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Form 668 (Y) (c)
(Rev. October 1998)
Department of the Treasury - Internal Revenue Service

Notice of Federal Tax Lien . . . 9607340

District
Seattle, WA
Serial Number
919612122
As provided by sections 6321, 6322, and 6323 of the Internal Revenue Code, we are giving a notice that taxes (including interest and penalties) have been assessed against the following-named taxpayer. We have made a demand for payment of this liability, but it remains unpaid. Therefore, there is a lien in favor of the United 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 accrue.
Name of Taxpayer
Lydia Shaver
Residence
1312 PENGSTON CREEK RD
KETTLE FALLS, WA 99141-9631
IMPORTANT RELEASE INFORMATION: For each assessment listed below, unless notice of lien is refiled by the date given in column (e), this notice shall, on the day following such date, operate as a certificate of release as defined in IRC 6325(a).
For Optional Use by Recording Office
REQUIRED AT REQUEST
OF AS NOTED BELOW

Jul 12 4 25 PM '96

TIM GRAY
AUDITOR
STEVENS COUNTY
DEPUTY D. GRAY
VOUCHER
INTERNAL REVENUE SERVICE
PO BOX 1729 M/S 246
SEATTLE WA 98111

Kind of Tax
(a)
Tax Period
Ended
(b)
Identifying Number
(c)
Date of
Assessment(d)
Last Day for
Refiling
(e)
Unpaid Balance
of Assessment(f)
1040
1040
12/31/91
12/31/92
xxx-xx-xxxx
xxx-xx-xxxx
09/26/94
04/03/95
10/26/04
05/03/05
4865.62
1717.33
Place of Filing
COUNTY AUDITOR
STEVENS COUNTY
COLVILLE, WA 99114
Total $
6582.95
This notice was prepared and signed at Seattle, WA, on this,
the 03rd day of July, 1995 OFF. VOL 201 PAGE 1780
Signature
for R. Colby
Title
 Revenue Officer
91-01-2310
(Note: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 409)

Notes by Jim Shaver:

  1. Serial Number
  2. Auditor's Seal
  3. No Valid Signature -- No Author, No Authority -- Proof that Auditor moves it forward on his own!

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