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Form 668 oE?~utT~Nr oF t?~ r~wwer-~TEaa~t sdvEs+~ s:mnct ' fo. Op~o~wl Uu Sy Aec«dNy Ofr,c
~r~v. ~-~01 NOTKE Of FEDERAI TAX UBI UMO~ NIT~N4l REYENUE LAWS f.t~e R~c
DiSTpCT SERiAI NUMBER ? fT•
J~ ,~a
iornuf ~
- ~t€
P~nuo~t to the prov~s~ons oF Sec!ions 6321, 8322, and 6323 of the In~e.nai Rev~
nue Code. notice is herehy g~ven lhot there have been ossessed under !he Internoi ~
Reve~ue (aws of fi~e United States against the fo~lowing-named taxpaye~, toxes tinclud- ~
ing interest ond per~olhes) which ofter demond for po~rmant thereof remaio unpoid. and P'~'
thot by virtve of ?he abovtmeMioned statutes the amount of said roxes, togdher with ;~15236
penalties, interest, a~d cosls thot may accrue in addition thereto, is ~ l~en in fovor of
~he Um/ed States upon all property and nghts fo pro~fy belonging ~o soid taxpayer.
NAME OF TAXPAYER
HII~ LBi wILiS~lB
RESIDENCE
ar 3 Bos sio
~oar ~cs. ~r.
UNPAID BALANCE
KIND OF TAX TAX PERIOD ENDED /tSSESSMENT ~ATf IDENTIFYlNG NUMBER OF ASSESSAAENT
I tol (b1 kl (d1 {~I
;
i 1~4 12-31-70 0~l~3a-?1 2~2~2-6994
=666.48
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~4
F
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; ?'u~?CE OF FtUNG ~~,r
F
~ S'~' Li~I$ ~~i~ TOUI f '
~
~ ~aar ~cs. rt~?
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•~~ss n«?d m M3a"d• ~'1°r'ida . o.,
~ ~he 31st dary of L~ , 19
S~GNATURE TITIE
~ ~IQ ~
~hK)TE: C«tiicaN of o(1'ic~r w iak~ ocknewl~d~nwnq n nw ~w~al b ti~ vol,dihr d No1~n d frd~rd Toa t~+ G.C.IrI
26~t9, t.8. 19S0-S1, 1~5.)
?ART 1-Te b~ rNain~d by ncordin~ ollk~
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