.,(/;J;l
Tlx Period Date at Last Day tor Unpsld B.I.nc.
Kind of TlX End.d Idantlfylng Number Assessment Reflllng of A.....m.nt
(a) (b) (e) (d) (0) (f)
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'lace at Filing
, ' , ,- Total $
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'hls nolice was prepared and signed at
. on this.
;8'-' '~'r\~day of Tf'....- _""fl-'~:r"'t9 ~.:
Ilgnat~~. 4. Oy I Tille
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(NOTEI Cllllflclll 01 olllee, aulhorlzed by low 10 take ockncwltldgmenls is not IISsenllal to the 'Vatldlty 01 NoUe. 01 Fed.,.1 Tlx IIln
Ro.. Rul, 71-488.1971.2 c,a, 409)
PorI 1 . Kept By Rocordlng Olflco
Form 668 (V) (c) (Rev. 10/93)
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