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oEr~en~Hr aF r?~ niewwin-a~r~ ~v~ue s~n+cE Fer qa~o.ot u~. er t«~ad~ o~o. j
Fonn 668
~~v tao~ NOTI~ Oi ~AL TA~ Ci'111M101R N'I~MAL REYEMR tANIS ~
asrt~' s~ NuN+e~rt ~atras ~
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Punuont ro tM provisions of Sxtiaa 6321, 63ZY, and 6323 of the Imer~l Rsv~ j
nus Cods. nofite is heraby given Nwf thara how assess~d urKlsr th~ I~~ernol ~~'1,
R~venue luws of the United States c~ai~nt the fdlo~itp-nomsd foxpopar, twcat (includ-
in8 iMKest ond pe~wlties) which aNer demand ~or paymMM 11~eof remain unpoid. and `
Nat by vi~tue of 1h~ abova-meMioned ~ the anouM of said toxes, togslher with
pawlties, inlsrat. qnd costs that nwp acuw u~ oddtion 1Mre1o, is o lieo in favor of
fhs Uniled Slotis ~rpo~ oll propety? ond righls b p~!Opa1y beloeginp lo soid b~r-
NMAE OF UXPJ1YHt .
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UNPAID BALANCE
IUND OF TAX TAX PERlOD ENOED ASSESSAAENT DATE IQENTIFYING NUINBER OF ASSESSMENT
lal ro) (~l Idl al
' 10M0 ]~~1~.69 5-~-74 19~12-~~1 1.~103.22
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~ W~TNESS nry land ot ~Q~• , on fhis,
~ th~.~.._do~? of ~ . 19 '11 `
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5~C'at~l1T1~lE TITIE i
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(WOTE: C«~ilcab of dlinr tok~ ocknowbdprn~ ~ rwl we~lial re N» vdi~? d No~ia of F~dad Tm L'wn G.CJrI
~6419. G~. 1950-S1, 1~5.)
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