HomeMy WebLinkAbout96-00655
, Form 888 (VI 101
(Rov, O~IGbor I \lua)
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O.pollm,nl 01 Ih. TrDolury . 1111111I01 R,vlnu. Sf/vlc,
Notice of Federal Tax Lien
District 11" I,d" 11,1", ~~ NlIll,I~_O~___~__,: ~;._,-______
A. provided bV ..cllon. 8321, 6322, and 6323 of Ihe Inlol1111 Revellue
Cod., w. .r. giving I nolle. IholloxOl (Including Inleresl and penDlllos)
h.v. been .......d Illaln.,II1. lollowlng,nomed tDxflover, We hove mode
. d.m.nd lor p.vm.nl 01 Ihl. lIobllllV, but II rUI11Dlrlo unpDld, ThDrelore,
II1.r. I. I IIln In Ilvor 01 Ihe Unlled 51Dtes on DII proflertv Dnd rlghto to
prop.rtv belonging 10 Ihl. laxplyer lor Ihe amounl of these lllxes, and
Iddlllonll p.nllll.., Inl.resl, Ind coots tl1otlllov Dccrue.
, Name of Taxpaver I; I' f1^I"/i 1\ 1"'.1,11"" ,', 'd' 01 I,
For Opl/on.' Uu by RlCordlnQ 011/..
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Reoldence
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IMPORTANT RELEASE INFORMATION: I'or oach lW6eS611lp.IlI 116ted Ilelow, \I' i<..;l\, I
unleoo notice 0' lion 10 rellled by HIe dale glVOll'11 ,oll/1lI1l (0), 11116 110llco 6hall,
on the day following ouch dsle. oporate as a cmlil"ato 01 leloaso U~ <Iellllod 'u 1\ II ') ',\',
In IRC 63~6(a , ,i ,'\ q '/ ~ '7
Tax Period Dole of Lool Day lor Unpaid Ballno.
Ended Idenlllylng Number Aooeooment Reflllng 01 AIIOIlmenl
(b) (e) (d) (e) (I)
Kind 01 TIll
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This notice was prepsred and signed at
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/'the ,"ht<l"cnrvllt,,,,"'~!It~I;,r,,..I'q' ',19 ~~
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Title
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PorI 1 . Kept BV Rccordlng Office
(NOTEI C'rllflclt. of cllle." aulhorlZllcJ by law to luke I.1cknowluagmiJntli 111101 UIJ"tlllot 10 Ihd lJalldllv 01 Notlco or Fld"al Tlx lien
AIV, Aul. 71,400, 1971 ' 2 C,6, 400)
Form 668 (V) (0) (Rev, 10/93)
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Form 668 (Z)
tROY, soil)
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I clrllly Ihll II 10 Ihl '0Ilowlng.n0I111 10xpoyur,Ihl roqulrol11unla 0' suction 6326 (0)
0' Ihllnllmll RlvenuII Code hovD boon ODIIQlled 'or Iho I"IS IIslod bulow ond 'or
all IlltUlory addlllonl. Tholohue, Ihe lien provldud by Codo Slctlon 6321 lor Ihoall
la... Ind oddlllonl hn beln roloosod, Thu propor olllcor In the alllr.1 whoro thl
no'lco ollnllmollOvonuo lux lion wus IlIlld Qn.. :. .:_' , ,~,' , ,-,' ,-, -,
18 ~ II In oulhorlzed 10 nolo Ihll lI110"S 10 show Iho lolonlo of Ihlo lIun lor
theaetoxol ond oddltlons
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Nomo 0' Taxpeyer " I', II I,
Certificate 01 Release of Federal Tax Lien
Dupoltm.nl 01 the lIuueul y . Inlornul nlvonuo Borvlee
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Onlo ul I,nol Dny lor Unpold Doloneo
Id,ntilylllll Numbor A';~.66I11ont nullllnll of Asousment
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