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<br /> Depn-tment ot th�Treaoury-Int�mal Rev�nue S�r�lc• � -4
<br /> Form 888(Y)la) �-
<br /> ,. (Rev.October f993) Notice of Federal Tax Lien _
<br /> 8orlal Numbor For OpfloneJ Use by Rscc�dlnp 0iflc� � � -
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<br /> .,,.--,� , 97- 110��3
<br /> � � b ��otlona 8321, 8322, and 8323 of the Internal Revenue '�
<br /> 4 As provld d y ,_
<br /> � Cod�� w� �n qivin� a notic� that twxes (inctuding Int�rest nnd p�naltie�)
<br /> � h�v�b��n a�s�is�d apelnst th�foliowlnynamed 4axpayer.We have made �
<br /> , � sJ�nnand tor peymtnt of thla Ilabllity, but lt remelns unpefd. 7hsretore,
<br /> �� th�r� Is�• IUn in favor of th� United Stet�� on ell property and right� to
<br /> � prop�rty bdan�lny to thl� taxp�yer fo� th� emount uf these texea� end � ,
<br /> ;j �ddltlonal penaltles�Int�reat�and eoate thet mey accruo,
<br /> � 'NameofTaxpayorr•,. �� r.�,,i � r�i . ;,� :� �i:�.���, ., . . .. . . c,��-�„ . , � � �� ;
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<br /> . �,� IMPORTANT RELEASE INFORMATION: For each assessment Ilsted below,
<br /> �� �� unlass notice oi Ilon Is rofifed by the date given fn coiumn(e),this notico sliall, (�
<br /> on tha day following such date,oparate as a certificatd of release as deilned
<br /> +; in IRC 6325(a. _
<br /> �' Tax Perlod Date of Last Day tor Unpald Balano� Q
<br />- �• Kind of Tax Ended ldentitying Number �ssessrrrent Reflling otAssessment
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<br />� . ;. �.a •.. :', i•.;, ,. ,., i,� ; , on this� ., .
<br /> This notice was prepared and signed at — � .
<br /> = the day of � 19 � �
<br /> d•� �^ �
<br /> Slgnature � �` � , ,,, , , . , !; '
<br /> D.K.Marts,Chtef CSF � I
<br /> (NOTE:CertHlcate ot oillCer authotliod by low to tuke acknowledpments Is not essuntlal to the vplldlty ot Nollce ol Feder�l Twt Ii�n I
<br /> Rev.aui.»•aea, �sr� •2 c.s.aos� Form 668(Y)(c) (Rev. 10193) �..� :
<br /> Part t - Kept By Recording Office ;
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