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D.pertm.nt 01 th. rre..ury . In'.rn.' Revenu. Servlo.
orm oee (V) (e) '"
Rev, Oclober 1993) Notice of Federal Tax LIen
Olllrlcl Serial Number For Opl/on,' VII by RICordlnll Ol/l~.
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I ",It I I ,ld,'ll>!. 1,1' I" ,1'1,' .", III il;
AI provldld by ..ollonl 8321, 8322, and 8323 01 Ihe Internal Revenue ( )"":1,' I \ II..
COdl, WI .re giving. nollol th.t tax. I (lnoludlng Inter..t and penallles)
h.v. been .......d Igelnlt thl followlng.namod laxpaver, We hava mada
· d.mlnd for plymenl of thll lIablllly, but It rlmalnl unpeld, Therefore,
th.r. II I lien In flvor of the Unltld Stat.. on ell properly and rights 10
property belonging to Ihll tlxpeyer for thl amount of th..e taxee, and (> , " n
I Iddltlonll pln.III.., Inter..l, Ind OOltl Ihat may accru., 0" ':1 "1
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Nlm. of Tlxpayer 11'11)11"; I r. 1/\1 I~!' illJ /1'1\ I .. 1/lI'JI..',. {II Ill', Ilj' fl,l., , )
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IMPORTANT RELEASE INFORMATION: For each 8ssessmenlllsted below, \I'" u_~\.\ -, ,~ '1 ::.,
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, unlesl nollce 01 lien Is reflled by the dale given In column (e). this notice shall, Ih'l.n
on the da~ following such dale, operate as a certificate of release as defined '.' "
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, In IRC 63 5~al. ~ l' .~ 'j,' \ 'J
Tax Period Oate of Last Oav for Unpaid Balanc.
Kind of Till End.d Identlfvlng Number Assessment Rsllllng of A.....m.nt
, (a) (b) (e) (d) (e) (I)
'II ')1, :I, 1,1 , I', ' , ' I ' I ,11 " "11-, ."",.....i
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'Place of Filing
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.Thls notice was prepared end signed at I 'I, , I "I,', 1,1, I ,. '"
, on this,
Ihe :', I I, day of
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~Igneture
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(N 0 ~6 by ,i" 10 ta,o o"noWlodgmonl. 10 MOl o..onllollo Iho volldlty 01 Nollco 01 FOdoral To. lion
Ro ,Rul. 7\.488, \871 :..~, 408)
ParI' . Kept BV Rocordlng Ofllce
Form 8llS (V) (0) (Rev, 10/93)
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