HomeMy WebLinkAbout96-00656
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O.partrnlnt ollhu rrellury . Internol RuvenuI Slrvlcl
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DI.trlcl Su,lul Number For Optionel U.. by R.cOIdlng Olllc.
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A. provided by ..cllonl 6321, 6322, ond 6323 0' Iho Internol Rovonue
Code, we ere giving a nollce Ihollo~el (Including 111lerosl ond ponalllea)
h.v. been ass....d ogalnallhe 'ollowlng-nomed to~poyer, Wo hnve modo "
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. demand 'or paymenl 01 Ihl. lIablllly, bul It remains unpaid, Thore'or., 'J
there I. a lien In lavor 01 Ihe Unll.d 6101.. on 011 proporty ond rights 10 I ...1,
property belonging 10 Ihll le~poy., lor Ihe amounl of these 10~os, ond ,
addlllonal penalll.., Inler..l, and coals Ihol may occruo, 1
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Nam. 0' Ta~payer " I.
1)1'1'11'11',; 1'1 IT: r ,. I'll
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Residence I .
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IMPORTANT RELEASE INFORMATION: For oneh 055u5Sln0I1\ Iis\ed lJulow, W(((,;(/
unless notice of lien Is rellled by tho date glvon in COlLJIllll (e), thiS nolieo shall, '.
on Ihe day following such date, operste os 0 cel'tillcato GI release os (Iolinod ,. 11 II ~~ II';
In IRC 6325(0), ,- Ii ;'i}:J"1
I Tax Period Dolo 0' Lasl Doy for Unpold Bolance
Kind 0' Tax Ended Idenllfylng Number Aaseasmenl Rellllng 01 A.sessmant
I (8) (b) (e) (d) (e) (I)
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, \1)4"1 \, " " 1 ,.. "j 1 ,'II" 1,1) I' ,I ,:1 ,I, I "I,
I 1',11 /, ',1 " i.' /.1.1....,
, 1 'J411 I ,.. ..; I ". "}... ' 'I':' " " , 1'1 ' , "
I , .:1'-' 1-,,') 1 ,,-' 11 '.1 I,j.t ,1 ,I . ~ . : :.~ ,~!
, 1...'...1'.1 t. ,: -'.\ / '),: ',1 ' "l'l, " - :i,'
1'.'-11.1 . / 11 " ,'/.j ,..1.1'/' 1',li , "1 II l I' /\', I, , ", t l~ , "'I': ~ .;
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Place 01 FIling
r:-'r- 1.1 1; h '.11'1 <I t ,l.I' '~. Totnl $
( IJlllbpt. I ,1,1"1" I ',I I III 1. ~ .1'..;01.1"1.1:"
I', .~ ,. I I "j I I~ , I,'" 1,"('1
Notice of Federal Tax Lien
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This nollce wss prepared and signed at
1-' I , Ii, I ' I l' II I .1 ~
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, on Ihls,
"Ihe '.,."l"deyot .\~'+'VI~~.A.,Y,., 19 ~:.:"
Slgnalur~ \;\
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(NOlEt Cerllficat. 01 ollie.' authorized by low to lllllo Ql;knowllHJi:;menlli, 19 not tU5Ut1tlullo Itll) validity of Notlc. 0' F.de,al Tax Il.n
Aev, Aul, 71'40S, 1871 ,2 C,6, 409)
Title
Ill'. '
1111" II!'! I,
1'1 1.1,1.
Pari 1 . Kepi By Rccordlng Olllce
Form 668 (V) (e) (Rav, 10/93)