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Forn1 bb8 U. S. TREASURY DEPARTME~IT - INTERNAI REVENUE SERVICE For Op~ionol Ute Sy R~cording Ollice
~REV. 4-65J ~ NOTICE OF ~EDERAt TAX LIEN UNDER INTER~lAL REVENUE LAWS
DISTRICT ~ SERIAL NUMBER i t~~~~u~
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Pursvant to the provisions of Secrions 6321, 6322, and 6323 of the Internal Revenue Code,
nctice is here6y g~ven ihat there hava been ossessed under the Intemol Revenue lo~vs of the
United States oga~nst the follo~ving-n~med taxpcyer, taxes (induding interest and penalties) ~vhich
aftar demond for poyment thereoi remain un~id, ond thot by virt~e cf the obove-mentioned
st~tvtes the •~meunt of soid taxes, togetl:~r with penalties, interest, and cosis ihot may accrue
in oddition the~e:o, is o lien in favor of tl;e Unitad States upon ol1 property and rights to property
bslcnging to sa~~ toxpayer.
NAh1E OF TAXPAYER
Tn~•r~c, 1~1~ntlJll,
RESIDENCE OR PL{~CE OF BUSINESS
~~S! ~1;)t~"1 -l+• ~~l?I'^r'~ _'~~s
ClASS OF TAX I UNPAIp B.ALANCE
~Tax Retum Form ho.) PERIOD EP1D~D - ASSESSMEM DAic IDENTIFYIN~ NUt~18EP, O~ ASSES5l.1ENT
lal Ibl l~) Idl lel
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. : FIL.E~ t~ND RECORDED
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PLACE Of FILING ~1.Qr~=, C'.rc..i± ~~•~r±
rt • i`,iC?_2 r~ 4.T1 t~ ) T07AL ~
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WITNESS my hand at '~'"~t "alr ?eachL ; lo~•?da , on this,
the l~ ~h day of 7an~ta~r , lq S~~
DISTRICT DIRCCTOR OF II~tTERNAI REVENUE BY gnature) TITLF
. . ;7r.'.hni ~2'.~?l.?J T'~.'1G^x
- - - ~n~?s ~ Graves
(NOTE: Certificare of officer authorized by law to take acknowiedgments is not essentiol to the validify of Notice of Federal Tax Lien G.C.M.
26419, C.B. 1950-51, 125.)
PART 1--To be retained by recording office ~ R 136
. 600K
.