HomeMy WebLinkAbout95-06262
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D.partm.nt 01 tha Tr..aury . Intimal Rlv.nu. Bwrvle.
form 668 (V) (e) Notice of Federal Tax Lien
(Rev. October 1993)
!Dlstrlct Serial Number For Opt/ani' U.. by R.cord/nll Olllc.
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I AI provided by lecllone 8321, 6322, and 8323 of the Internal Revenue le~lo~
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I Code, we are giving a nollce that taxel (Including Interest and penalties) FTL
have been aaleased agalnlt the followlng.named taxpayer. Wa have made
. d.mand for payment of thl. liability, but It remaIns unpaid. Therefore, =
there Ie a lien In favor of the Unltad States on all property and rIghts to n!:' M
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property belonging to thle taxpayer for the amount of these taxes, and "U....:.. l.->
additional penalllee, Intereet, and COStl that may accrue, ",ltI- -.." -
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IName of Taxpayer 1', .r'HI_ " "",r-:.oo L
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I IMPORTANT RELEASE INFORMATION: For each assessment listed below, ,.q.CO~.d
I unless notice 01 lien Is rellled by the date given In column (e), this notice shall,
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I on the day following such date, operate as a certificate 01 release as defined u...tI 111<13',
I In IRC 6325(a).
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I Tax Period Date of Last Day for UnpaId Balancl
I Kind ofTax Ended Idenllfylng Number Assessment Reflllng of Asseslment
! (a) (b) (c) (d) (8) (f)
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Place of Filing
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This notice was prapared and signed at
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(NOTE: CorUllc"1 01 olllcor .ulhorlzed by I'w 10 IIkl .cknowlldgmlnl. I. nol ....nU.llo Ihl v.lldlty 01 Nolle. a, F.dorll Tax IIln
RIV, Rul. 71.488, 1871 . a C.B, 408)
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Part 1 . Kept By Recording Olllce
Form 888 (V) (c) (Rev, 10/93)
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Form 668 (Z)
IRI', W41
Dlplrtmlnl ollhl Trlllury . Inllrnll Rlvlnul SlrvlCI
Certificate of Release Df Federal Tax Lien
Dlllrlcl
Slrlll Numblr
for U'I by Reoordlng 011I01
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I certlly Ihll 1110 Ihl lollowlng-nlml Ilxplyer, Ihl rlqulremenll ollacUon 8325 (.)
olthl Inl.rn.1 Rlv.nul Codl h.vI be.n s.UIlIed lor Ih. l.xII IIlt.d below .nd lor
.11 sl.lulory .ddlllons. Therelore, th. lI.n provld.d by Code aecUon 8321 lor thll.
'.xII .nd .ddlUons h.. been rel....d. Th. proper olllcer In Ih. olllce wh.r. thl
noUce ollnl.rn.' rev.nue lex lI.n w.s lIIed on
19 _, Is In .ulhorlzed 10 nol. th. books to show Ih. r.,.... 01 this lI.n lor
Ihese lexes end eddlllonl
Name of Taxpayert<l;l,l,_;; & I._,..;~,,_. i '.Ii 'I;.',j"
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Kind 01 Tax
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Tax Period
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Identifying Number
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01 Assellmenl
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(NOTE IP'I,'.C.l..... of (llhcCf .1UfhCllillKlby law to f;I.o dc.nO"'/tldgmen,s IS m, eJl,n'~' to m, vJlhdlty ofC.t1Iht.I,. of Rsh",., of F<<Jerlll T..".n R'I(. Ru' 1""85, '91'.2
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Total
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ThiS notlco was prepared and signed at
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day 01
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I Title
Signature
PART 1 ' RECORDING OFFICE
Form '"lZlIRov. 5-G41
CAT, NO eoo281