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flop«nm«nl nl IhoTr«NUrry ~ Inlom«I IUwnuo a«rvldl' ~ " i
""°r'YI r°~/' Notioa of federal T'ax l.len
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SAN pravldad by Nentlgna tl~91, e3p7, and tl923 gl~lhr Internal fievanua
Coda, wa ara plvlnp a Wallop that (area (innludlnp Intaraet and penalUeN)
hava baan aaaauad apalnrl the lallgwlnpynamed larpeyar Wr have made
N damand Inr payment of Ihla Ilabhlly, uul It ramalna unpaid. Yheralara,
thara le a Ilan In INVar al Iha Unltad stntaa qn all praparly and rlyMla In
prnparty hslanplnp in thla taxpayer far tha Nmounl ql thar• IaNee, and
addUlanal pmaftlae, Intereal, and aoelr that may agnnn,
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IMF'C~FITAN'f CIGt.EiA£11'i INfIUFIMA'i'I(aN; frar gnuh n«««u«nund pAi«~ rlw,
unlgaa nalin« ql Ilan Is rshlutl Gy (hq dnla pivun In autumn (nl, Ihiw nnilnu Nh«II,
on tnq do lull~wlnu «uoh dnfq, oegrntq uw a nurllllanl« ul rNl«n«e n» U«Ilnurl In
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Kind of Tax 7N11 t+ellgd tlnUetl Idanlifylnp Numb«r Nla o
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'V n rn+rkry nll~, 1, u ut /prNrM rxr IrM illy nrd l LdMI, IOih7 AN aPVI t'
MAlll I ~ dal ^r nuoarr.rl IBr~.t Form Ml IYI1~1 It'yrr`~1
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Pnrnr! 669 (~) [inlformf9nl ul Iha Tronaury • Inlnrrfnl klovnnun ~urvlnn
(9AV. Ina~xa, Certiflrete o/ Ralwue al Pederei Tex I,len
rlhufk,t, nur~xNh~[f/tlk;[, [1urlnl Nurnbnr Irn'r Iwo'~li ~
k' kflPkfiY1SU nkrn ([7
Llnn tlydt phono hl al f~9 nan{I __ __ _alan!u1KOe %r /`fir r?`'"
l Balll[y 11111111ltl [dIIPY/In(I•n91119r1 I9NI19Ya1, 1!11(19( Iha 19(IUIIanIanlM fll aBf1h11Y nrl~n 191 ,'M.~ // tf'
al IIf9 Inimm~l 1'lavnnurr C,udo hna eMlnliatl th9 IflKne Iletatl hrd9vr nntl all alnlutory '1
addpl9na, 1'h9r91ur«, the Ifan prnWded by L'oda uuiUan p321 lur Ihnan In+laa nntl NrA ~ / 1G J"~ L ,.
•ddipuna hnM haen rple9uftf, Th9 propw 91hu9r In Iha nIHo9 whore Ihu nullan al
Inl9tnul revunuu I9» Ilnn wn! III9t1 9n ildtnU~l l.'Y_ 4l
1a8~) , le nulhorlAe<l In n91e Ih9 honks to diow Ihn adunea ul Ihle lien Inr
Ilfeaa laaens~nnrl ndclillana,
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Ninon al PIIinU
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C:unfl:,<at'J,yrlrl c•'rauncY
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'folol I~ 1a77(~,80
'1'hl9 nollno wnu Ifrepnrud and nl(plnd nl ,__ I'h l ~u-n11,h1a r {~A
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Ihn.. 70CIf rlaynl hi~lrcth '1.88:1
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... (N011 1 EurUlmntn rd nlllonr nulhonrnd r•Y 1#w fu UAkn noknu~Nln'InninnU I+ nul unrnnnnl lu Ihn Ynluhly ul [,arUbr:n~ 1® of Ilulanta vl
Nulnr9l fnn lien f19v~ h,a. %I~AI,It, In/1 7 r:.n. AC1S11
hrl ! ~ a1CO11nINtf n/IIg4 roan AH (Z) qmv In 24nn1
r;nr Non~oznl