HomeMy WebLinkAbout95-06267
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! Dlplrtmlnl 01 Ihl T,.uury . Inllrnll RlvlnUI alrvlol
Form 668 (V) (c) ':-,1'
, Notice of Federal Tax LIen
(Rev, Oclober 1993)
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District Serial Number For aptlonl' U.. by R.cordlnll O'f'cI
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AI provld.d by ..ctlonl 6321, 6322, end 6323 of the Internal Rev.nue
Cod., w. ar. giving a notlc. that tax.. (Including Intarelt and p.naltl..) ~
have b..n a......d agalnlt the following. named taxpayer. We have made '. --
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a d.mand for paym.nt of thll liability, but It remalnl unpaid. Therefore,,, ~ .;, ,-.:.
th.re II I lI.n In flvor of thl Unlt.d Stat.. on all property and rlghtl to~ -
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property belonging to thll taxpayer for the emount of these taxes, and~ TV/',
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additional p.naltl.., Inter..t, and COltl that may accrue. ~ .., , =
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Name 01 Taxpayer ~:;; i'~~ .&
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1 IMPORTANT RELEASE INFORMATION: For each assessment listed below, p;... qhl
unless notice of lien Is rellled by the date given In column (e). this noUce shall, cl! /111JO
on the day following such date. operate as a certificate of release as dellned
I In IRC 6325(el. Q~",f. tl 3/4/5
Tax Period Date of Last Day for' Unpaid Balancl
Kind of Tax Ended Identifying Number Assessment Reflllng of A....sment
(8) (b) (c) (d) (e) (f)
.41/ /._:1 ' 'j.-. ; , , I "j,'-' "
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!Place of Filing
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This notice was prepared and signed at
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, on this,
..4........... 'f'ra"':"r.w.1L..... .
day ofl'iP.~""~!..t ':';'19 -..:. ~
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(NOTE: Corllfl.ltu,1 01\1.1' luthorlnd by IIW to Ilkl Icknowlldgm.nll II nol ....nU.1 to th. vllldlty 01 Nolleo 01 F.dorl' T..II.n
R.v. Rul. 71.488, 1871 .2 C,B. 409)
.. Part 1 . Kept By Recording Olllce
Form 668 (V) (c) (Rev, 10/93)
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Form 668 (Z) . , D.p.rtm.nt 01 th. Tr...ury - Int.rn.1 R.v.nu. S.rvlc.
(Rev, H41 Certificate of Release of Federal Tax Lien
DI.trlct S.rl.1 Numb.r For Us. by "soordlno Olllos
"'NI."'...., Ii uI.11 .0, .,~....~,.~I::; ( 4qp~:.~
I c.rtlfy thet II to the lollowlng-name ...peyer,th. requlrem.nt. 01 IICtlon 8325 (.)
01 the Inllmal R.v.nue Cod. hev. beln ..tl.lIed lor th. ..... IIst.d below .nd lor
.11 ...Iulory eddltlon.. Therelore, the lI.n provld.d by Cod. IICtlon 5321 lor Ih...
..... .nd .ddltlon. hll beln rel..lIII. Th. proper olllcer In th. olflce wh.re th. n .0
notice 01 Inl.m.1 rlY.nue...II.n wIIlIIld on NI1'.'elob ,.,' nt. C" -.J 0
19"~ I. In .uthorlzed to not. th. book. to Ihow Ih. r.leall 01 thl. lien lor :;:.. .1
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the.. t.... and .ddltlon. c:
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Naml 01 Ta.p.yer,]nHI\I',~I". , I 'f'l~
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OUrl T F~l'CCiRDI NG I NFORM,n LOt-!: t..u..:al l.hq8q~
L. 1 t)f~ \. Peoge UCC t.,ll). Sl~~'; :=\ 1 N(). 5Sal \
rl/a nIB q I c.1 95--t<?.s7ft 1 f{~
Ta. Period Dallal Laat Day lor Unpaid Balancl
Kind 01 Tax Endad Idanlllylng Numbar Assassmant Rallllng 01 Allassmant
(II) (b) (e) (d) (II) (I)
L(14() 12/ J 1/ 3':> L,S8-28-'~294 '.17 1f)31 ?r; ('0/(12/(15 753'::.0'.3
104(/ 12/31/91. 168-,lP-33~'.a. ='4l(l4/';.....4 (1~:.1(l4/t)..l 8510.39
1 ().:If"l 12/3l/92 1.[,8 '2r3-'3,3r~.l )4 / l7 / 9S I)S /17./ (:s. 16283.74
''; 10 .,. It. . II " t. " .. k*""kf-*A... h1d. *... 'Id- ./d" It" .,d. ;'."/1".*... ... * ;, . .. ..... -/d. indd. ..j*'~I-II""***~*"
Placa 01 Filing
F' l'O t h D" ni.. ';1 ~.: Total $
~: ulilbc:}t' 1 ::" J'\.j C rJ ur~ t.'! "?233(1 .22
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This nollco wal praparad and Ilgnad al
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the I \ ',! I day ot ,,:.1 u i \
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(NOTE Co''''<''. 01 c"iC.r 'lI'honztd by I,w 10 "Il. JCl\rlow/fdgment. II not e.s.nlldl,o lfl. w.,d,ry 0' C""'IUI. 0' n./,... 01 FtMr" T,. ~n R.v. Ru/, ".4~a, '91'.2
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PART' . RECORDINO OFFICE
Fo<m '''111 (Rev, ~g.1
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