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Oeplrlmlnt ollhe Trlllury . Inllrnll Revlnue SllVloe
Fo,m 888 (V) (c)
(Rev, October 19931
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Notice of Federal Tax lien
District
S.mal Number
Fo, Opl/onll U.. Oy Rlcordlng Olllco .
Fr. I I ..,jll I ~. r-l. J
1-1 '
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A. provld.d by ..cllons 6321, 8322, and 8323 ot the Inlernal Revenu.
Cod., w' If. giving a notlca that taxes (Including Int. rest and penaltlu)
h.v. b..n .......d against the following-named taxpayer. We have made
a d.mand fo, paym.nt of thl. lIablllly, but It remain. unpaid. Therefor.,
ther. I. a lI.n In favor of th. Unlt.d Stales on all prop.rty and rights to
prop.rty b.longlng to thl. taxpayer for the amount ot these taxes, and
.ddltlonal p.naltlll, Interest, and costs that may accrue.
Name of Taxpayer GAF'I ,~ l~I\RREN
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Residence '5244 ~ rMF'S'.'N no F'f"( R(lA[,
MEeHAN [C':'f;URC" FA l.rl.'~,",
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien is rellled by the date given In column (e), this notice ~hall,
on the day 'ollowlng such date. operate as a certificate 0' release as delined
InIROee26ral\RECTS ORIGINAL DArE I1'~ (':'L. '~/ ...
Tax Period Oat. ot
End.d Id.ntlfylng Numb.r Asseum.nt
(b) (e) (d)
~ll,U.:'"d
,
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"Lt.oCI'5
Unpaid Balanca
of As....m.nt
(f)
.
l'V.'-\'
KInd of Tax
(a)
Lnt Day for
Raflllng
(e)
.
'~41
940
1),.:,,/"::(1/:-::5
12/::1/85
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Place of Filing r'I.'-' HI'".''' 1;",
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Or'IJlrl,ll F~:ec,..,"JII.I'l DJta:
Total S
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: This notice was prepared and signed at
F.. t ; 11,::' , ~: ~ ! t t ~":".
, on this,
~ ~ .'-. 'W'5-~................ ,,",,:r-._' .. .
: 1 :jt.t, "libr 1..I-1.r y
i the day of
Slgna~~/...~J-p(';A .
r
(NOTI: C.rtlflcat. 0' Olflc.r aulhoriUd bi lir'N 10 I"'". ackIN....llto.i~41T1I1nl!i !'j n'JI iJl~..nIIJI ItJ th" lIa1ldll,/ 01 Nolle. 0' Fed.ral Tax lI.n
RlV. Rul. 71.488, 1971 .2 C.B 409)
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Palt 1 - Kept By Recording Orllce
Form 888 (V) (e) (Rev. 10/93)