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Form 688 (V) (e)
(Rov, October 1093)
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Depo'lmonl or Ih. Treasury .Inlornol Rov.nue Sorvlce
Notice of Federal Tax Lien
Serial Number
Fa, Opl/an.' U.. by Recording alii'!...
A. provided by IIcllons 6321, 6322, and 6323 of Iha Internal Revenue
Cod., w. ere giving a nollc. Ihal laxe. (Including Inleresl and penalllee)
h.v, been .......d agalnellh. followlng,named taxpayer, We heve made
. d.mand for payment of thl. liability, but It remain. unpaid. Ther.fore,
there I. I lI.n In flvor of Ih. Unlt.d Slltee on all properly and rights to
, prop.rty belonging to thl. laxpayer for the amount of these laxes, and
.ddltlonl' p.naltl.., Int.reel, .nd COlli thai may accrue.
, Nama 01 Taxpayer
{\\u. C!l, 5:jS8 FrL.
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: Reeldence
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice 01 lien Is rellled by the date given in column (e), this notice shell,
on the day following such dete. operete as a certificate of release as deflnad
In IRC 6326(a .
Tax Period
Ended
Ib)
Identllylng Number
Ie)
Date of
Assessment
Id)
~ q Q1 \,cl
Cu..~ 14UC<4\
11.i.\ S'105',
Lest Day for Unpaid e.lanca
Aeflllng of A..e'lm.nt
Ie) If)
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, Kind of Tex
Is)
: Piece of Filing
Thll nollce was prepared and signed al
I
,the
day of
.19_.
i Signature /J
~t.);j._ V,,' t';;"'t_! /~')J""'~
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(NOTl: Cerllllelt. 0' olllel/ .ulho"ZOd by I.w 10 takl acknowl.dgmlnts I. not ....nll.,lo Ih. vllldlty of NOllco 01 Federal Tu 1111I ' ; ",",)1,
RIV, Rul. 71.4el. 1.11 . a c.a, 409) . , ",~W'
Part 1 ' Kepi By R.cordlng Office Form'" (V) (a) (RI\/. '''",
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