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" Department of tha Treasury. Intarnal Revenue Service
Form 668 (V) Notice of Federal Tax Lien
(RlV. October' 9931
( For Optlono' U.. by R.cording Ollie.
,Dlslrlct Serial Number
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, AI provided by secllons 6321, 6322, and 6323 of Ihe Internal ReVanlle
I Code, we are giving a nollce that laxae (Including Interest and panallles)
; heve been aneued agalnetthe following-named taxpayer. Wa have made
e demlnd for payment 01 this liabIlity, bul It remains unpaid. Therelore,
there II a lIan In lavor oflhe Unllad Statas on all property and rlghtl to C' ,
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property belonging to Ihls lax payer lor tha amount 01 these taxae, and ...
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Iddltlonal penalllee, Intereel, and coata Ihal may eccrue. .:
Name 01 Taxpayer ' .( I 11.,', d II ',( Ii 1,/1 It' -,
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IMPORTANT RELEASE INFORMATION: For eaeh assessm&nllisted below, Q'l. (lU I'cl
unless notice of lion Is rellled by the date given in column (e), this notice &hall, CI> ,I ,'I) SL1~
on tna day following such date, operate as a eertlflcale of release as dellned
In IRe 6325 al. KII ;)uqq("
Tex Period Date 01 Lalt Day for Unpaid SII.nee
Kind of Tex Ended Identllylng Number Aeeesamant Rallllng of A.....m.nt
(a} Ib) Ie) Id) Ie) If)
l"4() l. 'I,;e, 1;ll ::(,_1',1,_,-'1,,:" 1) :"_' ./ () '~, .! " I 1-, ,I () :"_: .' \),.~ ,'~15;_":9. c)E:
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I Pt-,) th.)!")I) ta.t' y Total $
, Curlll.'~ll'l ;-tnd f' '-,un t.v .1.5.:'.>; .<<:
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This notice was prepared and signed at
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',Ihe
\ ,"' t. r, day of
l'k V'~li\b e I
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,19_.
Slgnalure
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(NOTE: Cor!ll,calo 01 ollicor authorlled by 1;1'/01 10 !.lk(. ,1dll1f)'hlt}ljnllll)ll!'; IS nol OS5onll,11lo the valldlly of Notice of Foderal T8x lien
Rev, Rull1-.cfi6. 19/1, 2C B 40'Jj
P3rt 1 . Kept By Recording Oltlco Form 668 (V) (Rev, 10.93) \
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