HomeMy WebLinkAbout96-00652
Form 660(Z)
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Departm.nt 01 the Tr.a.urv . Inlum.1 Rev.nue Servlc.
Certificate of Release of Federal Tax Lien
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I urlllv thai th,'ollowlng-n.m.d I.~p.v.r, under Ih.llqulram.ntl 01 aecllon 6325 (a)
01 Ih. Inlemal R.vanu. Cod. hll ulll'l.d 'h. tsu. lIated b.low and all alalulolV
addlllonl, Th.r,'ora, tha lion provldad bV Code ..cllon 6321 'or tha.. luaa .nd
eddlllon. he. been releas.d, The propar ollleel In the ollie. where tho nollce 01
Inl.mal revenue I.. lien Wea lII.d on I _
], .':., I. authorized to nota tha book. 10 show the r.leaaa 01 thla lIan 'or
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Nsme 01 Taxpaver
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FOI .. bV Recording OHlce
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Unpaid Balenae 01
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Signature...) I Tille
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INOTE Cr'/Mlnl/lf flr off,enr illlllwrrrf'., /!y IIIW 11'11./46 Ilfltfltl''''/6cJ(}ftll1l1l6 16 /lilt rlIJs,nfll,1 rcll/lr/ ..-{If/(My of Cmli/h'nlo 0/ nO/f'llhtl or Frll/II"..I Til:r 111m HIJV fllll. "."66, run.;) CD, 409)
PART 1 'AECORalNO OffiCE
hmn aee (Z) tRov, 1)'!)1)
CAT NO 600261
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Form BBS lYl (0)
(Rev, Oclollm I OO~I)
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D.portm.nt 01 th. Tleuurv . Intemol AevenuI SelvlOI
Notice of Federal Tax Lien
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Dlstllct Sorlal NUl11bor For Optlonel Uu by RtCordlnQ ellic.
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AI provld.d bV ..cllon. 6321, 6322. and 6323 0' tho Inlornal Rovonue ' Il, l.... r):J Fit
! Code, Wt .r. givIng a nollce Ihaltaxos (Including Interost and ponaltlos)
hive b.,n ....ssed egolnsllhe lollowlng.namod taxpayor. We hove made
a demand lor pavmenl 01 Ihl. IIobllllV. but II remains unpaid, Thoreloro, ' , "
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, \here la a lI.n In levor 01 Ih. Unltod Sloles on 011 proportv and lights to 1 ,
property b,'onglng 10 Ihls loxpoyer lor tho amounl 01 Iheso loxos, and , ')
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I addlllonel p.neltlsa, Inleresl, end cosls Iholmay accrue, . :'1
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; Nome 01 Texpayer "III'lIil,11 I, rl I-II I I. " )
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IMPORTANT RELEASE INFORMATION: For ouch u~seGsmont listed below, 11' \ "-- '_'I, _ I
unless notice of lien Is reflled by tho dalo given In colul11l1 (0). this l10tice shall,
on the day following such dale, opelBlo as a cerllflcate 01 release as dollnod '!.' II'i' '1-,
In IRC 6325(0), 1":"11,<17;';
Tax Period Dale 01 Last DAV lor Unpaid Belance
I Kind 01 Tex Ended Identltylng Number Assossment Retlllng 01 Asse..m'nt
(a) (b) (e) (d) (e) (I)
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This notice was prepared and signed at II" ,,'" ,"" i,' i/\
Tille
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