HomeMy WebLinkAbout0108 Form 668 Department of the Treasury - Internal Revenue Service
(Rev.Septempert9787 .Notice of Federal Tax Lien Under Internal Revenue Laws
!?istrict Serial Nt~ml~r 4~~ For Optional Use Dy Racordinp Onlce
PROVIUII;C:: P.iiOJL•' I~LAIdD 1 2-A-80 A~ ~ ~ ~ ~2
As provided by sections 6321. 6322. and 6323 of the Internal Revenue Code. f ,pc ~q~.
notice is given that taxes (including interest and penalties) have been assessed s~~~~~~n~t~?s
against the following-named taxpayer. Demand for payment of this liability has dt7Mtt'NICMi
been made, but it remains unpaid. Therefore. there is a lien in favor of the United ttECORD ~'ERtFIEO~-~~ .
States tm all property and rights to property belonging to this taxpayer for the
amount of these taxes! and additional penalties, interest. and costs that may
accrue. 496816
Name of Taxpayer
G. Z,:.~/':2:TtCs, Gt~i~:,BY ~ JR.
Rtlsidence
~1 Iion^.efield Rd.
Tiverton ?2.I. 02878
Unpaid 8alanc~e
Kind of Tax Tsx Period Ended Date of Assessment Identifying Number of Assessment .
[U lDJ lc) ld)
I~'~ 941-1O0;'.~en Oj-31-79 OS-2b-8O 023-24-R930N 1404.59
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Place of Filing
Twat i 1404.59
This notice was prepared and signed at ?:arwick~ R.I. , on this,
the ,'S(~th day of ~Tu1 x_ ,19 ~
Signatu Title
t•` ann Jr :eventr+e 0: ficer
(Nobs illCata o/ olRcer authwizad Dy Nw fo take acknoadadpmarrts !s not assant/al t0 t1N valldlgr of NWlea o1
Federal lax Uan O.C.M. 2tH1l1. 1!7541, C.B. 12b.) ~ ~
Part 1_ - To be kept by recording - Form 888 (Rev. 0.78)
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