HomeMy WebLinkAbout0615 463914 ~
Forrn ~C~ Department of the Treasury -Internal Revenue Service
(Rev. SeptuuemDer1978) Notice of Federal Tax Lien Under Internal Revenue Laws
District Serial Number For OptionalnnUse Oy ACCecorOing Office
0~9 UC~ 2O n~i ~ 3
F ll.£O J~.KC~ rl C ui J
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, ,;.1.t, C ~ ~~kTY.ft.i.
notice is given that taxes iincluding interest and penalties) have been assessed ~ ~Kt7~R POITRAS
against the following-named taxpayer. Demand for payment of this liability has &!.£R!t CiRCUtT COU Tp
been made, but it remains unpaid. Therefore, there is a lien in favor of the United E~C^U v. F<~f ~r.__ C.~ _ _ 11---_
States on all property and rights to property belonging to this taxpayer for the
amount of these taxes, and additional penalties, interest. and costs that may 463914
accrue.
Name of Taxpayer
Residence
Unpaid t3alance
Kind of Tax Tax Period Ended Date of Assessment Identifying Number of Assessment
/al !AI Iw1 Ir• ~ !~1
1 ~ ~ rn.
Place of Filing
._..c-: Total = ft:,~:J.:`-~
This notice was prepared and signed at = ~ • - - - ~ ~ t - i • , on this,
the day of ~ ,19
Si Title
(N Certificate of o?t' r suthoriied by law to take acknow/edyments is not essential fo the validity o1 Notice o/
oral Tax Lien G.C. Y61 , 19541, C.B. f25.) _ ~~~~~((n~~ ~'M ^~A
Part 1 = fio be kept_by,rtjcordiltQ o1~e:, a~K ~~/jVj Form 668 (Rev. 9-78)