HomeMy WebLinkAbout2554 Form 668 DEPARTMENT t7F THE Ttf/lSU~Y-INTEWAL RfYFNUE SERVICE !w Opf~arwl Ufe Sy Recordrng ORic~
~~v. ~-io~ NOTKE OF FfDERAI TAX LI@! UNDNt WTERNAL REYEI~IE LAVYS
piSTRICT SERIAI NUMBER
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L1iC1E COUNTT fl~
Punuant to ~he provisions of $ections 6321, 6322, and 6323 of the Internal Rev~ QOCER P01?R~: ~
nue Code, ~ot~ce is he~eby g~ven that there hove been ossessed under the Inte+nal CLERK CIRCUIT COU~
Revenve faws of the Uni:ed States against the fdbwing-named taxpoyer, toxes (incluc~ 11 COAD VE~~f~EO
ing interest ond penalties) which oher demartd for payment thereaf remoin unpoid. ond 2e " 1~
that by virtue of the above~mentioned stotutes Ihe amount of said taxes, rogether with
penolties, ~nterest, ond costs thot mar occrue in addition thereto, is o lien in favor of
~he United Stotes upon all propery ond rights to propcrfy belonging to said bxpoyer.
NAME OF TAXPAYER - - ^ ~ 2O`~949
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QESIDENCE ^ ~ - ~
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UNP/UD BAUWCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT DATE IDENTIFYING NUMBER OF ASSESSMENT
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WIiNESS mr hond ot
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SIGNATURE ~ T1TLE
~ <<_•c~_ip 3«~.~f:rviaor
Tlro~aa C. Czav~~
(NOTE: C.rM'icde of ol6cwr ouHw.in.d br t~r ro rak• «knowldgm.nn n nd assenr~d ro ~h. voi~diy of Notic~ d F+dud Tax lie~ G.CJrI
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PART 1-Ta b~ rNoieNd br nwrdin~ o}!k~
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