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<br /> �– Qepanniant o1 the Treasury•Int�mal Flov�nu�9trvlaa �� --
<br /> ° Form 888 (Y)(01 Notice of Fed�ral Tax Lien �
<br /> (Rev.October 1993) ^_ •
<br /> F�or OA��onal W�by R�COldlnp OJIIC� h �}-
<br /> Dis9r(c1 Sorlal Numbor �������
<br /> .�-•.-:." ' �
<br /> . � , ,
<br />�� � s�otlons 8321, 8372� end Q323 of tha internal Hevenu� � -
<br /> As provld�d by �
<br /> - Codt, we an afvinp e notic� that taxes (Inotudln� Interest and poneltlee)
<br /> hsw b�en as���s�d aqdnat th�fallowing•named tnxpeyar.We hev� made � ,.
<br /> � �lemand tAr payment ot thls I{abllity, but it remain� unpatd. Ther�fore,
<br /> . th�r� Is • Ilen In i�vor of th� Unit�d Stetas on ell property and rl�hte to � _
<br /> property bdonpl�a to thi� taxpay�r for ths amount of these taxos, And �
<br /> �ddlilonel p�n�lt[e�,int�r��t,and costs that may eccrue.
<br /> `... Nameof Taxpayer �;ri ���•i i. t nru.
<br /> 4 _ a �
<br /> � Resldance �. ' �-� ��.�.i � : ;-.r,i.� �,�� � �
<br /> . I ;PI�':i�l..�.�,� !�i- ,•�� 9. - � I
<br /> �
<br /> IMPORTANT RELFASE INFORMATION: For each assessment Ilsted below, �, �
<br /> � unless notice�f Ilen is reiiled by the date given In column(e),thls notice shall,
<br /> j on the day tollowfn� such date, operate as a certlflcate of �elease as defined _
<br /> In IRC 6326 a). O
<br /> � Tax Perlod Date of Last Day tor Unpald .
<br /> ' Kind of Ta�c Ended Identifying Number Asse���ent R�e�ng ot Ass f�sment
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<br /> � .Place of Fl��ng , `-'d • __ � .-
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<br /> f-i.'J� '. t.�:;!;�*i'. �, , . _
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<br /> ^ �' , , �.�� an this, .
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<br /> Thls notice was prepared and s1'gned at ' � �.
<br /> ; e
<br /> the ' day of . • , 19. • �
<br /> G''� �.j`��`..
<br /> � �' d'•°::.:�. .TiHe �
<br /> ' Signature . ' p.{<.bi�lrts,Chivf� SF .�. ' �
<br /> � (_ N—OTE:Certlflcate of olflcer nuthorized by law to takt�ucknowladpmenla le not essontlal to tho vnlldlly of Notico o}Fvder�l Tpx Il�n
<br /> Rev.Rul.»•aes,�s�+ •2 c.e.aos� Form 888(Y)(c) (Rev. t 0/93) (.�
<br /> • Part 1 • Kept By I�ecording Oifice
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