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!'orm 888 (V) '~l:H l Deperlmenl 01 Ihe Tre..ury . Inlernll Revenue Service
(A.v. Octob,t llU13) Notice of Federal Tax Lien
DI.lrlct Sarlal Number For OprlOnal U.. by Racorrllng omc.
PI" I .I., I rd. , ", r'.1 ,"".t..I", ('; villi r!l.
1.1
AI provldld by ..cllonl 11321, 11322, Ind 6323 01 the Inlemal Revenue
Cod., w, Ir. giving I noUc. thlt taxll (Including Interesl and penllUII)
hlvl bHn .......d Igllnlt the followlng.nemld laxpayer. We hIve mlde
I d.mlnd for Plym.nt of thl. lI.blllty, but It rlmlln. unplld. Therefore, C] ." Q
thlre II I lI.n In tlvor of the Unlt.d Stet.. on ell properly ~nd right. to bf1 v,
.,., I ~j ,,., ~
property b.longlng to thl. taxp.yer for the Imount of Ih..e tax.e, .nd ( . ~ ~~~I . "
Iddlllon.1 p.n.IIII1, Int.r'lt, .nd co.t. thlt mey .ccrue. .....1'1 ., fj
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Name 01 Taxpayer I' f,ANI' ("
1 :.~ 11:", r :-; '~ :: ; :'1 ....,
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Residence ~'';
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1,:.Ar.:l.. t ~')L,.!:' 1 !,,\ 1 (/ll 1 '" '<. lO ;
IMPORTANT RELEASE INFORMATION: For each assessment listed below, 0 q hi
unless notice of lien Is rellled by the date given in column (0). this notice shall, (If Ii S'iJ.) Ii
on the day following such date. operate as a certil'cale of release as defined ^
In IRC 6325 a). ~.1 t.~(i ':..
T.x P.rlod Date 01 LISt Dey for Unp.ld Bllenc.
Kind of Tlx Ended Identifying Number Assesoment Reflllng of A.....m.nt
(a) (b) (c) (d) (0) (I)
\040 \2./:; I / "'" 1<1':/n "1 ' .'1).11 " . ,~ / '.', !::' 1,.' " '.; ;' I J':i T'" 7 ",. ,:~
\040 12/') 1/''') I '~I':i ':"1' ':'1."''1- oJ '.J, " " >:i~) 1)-;,1.: ' f': (/~; 1",:J7":: .OJ
1040 12/J 1/'" 1 ],':"'::; ::-1, '-:0(1.'1.1 '<:1 / ,.' ''-II~j '! .)" !y:=; <;>41.;.7'8
1040 1.':: / 'j 1/9,:' J.';";"- .:4 ';'I).~ 1. l,i,,::,I 7... ';':'1"'; I,':: "..,') ,It:!G '~;.1-'.):::;.. 1?,
Place of FIling
Pl'(l t hOrl(lt t'\t' Y Tolal $
(:l.1rnb[~I" I ,HId C (, \1 r, t ',' <7;~c"{.\ r
(,;11,001 i 'Ii l (' , h'l lilll
This nollce was prepared and signed at 1'1'., I "I", I'" , .. '.,
r ......'. -. ,.,. ~r1""""',n' 'l.,~' "
~the (I::'ii':h N'Ii,.'f.",nLI:lt
. on this.
Slgna~
Tillo
:"1 d II i1 .,', t} t
',101 '.)'),)(l
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(NOTE: Certificate QI oUlcer <IlJthorilad by Iilw 10 Iilkij acknllwli>d!jllh>t11', I'; r1otl3~,l;Utlll,11 111 ltw Villll-Jlly of Notice ot Flideral Tall lien
Rev, Rul 71,466, 1911 ,2 C.B. 409}
Part 1 . Kept By Recording Office
Form 668 (Y) (Rev. 10.93)
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'orm 66e (Z) ',. I
I~", W.)
I)oplrlmenl of the Treoeury . Inlemll Rlvlnul Service
Certificate of Release of Federal Tax Lien
Ilr 01 -~I Number --'
'P[I'II\I:,;',1..I,)/\1'1(1'" _~_---1-__ .,' J'j1,I,~.1 )I
I olrtlfy Ihlllllo Ihe lonowlng.nlmeluplyer, Ihe requirement I 01 IIcllon 6325 (I)
ollhl Inlernll Revenue Code hlv. been ealletled lor Ihe lexee nelud below and 'or
III 11.,Ulory Iddlllon.. Therelore, Ihe lien provided by Code ..ellon 6321 for Iheee
III.. Ind Iddlllon. hie blln releeeed. The proper ollle.r In Iho olllee where the
nO~If' ollnllrnll revlnuo lex lien we~ lIIed on _,I~:::..:'.',~~.~~_:~.____,__
II ~ I~ i" lulhorlzod 10 nole Iho booke 10 Ihow the roleoll ollhle nen for
IhlD I'X" Ind Iddlllonl
Nlm. 01 TuplYlr F I. I\NI I " II "
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For U.. by AlCordln~ Ofllce
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Relld.nce
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Kind of Tax
(0)
Tnx Pellod
Ended
(b)
Id""Ii1yinO Number
(c)
. .-- ---------
1l'5.copd
'.;'>'" I" I 1'1,.. t'-'o\ \ 33'103
_ ';jl,_,:':..:.~:!. C,I,.I.:.__ t< ij "11,,,
Dalo 01 Lnst Coy for Unpaid Belunce
A.,sen"mont Reflllno of Aseeumenl
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1,:ULJllT Iii' ',IIIIt. 1.1,,'3
L 11'.!1 P '.~'le
11\11' 1m 1'1'\ I IlII"I ,
~F.L 1111.1,
i(l41)
1,(,40
tn4f)
104,(1
IflT'l1 A A Iddddl.
1;2131/0'3
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t ~1':I-'jfl.-.-':lf)4 J j):~.' ::~7! ';Il_:"
t 'YJ .J4,..,'+'j~ i n'.l: / .~\ ,. ! 'JI':,
.1 'JI,l'- 3 ,1,..1;-:,.... .'j 1. t,)?"';;'\"" i ';,1t~;
., '^ I. " 10. J~ ... /or II ^ II II ),),^ A A II II ,\ ,I, ,J" ./,
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(:)8'('J.03
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Placa 01 FIling
I " Ot.lll)1 'l I.:'il";'
I,. 1,11111, t:' ~ 1 ;,\ II' I < I) III" L ~I
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Tolel
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32727.17
Thla noliCb wn5 prepared and slgnod "I
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__, on this.
',::Il( 1\ 1".'l".'II.J:.t'. .
Ihe day 01 . 19_____,
Signa lure It.ltttc-J1t.. m. It!.!.: !t....", ,(/1...
(NOT I: C.'fdlr;,rfe 0' olllCtU Jt,/holllt'd by 'ilW II) ',I~II ,l(1I110",1/.'J.lmor'/:lIS /l1)1..'~~t1n1l.llla ttltJ valldl/y 0/ Curlit!!:,lt" 0/ f1lJ!IM56 01 Ftldftrd/ T/J~ 11,1l R,v. Ru/. "'''66, HJll.2
C 8 .09)
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PART 1 . nl!.COROING OFfiCE