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..... ... u. S. TlfAlUlY DUAt~"'ENT. ~...~ IIWMII MIY1Ct ':
('11'1. MAl. 1961) NOTICE Of FIDERAL TAX LIEN UN* INTERNAL REYENUI LAWS
Dl$TIICT NO. 0 i PAC
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Punuont to the provisions of Secti~ns63'21, 6322, and 6323 of the Int.rnal ~t,.t!Y'ir.O~ijfjfn:l, tp~.
notice is hereby given that there hove been- ass.sed under th8 Internal Revenue loWs C!f the United States
against the following-named taxpayer, tax., (includ inQ ina.r.st and penalties) which after demand for
payment thereof remain unpoid, and thaI by virtue of. th~ Qq~mention.d statut., the amount of said
taxes, together with ~nalties , interest, and costs thot moy;dcc;u. in addition thereto, is 0 lien in favor
of the United Stat.s upon 011 property ~nd rights to . pro~rty' bl6lOngir.g to. said taxpayer, to wilt
NAMf Of TAXPA YU
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AMOUNT vI'
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HATVlE Of TAX
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ACCOUNT NO.
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WITNESS my hand at
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, on this,'
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the
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Oatolter
day of
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DISTlICT OIIECTOI O. INflIN,\l IfVfNUf
TIT\.I
. M. 2~",
PART 1 . To be retained by recorcI.. office