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Fo~m 668 oErNtn~EHr oF 1?+E n~Ewsur-N~ ~YE~ sEevftE For op~io~of t1~. ey R«nrd~p oM+c.
l~v ~_~ol NOTKE Of ~EDBtAI TAX t1EN UND~ MlTBtNAt I~VENIlE UWt ~P
r-?t~o REop
DISTRICT SERtAL NUMBER ~~.~1! COUMT~ `
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Punuont to the provuions of Sechons 6321, 6322, and 6323 of the Internal Re~e-
nue Code, notice is hereby given thot there hcve been ouessed under the Internal ~~~~r3
Revenue laws of the United States against the following-named taxpoyer, taxes (includ-
ing i~terest ond perwlties) wfiich aRer d-mond for poymer~t thefeof remc~in unpaid. and -
ihat by virtue of the abov~mentioned statutes fhe omount of wid taxes, together with 251985
pe~alties, interest, and costs that may ccc~ve in addi6on thereto, is a lien in favor of
the Un'ded States upon all property and rights to properly belonging to snid ta~ayer. •
NAME OF TAXPAYHt
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RESDENCE rn r '~,_~br,z.~ i,..t~7.~' :n
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UNPAIO BALANCE
KIND OF TAX TAX PEWOD ENDED ASSESSMENT DATE tDENT1FYING NlMAB6t OF ASSESSMENT
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WITNESS nry hand ot , or? ~his,
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SiGN~?TURE 11T1E -
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(NOTE: C~ooN of ofliow ouNwriud byr low b 1ok~ «#rawbdpnwnb i~ nd ~id b N» vdidy of Nwic+t oF F~d~rd Tmc li~ G.C1ul
46r19, C.S. 19S0-SI, 145.)
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