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D.partm.nt arth. Treasury. Internal R.venu. Servlc.
Form 666 (V) (c) i
(Rev, October 1993) Notice of Federal Tax LIen
District Serial Number Fa, Optlon.' U.. by R.co,dlng Olllc.
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AI provided by lecllonl 6321, 6322, and 6323 of the Internal Revenue iI (' (' C)L;~l,
Code, we are gIvIng a nollce that taxes (Including Interest and penalties) , )
have been assessed agalnlt the following. named taxpayer. We have made ~TL
a demand for payment of thll liability, but It remains unpaid. Therefore,
there II I lien In favor of th. UnIted States on all property and rights to
property belongIng to thll laxpayer for the amount of these taxes, and ......,
additional penalllu, Interest, and costs that may accrue. on
.."
Name of Taxpayer r--.-\
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: !:.Ml.liNL TRAN~,I'I; _' J 1"4'-
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Residence ..~
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IMPORTANT RELEASE INFORMATION: For each assessment listed below, -
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unless notice of lien Is reWed by the date given in column (e). this notice shall. 1Vt Lt~.: tl((
on the day fOllowing such date. Operate as a certificate of release as delined ~~ ~S~ 1 I< tl 1 (j' Ir. :.t
In IRC 6325(a). 1..\....tJ
Tax PerIod Date of Last Day for Unpaid B".nc.
Kind ofTax Ended IdentifyIng Number Assessment Reflllng of Assessm.nl
(a) (b) (c) (eI) (e) (f)
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Place of Filing
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This nolice was prepared and signed at
'-'!J'ai.J ".~l, :~~ll'9-=- \.
. on this.
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Title
(NOTE: Corlllle.l. 01 olfleor .uthorlzoo by I... to t.h. .ehnO"I.og",.n" " not ....n".. to th. v.',O,tv 01 Noliet 0' Ftoortl T.. IItn
Rev, Au/. 11.488. 1171 .. C,S, 401)
Part 1 . Kept By Recording Office
Form 688 (V) (e) (Rev 10/93)