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\ .::.~ ,'-" Department 01 the Treesury . Internal Revenue Service
, llirm 668 (V)
\ ,.... Oclober 1993) Notice of Federal Tax Lien
I For Optional Use by Recording Ollice
\ ""ot Serial Number
I No. 9L1 - ~D ''-/
PI. I I '1.J{-> I roh I ,\. F-'.^ ~ - >.111 ;::'-':
, provided by sections 6321, 6322, and 6323 of the Internal Revenue FT/...
, . code, we are giving a notice that laxes (Including Interest and penalties)
! have been assessed against the following-named taxpayer. We have made
t a demand for payment of this liability, but It remains unpaid. Therefore,
there Is a lien In favor of the United States on all property and rights to
, property belonging to this taxpayer for the amount of these taxes, and
additional penalties, Interest, and costs that may accrue. r.
lName of Taxpayer 1< J C Hilr<f) J , ""
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Fr<J 12 -
I ~kI1Z ~ SON L AN[I:::,( ,\'" j NC, r..o
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'reSidenCe 11" ':1 11'-' (H.l hn ,.
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, IMPORTANT RELEASE INFORMATION: For each assessment listed below, ..,7' -
I unless notice of lien is refiled by the date given in column (e), this notice shall, ... t.O .u. '7(41;'/
, .c.
I on the day following such date, operate as a certificate of release as delined 0:..
I "'1.00 M RcDf-.-u.. 9000
I in IRC 6325Ia).
, Tax Period Date of Last Day for
, Unpaid Balance
Kind of Tax Ended Identifying Number Assessment Reflllng of Assessment
(a) (b) (e) (d) (e) (f)
"',11 1.2/::~11':;'::~ 25- 1 (,5.1"5.20 ::,. 14,/ '-'0;. I)'. / 1 ~./ (1,1 775..04
-::'4\) 12/31/<1:';:. 2:15- 1,: S41.3~(1 ::/1.+,":-'4 ;...~/1:;/(J4 2.;'.::' ."'~7
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,Place of Filing
F'r (I th(ln(llar- Y' Total $
Curnber' I arid CCrUfl t'f 103/..71
Car'llsle, F' ~\ 17 /! 1 ::.
nis nolice was prepared and signed at r't, , 1<1,; \: I (,r. In' F .\ , on this,
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the . -,f 'day of ~liil- t I, 19"4
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Signature ~ ....-......, I' C Title
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t .:.1 .i {"~ f f Wh I t.e . ',Ii '-1'::".1
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(NOTE: Cerhllcato 01 offlcor authorizod by law fa lake acknowlodgmonts is nol ossontlal to the validity 01 Nolice 01 Federal TalC lien
Rev, Aul, 71.466, 1971 .2 C.B, 409)
Part 1 . Kept By Recording Office
Form 668 (V) (Rev, 10.93)
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