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t Fom+eee ~ o~wrtwiert o~ n~ ~wMr - wrewk ~vc+~ s~ for OOtansl Use B~ Recording 0/Iios
; ~REV.2-n?` ' ~ NOTICE OF FEDERAITAX L~N UNDER IIITEiatAl REtlElWE LAIMS
' OISTRICT SERIAI NUMBER
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~ Purwant to the provisions of Sectiona 6321. 8322. ~nd 6323 of the Internal Reve~ue ROC~ r?p~T~~
Code, notios a hereby given that thero have besn essessed under the Intema4 Reve- ~i `Fr ';.~~~j y S
; nue lews ot ths United States against the tolbwi~-named taxpaye~ texes (including ` ~L'R,
~ interost sn0 psnslties) wh~ch sher demand fot psymeM thsreof remain unpaid, and ~0
~ that by viRUS of ths abovs-ment~oned statutes ths smou~t of said taxes, together with SEP ~ IO 24 ~M fqp
~ penalties, intsrest, snd costs that may sccrus in add~tion thereto. is a lien in favor of f 0
~ the United States upon alt propsrty and righb to propertl? be~ongi~g to said taxpayer. •
NAME F TAXPAYER 4i8594
1 ~rsui. s~ ~es~. 41f3594
~ RESIDENCE
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± KIHD OF TAX T/1X PERq~ ENOEO OATE Of ASSESSIMENT lOENTIFYING NUMBER OF ASSESSMENT
' la1 tbl tel !dl l~l
~ IWO 12~31-'~ Ot3-~-7~ 416~86-7~6 s3~666.8b .
'j , 24~W 12~3~-?b 0~-~7~ " 3~31b•60
; ~ 14W 22~31-'i~ 00-~D-7~ • A~.3~
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~ PLACE OF FIUNG q~ ~ ~t ~t ~
~ ~ ~ TOTAL S
? .78
~ ~ l~st lisa~t~ 3~0
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~ ~ - -
~ ~ WITNESS my hsnd at F~'~ 'i~+• ~ y . on tMs.
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~ j ths 21st _ds~r p} A~t _ 18
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~ TITLE
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` : C~pRnt~ oMipr pY bw to ak~ ~ekiw~wNdpn»na a not ~wnoN oo d» vali0itp of Nooc~ o/ f~d~rM T~a li«+ G.GM-
2d41f. C.s.1~1.12~1
PART 2- To bs recapt~d and ~~tum~d to ths IM~msl Rw~nu~ S~vke
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