INSTR#:418812/13/1991FEDERALTAXLIENImage:1of1
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Fonn
668(V)
79
DepartmentoftheTreasury-
Intemal
RevenueService
NoticeofFederalTaxLienUnderInternalRevenueLaws
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Distr!ctSerialNumber
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0,
NY169119086
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Aspro~yi.ictlons6321,6322,and6323
of
theInternalRevenueCode;
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notice
is>
glverf;'hattaxes(IncludingInterestandpenalties)
have
beenassossqOgaJiuatthefollowing-namedtaxpayer.Demandforpaymentofthis
lIablllty~8~
made,butItremainsunpaid.Therefore,
there
IsalienIn
f.voroftHe
Urllt&dStateson
all
propertyandrightstopropertybelongingto
this
taxpayer
tnt
the
amount
ofthese
taxes,andadditional
penalties,
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!nteres~~~ndcoJ!!sthatmayaccrue.
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Nameof
TaXpayei't::
MARGARETCPETERS
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Residence...
CIRCLEDR
1VE
WEST
f.','.
,CA~§'TPT,l\,~","NX"
"",:.14021.2,,,979$
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NFORMATION:
Withrespect
to
eachassessmentlisted1below,unlessnoticeoflienisrefiledbythedategivenincolumn(e),thisnotice
I
shall,onthedayfollowingsuchdate,operateasacertificateofreleaseasdefined
I
in
IRC
6325(a),
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TaxPeriod
!
KindofTaxEndedIdentifyingNumber
1
(a)"
'b
..co)
1~~---;------
10.0(.012/31/89113"·.0(.0"7106
Dateof
Assessment
(d)
Last
Dayfor
Reflllng
6
ForOpt/onslUsabyRecordingOfflca
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F1LEOMADiSONCO.CLERK
IjIff
UnpaidBalance
ofAssessment
(0
10/09/01
e02.2'7
9/09/91
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{Place
of
Fmn9rY:'::'j;~:"
~;T;,:;:,!,";j:
':/d
!
COUNTYCL,ERKMADISONCNTVWAMPSVILLE,BLDG
NY13163
Total
s
802R27
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~Thisnoticewaspreparedandsignedat_
Bu
f
of
a.
I
0,
NY
!
:~
___,onthis,
me;
4th
dayof,
1-----------~~----~__--~~.'------------~----------------------------------------
1
SignatureTitle
'orRobertLu~ia.kRevenueOfficer
16--01-1720
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----::==-=~:--:-__:_~--~o:__:_:__:~:_:_:____:___:___:__......J.._:___.__-_::_:_~-'::'"7.':"__:_~_:_;_;::_'_:__~_=___:;_'----
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(NOTE:CertificateofofficerauthorizedbylawtotakeacknowledgmentsisnotessentialtothevalidityofNoticeofFederalTaxtien
,t
Rav,Ruf.71-466.1971
.,:1
CB409)
Form668
(V)
(Rev1,91)
:1,
Part1•
KeptByRecordingOffice
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