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<br /> �� ,�i D�pertm�nt oi th�Tn�sury- Intornal Rev�nw S�rvtc� A ,
<br /> ��r����Y)��) Notice ot Federal Tax llen � � _-
<br /> � �IRev.October 19�3) '
<br /> � Fo►Optlan�/ W�by R�cordlnp OIBC� � . ' __
<br /> ' i�letrict Serlal Number . , . '
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<br /> � p� provld�d by •�ctlon� 6321, 6322, Mnd 6323 af th� Int�rn�! R�wnu� �� -•• .
<br /> Cod�, w� �n qivinq •notic• thet bxes (Includinp Int�r�st and pm�ltlei) � + ': : � � �
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<br /> � It�v�b��n afs�ss�d �pMin�t th�followinq•nam�d taxpayer.W�heva made � . ., ,�;;:�:.,._
<br /> i � d�mend tor paym�nt vi thls Ilsblllty� but (t nmain4 unpald. Thsr�fore, ' '���� -:�•���_�:--
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<br /> ' th�r� Is � Il�n In tavor af th• Unit�d Statas on all prop*rty and rlght� to ., .�=="--"
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<br /> ' property belon�lnp to thls taxpay�r tar the amount of th�se t�xee, end � ._�L _
<br /> . �dditlonel p�naltl�s►Inter�st,end coets thet may eccrue _ `�'s�'
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<br /> IMPORTANT RELEASE INFORMATION: For each assessment Iisted below, � .. ��__�_R.
<br /> unlesa notice of Ilen is refilad by the date given in column(e),this�otice shall, „__-�i
<br /> on the day toltowing such date, operate as a certificate oi release as detined =-
<br /> in IRC 6325 a). � '"'°
<br /> Dete of Laet Day for Unpald Balertc� ��:=_- __
<br /> , Tax P�rlod �}qssessment �
<br /> ' Klnd af Ttut E�b�d Identlfying Number Assessment Refeling ��� .;,"�,;:"!'
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<br />� (NOTEt C�rtillCtt�o(otlico�authoriz�d by law to taks acknowl�dpm�ntt I• not�s��ntlal to ths vaudlty ot Notic�ot Fedenl T�x It�n � �;.-�w,'^;. .
<br /> Rw.Rul.71•480. 1971 •2 C.B.409) Form 888(Y)lo) lRev. 10�83) � • '
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