HomeMy WebLinkAbout95-04684
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, Dlpor1msnt ollhl Troslury. Intimal Rlvonul Sorvlco
'orm 668 (YI (el ~" .
Rev. October 1993) Notice of Federal Tax Lien
Jlstrlct Serial Number For Optlonll Use by RlCord/ng Olllc.
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As provided by sections 6321, 6322, and 6323 of the Internal Revenue
COde, we are giving a notice that taxes (Including Interest and penalties) FTL
have baen assessed agelnst the fotlowlng.named taxpayer. Wa hove mode """
a demend for payment of this tlablllty, but It remains unpaId. Therefore, ) ',~ c::
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. there Is a lien In favor of the United States on all property and rights to " .. U)
property belongIng to this taxpayer for tho amount of these taxes, and ..' . ;" -
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additional panalllos, Interest, and costs that may accrue. I,' N
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~ame of Taxpayer. I I"'J '", '1"11 . '. -" 0&:
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es/dence -<", .
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, llQ.cc-rd
unless notice o( lien 15 rellled by the date given In column (e). this notice shall,
on the day following such date, operate as a certlflcale of release as defined C-l,~ r:lS-t'J.
In IRC 6325(0). R~ ';l.qluo
Tax Period Date of Lost Day for Unpaid Balance.
Kind of Tax Ended Idanllfylng Number Assessment Reflllng of Assessment.
(a) (b) (c) (d) (e) (f)
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'hls notice was prepared and signed 01
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,!, day 01
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........ 'Port 1 . Kept By Recording OUlce Form 668 IV) (c) (Rev. 10/93) v
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