HomeMy WebLinkAbout95-04259
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orm 66B (V) (c)
lev, October 1993)
Department of the Trneury . Internal Revenue Service
Notice of Federal Tax Lien
listrlct
Serial Number
For Opl/onl/UII by Reco,dlng Olllce
95,"I;J~'fl F"-L
As provided by BeellonB 6321, 6322, and 6323 of tha Internal Revenue
Code, we are giving e nollee thaI laxes (Including Interest and penallles)
have been aBseBsed against Ihe followlng.named taxpayer, We have made
B demand for payment of thlB lIablllly, but It remains unpaid, Therefore,
there Is a lien In favor of Ihe United States on all property and rights to
property belonging to thle taxpayer for the amount of Ihese taxes, and
addlllonal penalllu, Interest, and coste that may accrue,
lame of Taxpayer ,. , , ,
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lesidence
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IMPORTANT RELEASE INFORMATION: For each assessment listed below.
unless notice of lien Is reliled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period
Ended
(b)
?, tJO;<W-
u-.. d!. <# 'S;"y;~
/2HI- ~g.5"ts
Kind of Tax
(a)
Identifying Number
(c)
Date of
Assessment
(d)
Last Day for
Reflllng
(e)
Unpaid Balance
of Assessment
(I)
. ,
. .
-
-
-
...
.. .
lace or Filing
; .,
Total $
his notice was prepared and signed at
. on this.
Ie
day of
,19_,
ignature- -.., _
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t Dttlell Bu\l1crlze ..b~lo"'Bke acknowledgmenu IS nol essenUallo the validity of Nollee of Fede,a' Tex lI.n
2 e,e, 409 / /
,~ ' ; Pert 1 . Kept By Recording Office Form 6B8 (Y) (c) (Rev, 10/93)
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