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IForm 1166 (VI (0)
'(fluv OclolhU ItHl:I)
OlpDrll111111 or Ihl TIIOIUIY , 1I11.rnall~lvIIIUI Silvie.
DIDI,'ol
Notice of Federal Tax Lien
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A. provld.d by IIcllon. 113al, 113aa, olld 63a3 or 1110 Inlo",ol RovonlJo
(lod., we Ir. giving I nollee tl1ml Im~us (Includlnu Intoro.t ond ponolllOD)
h.v. bllln I......d aoo""11I1e 101l0wll1u.nomod lo~poyer, We hove modo
I dlmlnd for paymenl 01 Ihl. lIablllly, bul It romoln. unpold, Therefore,
Ih.,e II I lI.n In flvor of Ih. Unllod Sloles on 011 propolly and rlghl. 10
property b,'ong'ng 10 Ihll lo~poYBr lor the omount or Iholo 10~OI, and
Iddlllonol plnalll80, InlOlesl, ond cOil. Iholmoy oeClue,
I Nlme 01 Tu~poyor .
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IMPORTANT RELEASE INFOllMATION: FOI cnetl U~~UUU1l1l!1l11l~luc IJuloW, II'I<>() I'rl
unloa. nollco of lion 15 rolilod by Ihu dulu U'VUlllll COIUlIIll (0). Ihl~ 1I0l,eo ~I'all,
on the doy following such dolo, opolalo lIU a cOIl,lIculo 01 leluu~u a~ (lullll0d ,. , II 1 ,):j",'"" I
In IRC 6325(0. ,'" 'i I "l'i5
To~ Porlod Dolo 01 Lall Day lor Unplld BlllnC.
Endod Idontlfylng Number ASIOBSI1l0l1t ROllllng of A....lm.nl
(b) Ie) Id) Ie) (I)
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This notice wss prepared snd 51gned ot
1'11" ,i\1 I .J'I_ I"
, on this,
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(NOTEt C,t1Ulcall at olflc'r authorized by law
R,v. Rul. 7,.466, \971 . ~ C.B. 400)
IlIke ocknoVwhlCJgmontl I, nol QlUlJnliallo lhe volhHly 01 Nollcl 01 Flde,al TIX IIln
Port 1 . Kept By Recording Orrico
Form 668 (V) (e) (Rev. 10193)
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