HomeMy WebLinkAbout95-06265
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D.p.rtm.nt of the Tr,"ury . Int.rn.1 R.v.nu. S.rvlc.
Form 668 (V) (e) Notice of Federal Tax LIen
(Rev. October 1993)
plstrlct Serlel Number Fa, apI/on.' v.. by R"ordlnll Olllc.
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I AI provldld by IIctlonl 8321. 8322, and 8323 of thl Internal RevenuI
Cod I, we arl giving I notlcl thet taxal (Including Interelt and penalUes)
havI been allellld Igllnlt thl followlng.named taxpayer. We havI made
, I demand for paym.nt of thll lI.blllty, but It ramalna unpaid. Tharefore, nr; ~
i there II I lien In flvor of the United StIItll on III property and right. to c '. -
I property belonging to thll taxpayer for the amount of these taxes. and .,,'E:'~ t...:
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i addIUonalll.naIUII, Interllt, and COltl that may accrue. z,.,m;=
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;Name of Taxpayer vir ;lie" .s::..
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, IMPORTANT RELEASE INFORMATION: For each assessment listed below,
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unless notice 01 lien Is rallied by the date given In column (e), this notice shall.
on the day following such date, operate as a certificate 01 release as defined CJ.,ul \ 11''-1.3'1
I In IRC 11325( ",r-:-,- r'~ I'C- 1 r- 1/,-.',\ I 'If. r;: It" "'-11 .. . . . I<.tl 31392..
Tax Period Date of La.t Day for Unpaid Balanc.
Kind of Tax Endad Identifying Number A....sment Reflllng of A.....m.nt
, (a) (b) (e) (d) (a) (f)
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Place of Filing t-'r (,t.li",'!"; T_:ji..
'~1.1I1! t. P r l~, I, ' : .: "111, t '/ Total $ 'J ot;'.;. 1 ~ :;' ':..
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[ThIs notice was prepared and signed at
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he '-:>-;ja~ of" -~fV","I'I"" :'7F~'T9-:":":':':'''
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(NOTE: CorUII..I. 0' olfl.or .uthorlzed by I.w to I.k. ..knowl.dgm.nl. II nol ....nU.llo Ih. v.lldlly 01 NolI.o 01 F.d...1 Tax lion
Rov, Ru!' 71..06:,J~~c,s. 409), '
, , .. " '~'>:;'.'Wtji:;', ,~_,:~ _'..._. Part 1 . Kept By Recording Olllca Form 868 (V) (e) (Rev. 10/93)
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