Form 14134 - Application For Certificate Of Subordination Of Federal Tax Lien Page 2

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6. Monetary Information
Amount of existing loan (if refinancing)
Amount of new loan
Amount to be paid to the United States
(6325(d)(1) applications only)
7. Basis for Subordination: Check the box below that best addresses what you would like the United States to consider
in your application for subordination.
(Publication 784 has additional descriptions of the Internal Revenue Code sections listed
below.)
6325(d)(1)
the United States will receive an amount equal to the lien or interest to which the certificate of
subordination is issued
(provide amount in Section 6 above)
6325(d)(2)
the issuance of the certificate of subordination will increase the government's interest and make
collection of the tax liability easier.
(Complete and attach a signed and dated statement describing how
the amount the United States may ultimately realize will increase and how collection will be facilitated by
the subordination.)
Statement
Attached
NA
8. Description of property
(For example, 3 bedroom rental house; 2002 Cessna twin engine airplane, serial number
AT919000000000X00; etc.):
Address of real property
:
(If this is personal property list the address where the property is located)
Address
(Number, Street, P.O. Box)
City
State
ZIP Code
Real Estate:
Attached
NA
Legible copy of deed or title showing legal description
9. Appraisal and Valuations
Attached
Appraisal: (Professional appraisal completed by a disinterested
third party but it is not required for a subordination)
OR ONE OF THE FOLLOWING VALUATIONS:
Attached
County valuation of property
(real property)
Attached
Informal valuation of property by disinterested third party
Attached
Proposed selling price
(for property being sold at auction)
Attached
Other:
14134
Catalog Number 54726H
Form
(Rev. 06-2010)

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