HomeMy WebLinkAbout2555 Form 668 OEN1RTMfNT OF TFiE TREASURY-lNiERNAI lEVENUE SE[dICE For Opt~ond Us ~y R~cordnQ O~a
~~v. i-io~ NOTKE OF FEDERAL TAX Lid~l UNDQ WTERNAL ~ IAWS
DISTRKT SERIAL NUMBER
<ii; f llt: i:+. FII.EO AND R~r R~~• ~
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Prrrsuont to the provisions of Sections 6321, 6322, and 6323 of the Internol Revs~ ~OCER POIT~?~ '
nue Code, notice is hereby given thot there have been ossessed under the Internal Q~~Rk ClRG T QOY~
Revenue !aws of the United States against the Following-nart~ed taxpayer, taxes (includ- V~RI?1~0
ing interest and penalties) whith oRet demand for papment thereof remoin unpoid. ond ~O i,
that by virtue of the abovtmentioned stotutts the amount of said toxes, together with
penalties, interest, and costs that may accrue in addition thereto, is o lien in favor of t~
tF~e United $totes upon oll property and rights to properfy belonging to soid taxpayer. IVO'~950
NAME OF TAXPAYER _ . _ . _ _
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RESIDENCE ~ 1':: ~ y,, i ri~te n~n
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UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED ASSESSMENT ~ATE IDENTIFYING NUMBER OF ASSESSMENT
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SIGNATURE TITIE
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(NOTE: CKti6cots oF ol~c.~r outlwrisa! br bw to toke ocknowldgments a nol ssrewid w Mr voGdiy of Plol~ce of fyd~rd ToY l~ G.C.IrI
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