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li.lltat Serial Number For Opl/on.' U.. by Rlllon:llnll Oftlce
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AI provided by .eellon. 8321, 6322, and 6323 0' the Internal Revenue
COd', WlI ere giving a notloll that taxa. (Including Interllt and penalllll)
hive been .....eed .galnat the followlng.named taxpayer. We have made
. demand lor payment of thl. liability, but It remalna unpaid. Therefore,
th.re Ie . lien In lavor 01 the United State a en ell property and right. to
I property belonging to thl. taxpayer lor the amount 01 th8le texes, and
j"lddltlOnal penlltlll,lntere.t, and COlt. that may accrua.
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IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notloe 01 lien Is rellled by tho date given In column (e), this notice shall,
on the day following auoh date, operata as a certificate of relesse as defined In
IRC 8325 s ,
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IThls notice was prepared and signed at ---,-,! 1 1 ' I,,, 'I'
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(NOTE: CtJrllllcato of off/cor autllorlzoo by law to tako ltcknowlodgr1lf1lJlS Is nor ossontlll/lo rho validity of Not/cn of Fedoral Tax lion Rev. Rul, 71.488, '971-20,8. 409)
PART 1 . KIPT IV R_CORDING 0'''01
Form HI M (0) (Rov, e.ijn
c~T. NO 60025X