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Form eee (V) (Q)
, (Aev, AUgUDt 1997)
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Deparlmenl of Iha Treasury. Inlernal Ravenue Service "
Notice of Federal Tax Lien
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For Optlon.' Ute by Re.otdlnll O"'~
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I A. provided by aecllon. e321, 6322, and 6323 of tha Internal Revenue
\ Code, we are giving a notice that taxeli (Including Intereat and penalties)
'have been aS88saed against the following-named taxpayer. We have made
I a demand for payment of this liability, but It remains unpaid. Therefore,
',' there's a lien In favor of the United States on all property and rlghta to
property belonging to this taxpayer for the amollnt of these taxes, and
I additional penaltl.., Inter!'t, and COlt. that m"ay accrue.
. Name of Texplytr : 1"1,11' "'1'" !' ,
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IMPORTANT RELEASE INFORMATION: For eaoh assessment listed below Ii ( \
unless notloe 01 lien Is reflled by the date glvEln In oolumn (e), this notloe shall; '~,()O\X-
cn.the day lollowlng suoh date, operate as a certlfloato 01 release as defined In l,u.;I\ \1~ll<l,;I\
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\ Klnd(~f Tax Tax per~~1 Ended Idenlllyl(~ Number Ae~:f~~~nl Le~~~JXJor un~~~e~~~~~: of
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Thlsnollce was prepared and signed at .,..
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the _;"::":.bay of
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(NOTE: Corllflca/9 of officer lw/I!orllod by law to 11IIm a:know/odgmon/9Is not os.~onllltl 10 11/6 validity 01 No/lctl of Foe/orel rilX lion nov: Rill, 71-480, 1971.2 e,8, 409)
PART 1 . KF.PT 8V ReooflDlNll O"ICE Form ~a (Y) (0) (Rev. 8-5m
C^l NO 6OO~5X
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