HomeMy WebLinkAbout95-05392
-~ ~. : I} D.plrtm.nl of Ih. Tr...ury . Inl.rnll RIVlnul l.rvlcl
Form HIl(Y) (c)
(Rev. October 1993) Notice of Federal Tax lien
Dlltrlct Serlel Number Fa, Opl/on.' U.. by RICo/d/nll Oil/e.
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A. proyld.d bV ..cllon. 8321. 8322. and 6323 of the Internal Revenue I,) . FiL
0 Cod., w. .r. glylng . nollc. th.t t.lC.. (Includlno Intereat and penalllel)
h.y. b..n .......d .g.ln.t th. followlng.named telCpaver, We have made 1..-"
f . d.m.nd for p.vm.nt of thl. lI.bllltV. but It r.malnl unpeld. Therefore, "
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I th.... I. . lI.n In f.vor of th. Unlt.d Stat.. on all proper1y and rlohta to -,
prop.rtv b.longlng to thl. tlxp.yer for thl amount of these taxel, and -.
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! .ddlllonll p.nlltl.., Interelt, .nd COlt. that may Iccrue, &:_-
iN.m. of Tlxpayor I [j1l1'1I: 111 L r-f~hlJl I ,./1. I..TI.. to'
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, llf'/,u.Jf't!
unltl' notice of lien II reflled by the date given In column (e), this notice shall, C."il li',"-(~7
on the day followlno luch date, operate as a certificate of release as defined
In IRe 6325 al. rt1L '~CJ51'5
, T.lC Period Dat. of Lul DaV for Unp.ld 8111nc.
f Kind of Till End.d Id.ntlfvlng Number Aueument Reflllng of A'I.um.nt
I (a) (b) (e) (d) (e) (f)
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,This notice was prepared and signed at ", i, oi" "I, 0,' i
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the .,", tl, day of
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Illgnature
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(o'll1""o ,.k. .eknowl.dgm.nl.'. nol ....nll.,lo 'h. valldlly 01 Nolle. 01 F.d.,., TUII.n
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Part 1 . Kept BV Recording Olllee
Form 666(YI(c) (Rev. 10/93)
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