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Department 01 the Treasury - Internal R.v.nu. S.rvle.
Form 888 (V) (c) ;:,,-4-' }
(Rev. October 1993) Notice of Federal Tax Lien
Olstrlct Sarial Number Far Opt/onal Us. by RlCordlng Olllc.
c.,. I > ,. , . ,., , i\IL.. ( IlrJ \ -J)l!-,l IT.:.
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At provld.d by ..cllon. 8321, 8322, and 6323 of the Internal Re....nue
Cod., w' Irt giving a nOllc. thallaxes (Including Interest and penalties)
1I11v. bltn ....u.d .galnslth. followlng-nam.d taxpayer. We have made
I d.mlnd tor payment of thla liability, bul II remain. unpaid. Ther.fore,
th.r. I. I lI.n In fa...or of th. Unll.d Statu ')n all properly and rights to .
prop.rty b,'onglng 10 thl. laxpayer for Ih. amount of theSt taxes, and .. ,
Iddlllonll p.n"lI.., Intarest. Ind coats that may eccrue. ,
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Nam. of Taxpayer ::; fF I'LN L rUt-;l'i;- ~~<
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Residence ,
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I ME<':HAN I c:.;E;URG, F'A t ll)f;~-. J I
, IMPORTANT RELEASE INFORMATION: For each assessment IistFld below, to'l. L'u \,,4
unless notice of lien is retUed by the date given in column (e), this notice shall, (',.....t\ I "l< lK"j it
on the day lollowing such date, operate as a certificate 01 release as detined
In IRC 6325(a). I< d ~ " ". )
j rllC Period Oate of L.ast Oay for Unpaid Balanc.
KInd of TllC Ended Identifying Number Assessment Reflllng of A.....m.nt
I (a) (b) Ie) Id) (e) (f)
! 104(' LU :' I /'n 2')-:'- 4".~,-O4(;>3 11; I....,... ">F; ! 1 1 ':.i.J \J~' .J..=t-,'u.co
I 1040 12/:) t /')4 2'(1'::;' - 4;:., ~ (1A~'::, '::< l (1/ 1 t;. /'-/1::, 11 t~1 /(l~t /;:,,1 (14. ':;:3
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, Place of FIling
F'r") thnn,) t'lt' '.. Total S
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This notice was prepared and signed at f't., , , , : ' i , h, " A
. on this,
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the 14 t h day of F ,> b, oj U' Y ,19 --.:....: '
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Signa~J_{r-:~p{...~,_.4___""/;'.c., ..-
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(NOTI: C.rUtlcat, of oUlett, authorized b:l law 10 fJ"" "ci4n'J'hld,jgrnl!n!~ h fH)1 U'iIin!JJl to the validity of Nalle. of Federal Tax lI.n
Roy. Rut. 71..ee. 1911 .2 C.8, .09}
Part 1 - Kept By Recording Ottice
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Form 688 (V) (c) (Rev, 10/93) ..
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