HomeMy WebLinkAbout95-05404
Dlplrtmlnl ollhl Tllllurv . lnllrnll Rlvlnul SlIvlel
Form 1Iel1 (V) (c)
(Rev. October 1993)
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Notice of Federal Tax Lien
Serial Number
For Opl/on.' U.. ~y RlCordlng 01/1'1
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A. provld.d by ..ctlon. 6321, 6322, end 6323 of Ihe Inlernal Revenue
Cod., w. .r. giving I notlc. thlt tlxe. (Including Inleresl and panallles)
h.v. b..n .......d Iglln.t the followlng.named taxpayer. We have made
a d.m.nd for p.ymtnt of thl. IIlblllty, but II remalnl unpaid, Therefore,
th.r. I. . lI.n In favor of the Unlt.d Stllll on ell properly and rlghtl to
prop.rty b.longlng to thl. t.xp.y.r for th. emounl of theBO taxel, end
.ddltlon.1 p.n.IlII1, lnt.r..t, .nd COltl that may accrue,
N.m. of Taxpayer, "hi ,'1'11'\ I I "
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unlesl notice 01 lien Is reflled by the date given In column Ie). this notice shall,
on the day following such date, operate as a cerllflcat~ 01 release as defined
In IRe 6325 a .
Tax P.rlod
End.d
(b)
11q ,U'.' 1,<1
Kind of T.x
(a)
Id.ntlfylng Number
(e)
Date 01
Assenment
(d)
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Laat Day for Unp.ld Bal.ncI
Reflllng of A.....m.nt
(e) (f)
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{place of Filing
Total $
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.Thls nollce was prepaTed and signed at
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, on this,
the i'n'd~yor"ft'\"",~,,r':";s - ~
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Title
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(NOTEI Cllllllel" 01 otllell aulhorlnd bV I.w 10 IBk. .,knowl.dgm.nll II nol ....nll.llo Ih. valldllv 01 Nolle. 01 F.d.ral T.. Il.n
RlV. Rul. ",4es. 1911 ' 2 c,e, 409)
Port 1 . Kept By Recording Olllce
Form 668 (V) (c) (Rev. 10/93)
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