HomeMy WebLinkAbout95-05540
D.plrtmlnl 01 thl Trollury . Inlernol R.venus Service
Form 668 (V) (c) Notice of Federal Tax lien
(Rev, October 1993)
District Sellal Number For Opllo.., U.. by Recording Oil/co
//'(1) ',';'/l' f- Tl
Ae provided by eecllone 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving e nollce that taxes (Ineludlng Interest and penalties)
have been auelaad agalnlt tha fOllowlng,named taxpayer. We have made
· demand for payment of thle liability, but It remains unpaid. Thorefore,
I there Ie . lien In favor of the United Slatea on all property and rights to
prop.rty belonging to thle taxpayer for the emount of these taxes, and
Iddlllonal penllllll, Interest, and costs that may accruo,
Nama of Taxpayer r'
Residence -
fr"
u.
IMPORTANT RELEASE INFORMATION: Fcr each assessment listed below. \1'1, L \.' \,1
unless notice of lien Is refiled by the date given in column (e). this nolice shall, \ I.'. ,~ lil'jl. I
on the day following such date. operate as a certificate of release as defined
In IRC 6325(a). (1 ,,, jt,~'t.',
1 Tax Period Date of Last Dey for Unpaid Bllene.
i Kind ofTex Ended Identifying Numbar Assessment Reflllng of A.....m.nt
I
i (a) (b) (e) (d) (e) (fJ
I
Place of Filing
Total $
This nollce was prepared and signed at
, on thla,
jhe
Tille
-9'/
lhol/zed by law to lalo.e aclo.no'lloJelJgmlnll II not 81l1n118110 lhe valldltv 01 Nolle. 01 Fed.,.1 rn Il.n
.8,409)
Pari 1 . Kepi By Recording Office
Form 666 (V) (c) (Rev. 10/93)
,...
,.
.
.
.
-
. I