HomeMy WebLinkAbout95-04260
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Department of the Tre..ury . Internal Revenue Service /
Irm 668 (V) (c)
lev, October 1993) Notice of Federal Tax Lien
t1strict Serial Number For Optlone' V.. by Recording Olllce
96' i/;J/XJ prL
IAs provided by sections 6321, 6322, and 6323 of tha Internal Revenue
Code, we are giving a nollca Ihat laxes (Including Interest and panallles)
have baen assessed against the followlng.named laxpayer, We have made
a demand for payment of Ihls liability, but It remains unpaid. Therefore, -
\here Is a lien In favor of Ihe United States on all property and rig hIs to .
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property belonging to Ihls taxpayer for Ihe amount of Ihese laxes, and
addlllonal penallles, Interest, and costs Ihat may accrue,
lame of Taxpayer r
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IMPORTANT RELEASE INFORMATiON: For each assessment listed beiow, CI!.~ ~ ~37.
unless notice of lien Is reliled by the date given in column (e), this notice shall, ~9. 00 pd.
on the day following such date, operate as a certificate of release as defined .et* .x s/t-
In iRC 6325(a),
Tax Period Date of Last Day for Unpaid Balance
Kind ofTax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (e) (d) (e) (f)
I
lace 01 Filing
" I Tolal $
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his notice was prepared and signed at
, on Ihls,
Ie
day of
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igna1ure---- '~"r~ ~"r;:;,,;,:r,' ,.. \ Title
tlcale f alllcel aU\l'orlz,' ...b~lo..,.ake acknowledgments Is nol essenllal to the vallditv 01 Notle. 01 Fad"I' Tax IItn
.4. 2 C,B. 409 /, :,.r
<,'IV 'Pert 1. Kept By Recording Office Form 668 (V) (e) (Rev, 10/93)
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