HomeMy WebLinkAbout95-05406
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Rev, October 1993)
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D.p.rtm.nl ollh. Tr'lIury . Inl.rnll Rlv.nu. B.rvlc.
Notice of Federal Tax Lien
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Serial Number
Fo, Optlonl' U,. by R.cordlng Ollie.
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A. provld.d by ..cllon. 8321, 8322, and 6323 of the Inlernal Revenue
Cod., w. .r. giving. notlc. th.t taxe. (IncludIng Intereat and penalties)
h.v. b..n .......d .g.ln.t the followlng.named taxpayer. Wa have made
· d.m.nd for p.ym.nt of thl. lI.blllty, but It remain. unp.ld. Therefore,
th.,. I. . lI.n In f.vor of the Unlt.d St.t.. on .11 proparty and rlghta to
prop.rty b,'onlllnll to thl. t.xp.y.r for the amount of Ihese taxes, and
j .ddltlon.' p.n.'tI.., Intarllt, .nd co.t. that msy accrue.
IN.ma of Taxpayer'. ,\['1 I, II, , ""ii' ]I,ll I ,
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IMPORTANT RELEASE INFORMATION: For each assessmenllisted below.
unless notice 01 lien Is reWed by the date given In column (e), this notice shall,
on the day followlnll such date. operate os a certlllcate 01 release as defined
In IRe 6325 a .
T.x Period
End.d
(b)
Id.ntlfylng Number
(e)
Date of
Assessment
(d)
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La.t Day for Unp.,d a.'.nc.
Reflllng of A.....m.nt
(e) (f)
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Kind of T.x
(a)
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Placs 01 Filing
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Total $
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iThla notice was prepared and signed at
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1.:'r:.day.Ot......,~""'I~!,!;;" ;19 _ ~
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Title
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(NOTEI C..llllel" of ollleor lutho/IUd by I.w 10 I.k. .cknowl.dgm.nt. I. nol ....nli.llo Ih. v.lldity 01 Nolle. 01 F.dor.1 T.. lI.n
R.v, Rul, 710400, 1871 .2 C,B, ~09)
Part I . Kept Dy Recording Of lice
Form 668 (V) (e) (Rev, 10/93)
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