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fofm 66~ OEPARTMENT OF THE IREASURY-WiE19~A1 REVENUE SERVICE For ' ~ ljsq y R~ ; Oflcce
:R~ ~ NOTICE OF FEDERAL TAX LIEN UNDER INTERNAL RFVENUE LAWS S: ~uc!~ cu~ ir ~
Roc: ~ F o;~Ri?§ ~
DIST CT SERIAI NUMBER CLERR i,~=L~J1i C0~1~i ~
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Pursuont to the provisions of Sectians 6321, 6322, and 6323 of the Internal Reve- ~ pu
nue Code, notice is hereby given tha~ there have been ossessed under tF?e Internal
Revenue laws of the United Stotes agoins~ the following-nomed taxpayer, toxes ~includ-
ing interest and penaltiesj which after demand for payment thereof remain unpoid. and ~ `~M
tho~ by virt~e of the above-rr~enhoned statutes ihe amount of said toxes, together with Vl/
penalties, interest, and costs that may accrue in addition thereto, is o lien in fovor of
the United Staies upon oll property and rights to property belongireg to wic! taxpoyer.
NAME OF TAXPAYER
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n.LIiGT'V s• -.~ci:T~cC i:.:u: ~tOi Iv:i ..~-...-:C
RESIQENCE - ~
_ 25~' .;r.. .'r~•.e~ _=f:V I~_~ -~~~s, 1._°.
UNPn~D Bat1+NCE
KtND OF TAX TAX PERIOD ENDED DATE OF ASS~SSMENT fDENTIFYING NUMBER OF ASSESS+v!ENT
(u) Ibl k) ld~ tel
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~i ~04~ ~~:-;3~-71 r-`';-7~ -~'3-315> ~<,3~5.47
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PLACE OF FiIING ~ _ _ r; , ; ~ ~
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i1', T:~1~ (~,,a,-l_ TOTAL $ U<~"_.:j.~~:~
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~ WITNES$ my hand at i , -or' - ~r. , on this,
?he day of •r , 19 i 4
SIGNATURE ~ T1TlE
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..~~.c :s L:: ::~~.ux~ ~Y°VE"~til@ ~"i~ r .
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(NOTE: C~ cote of officer authcrized by Icw to toke acknowledgmenh is not essentia~ ta the vel~d~ty of Notice of federo! Tax lien G.C.M.
26419, C.B. 1950-51. 125.)
PART i-To be retained by recording oNice
BOQK
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