HomeMy WebLinkAbout95-07236
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Deperlmenl ollhe Tr...ury . Inlernll R.venue Service ,
'orm sea (V) (c) ;,11
(Rev, October 1993) Notice of Federal Tax Lien
Dlllrlcl 6erlal Number Fa, Optlone' U.. by RI,o,dlnQ 0111"
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A. provld.d bV ..ctlonl S321, 8322, and 6323 01 Ihe Inlernal RevenuI
Code, w. .r. giving a notlc. that Ilxe. (Inoludlng Inter..t ond penalties)
hlv, b..n .......d .g'ln.t Ih. lollowlng-named taxpayor, Wa have mode
, . d.mand lor p.ym.nt olthl. lIeblllty, but It remains unpaid, Thorefore,
th.r. II a lI.n In lavor 01 the Unlt.d Stat.. on 011 property and rights to
prop.rty b.longlng to thll t.xpay.r lor th. amount 01 these toxee, snd I''"') ,,~ cl
Iddltlonal p.nIUI.., Int.rllt, .nd costl thot may accrue, ,- ....,
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Nom" 01 Taxpayer Ii' '111\1 '" '" ;J
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I IMPORTANT RI!LEA6E INFORMATION: For each assessl1lent listed below, . . '" ~Jj
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, unless nollce 01 lien 15 reflled by the date given In column (e), this notice shall, ....
, on the day '~:oWlng such date, operate as a certificate of release as dellned ,..,I\I',h:I',
, In IRC 632~(a , I~ II I j j I J
Tlx PeriOd Date 01 Last Day lor Unpaid Balenc.
Kind 01 Tex Ended Idenllfylng Numbor Assessment Rellllng 01 A..e..m.nt
(a) (b) (e) (d) (e) (I)
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Place 01 Filing
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This notice was prepared and signed at 'I" I"", "", .. I"
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the
,I \t.I, day of 1,1,. '. Il'd,' I
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Part 1 . Kept By Recording Office
Form 888 (V) (e) (Rev. 10/93)
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