|
<br />I
<br />
<br />------.----.--i.--.----..
<br />
<br />Fo'm 668(CI
<br />
<br />(j~.Ahl\
<br />
<br />Depa_rtm~!l~of the Treasury ~ Internal Revenue Service
<br />
<br />NOtice,bfF~d;;~I.T~x Lien . Under Internal Revenue. laws
<br />
<br />"-=~-'-:~,TseriaINUm~er -'_._-_.._'--'-"._-_._-_._.~-- Foro~riOMJ-US8 by Rsco;dingDfflce
<br />
<br />,. ~~a47'i3~_~_________i -----
<br />
<br />I
<br />I
<br />
<br />r-
<br />
<br />i
<br />I
<br />(Rev Feb., 1983) I
<br />
<br />~_______.l__
<br />District
<br />
<br />ASllrovid~by sltctlons6321,' 6322~and 63230fthetnternal Revenue Code,
<br />notic!!' is"-given that taxlts (including interest. and penaltles) have been
<br />aSS9S$8dagalnst thefollowin!!:"-:'!lmed taxpayer. Demand. for payment of
<br />!hlsUablllty has been made!!!!!! it 'rem'Blns'~npl\ld, Ttll!refore, there is:a lien
<br />In favo." of the United States on all property anddgtits to property belonging
<br />to this taxpayer for the amount of these taxlts; .and additional penalties,
<br />interest, and costs that maya.ccl'tle:
<br />
<br />Name of Taxpayer'
<br />
<br />84 -0042:71
<br />
<br />Residence
<br />
<br />--~-~--------~~,~--:---;: __. _.,.~-~~-------'-------------1
<br />~',I',L L .~; .... L",l',!\'';!; f ......,,1 .ic--",_..,;,l-,\ 1
<br />I
<br />-______________.______.__---1
<br />I
<br />i
<br />
<br />1 i i-t~, ..:'L.t_i_f,- I" i
<br />
<br />'-~l'_Af..i..~- l~~-LA.1\.i.-, ~"L
<br />
<br />L.tf\Jl
<br />
<br />
<br />Total
<br />
<br />IMPORTANT RELEASE INFORMATION: W,th respect 10 each assessmenllisledbelow, unless
<br />notice of iien--i$:refile(fby the-date given in column '(e), this notice shall, -on the-day Joflowing
<br />such- date; operate as a certtfic2ite Of-release as defined in IRC 6325 fa).
<br />
<br /> Tax Perjod Daleo!
<br />KlndofTax Ended Identlfying.Number ~essmllnt
<br />(8) (0) Ie) (0)
<br />1().4() L.-- l-ri :.,--"'i.<:,-'t..ti.L.L 02,..11-80 03'-13-86
<br />lO.tj{; 2- l-~,c ~-4:2-{j~:~-~ 11-30-81 12-30-81
<br />1&.." ~ - ."i.-.t,j,. \}-42--LLL_~- 01-09-84 02-08-90
<br />
<br />-PlaceofFiiing- .L. -1:Tr-rf---r;l:E."L-:-i
<br />0~~~C l~lftkt~~~~~l
<br />
<br />Th,s notICe was prepared and Sl\lfleO at._
<br />
<br />I. ,~L i:.\ t i:',.{H
<br />
<br />thfL~:~~' day Ol__'_~"-=_~ . 19 _.
<br />
<br />s -- ---- -.7) 'X - - - Title
<br />
<br />~~:_kL ~. 7uJ17A~_ ..i-.HI, _~~L_LC~~l.._h__~k~~~~__._______~
<br />~- (NOTE, Cero"".te of OIIL-t::::.::::::;;w 10 ",,,. .cknow/_nf", "CI ...""I,a, 10 the "'Ia>tr 01 No/i(;" oIFedorill T..l.Jen
<br />R~h Ruf 71-466 1971.] C B 4(9)
<br />,,'" KBDt 1"\, t18C01'::-HnQ O-ffu~e
<br />, Form 668(C}(Rev, 2~
<br />
<br />L
<br />
<br />L
<br />
<br />..J
<br />
<br />L
<br />
|