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i Fo~n1 668 DYW~~nt of the Treasury - Mternal Revenw SeNfCe
; (Rev &eptember1978) Notice of Federai Tax lien Under Internal Revenue Laws
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; District Seriai Number Fd Opt~a~al Uss Dy R~cwdinp OMic~
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` As provided by sections 6321. 6322. and 6323 of the Intemai _ Revenue C'.ode.
~ notice is given that taxes (inciuding interest and penalties) have been assessed
against the fdlowing-named taxpayer. Demand for payment of this liability has c- ~ ~R f~ ~ ~
been made. but n remains unpaid. Therefae. tt~ere ~s a lien in favor of the United
States or~ all property and rights to properiy belonging to this taxpayer for the l~_
i amount of the~e taxes. and additional penaitias. interest, and c~sts that may '~'.~9
+ accrue.
Name of Taxpayer Y i^ r. ' 1 1~ ~ •
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~ D. H. i. Hin~ 1~'ront s ~ ~
j Residence ~ . : - , _
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ii. 1 th lra.
~ Unpaid Balance
~i Kind of Tsx Tax Period Ended Date of Assessment Identiiying Number of Assesament
N1 (D) [cJ [d) [e)
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~ 9?41 9-30-T! 4-9~-7'4 59-14~4g99 1,892•~2
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' : Clea'k, Cirauit Ccur!
K St. Zaia3+~ Caa~1~ Total =
~ - ~'t. Pi~~~ llrozida 1 ~892•3~
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; ~ This notice was prepared and signed at ~s ~a r~ ~ a- ,_on this,
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~ ~ the d8y of ~ .19 ~
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~ ` ~e~eials 0lri+0~
; (NotK CMHJcaf~ 01 oHicM ~vfno~ized by Nw to bke acknowl~dymonb fo the d Hofie~ of
F~..i u.~ o.c.~w.2e+». ~osa~.c.e. ~za.~ ~001(ti~fACE
~ Pa~t 2- To be signed and retumed to the Internal Revenue Servke ~ Form 668 (Rev. s-7B)
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