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Fonn 668 oE?~r+~err oF n~ n~~u~n-rrr~ ~vEri~ s~e~c~ ?a
(r~v iao~ MOTKE Of F~AL TAX tB! 11!!OB NiERNAI REYEM~ tAwf
p15TRICT SBtUI NUINBER ~
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- PUrs~wrd ro the pravisans of Seciiau 6321, 633"l, a~d 6323 of the 1~1enw1 Rers
iwe Code. notioe is hsreby given Nwt there hav~t: ban ossessed under the IMe~nd
_ Revenue laws of 1he United Stotes agai~t the follawiog~wmsd ta~alrer, toxes ~inclu~ . . ~
ir~ inlwest ond pawlties) whith aftar demand for payn~nt M?srso~f reewin unpoid. and
that by virtue of the ~ovan~tioned statutes the omount of soid toxas, togeiher with '
penoMies, iMerest, o~d coals that may «uue in adfiition thereUo, is a lien in fwoc of ~ ~
the Unilsd States upon all propertr and rights M propeAy belonging M wid toxpo~.
NMAE OF TAXPAY6t ~ ~
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r~s~r~c.~ ~ ~ws~ I, ' : '
~ !l~iw~ tLrl+d~-j~D .
UNPND BALANCE ~
qND OF UX TAX PERIOD ENDEp ASSES511AENT ~/?TE - IDENTIFYING NIMABBt OF ASSES.SMENT
lal rol k1 ldl Nl '
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' ~ e35.~
k 9~ ~ ~-~a.~o s~~ ~
; ~ 6~ 5-~e-To 5~3~95000~ . 6~.ot
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PLACE OF HW~G C~it QOIf~
~ L~~ O011II~ TOTAL
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~ Illy ~1d Of V~~ 1Yw1~
~A< • Ofl I~If, ,
th~.~'~_~ ~ . 19 ~ !
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