HomeMy WebLinkAbout95-04690
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Dlpartmlnt olthl TrlOlury .Intornol Rsvenuo Sorvlce
arm 668 (VI (cl Notice of Federal Tax Lien
lev. October 1993)
Ilstrlct Serial Number For Opr/on.' U" by Rlcordlng Ol/lcl
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As provided by sections 6321, 6322, and 6323 of tho Internal Revenue
Code, wa ore giving a notice that taxes (IncludIng Interest and penalUes) , , L. FTL
have been assessed agslnst the followlng.named taxpayer. Wa hove mode c::
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a demand for payment of this liability, but It remains unpaid. Therefore, '''''
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there Is 0 lien In favor of the United Ststes on all property and rights to , ,
[property belonging to this taxpayer for tho amount of these taxes, and " ., 1'.1
'addltlonsl penalties, Interest, and costs that may accrue. 1
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,ame of Taxpayer i i; 'IJi. T 1\ or '", .'
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esldence c.n
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IMPORTANT RELEASE INFORMATION: For each assessment listed below. IIq,(.C-\lcl
, unless nollce of lien Is refiled by the date given In column (e). this nollce shall,
on the dey following such date, operate as a certificate of release 05 defined (lU 8,J,'54:J
In IRO 6325(0). ~1:t'l'Jv'i;
Tax Period Dote of Last Day for Unpaid Balance
Kind ofTax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (e) (d) (e) (f)
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lace of Filing
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his notice was prepared and signed al
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, , day 01
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Ignature, ._,,__
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'alUm IUlho,'" by~o J.k. .eknowl.dgm.nlll. nol ....nll.llo Ih. ..lIdlly 01 Nolle. 01 F.d.,., Tull,"
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C .........'Part 1 . Kept By According Olllco Form 66B (V) (cl (Rev, 10/93) I
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