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�! °� F` <br />`� � ���,,� <br /> �` �. _ � � <br /> �! , ., � ,: � <br /> ° form 668 � � ����DEPARTMElY7 Of THE TAEASURY—INTBINAL qEYENUE SfAVILE � .. Foi Optiona/Use:By Recosding-0Hice <br /> ..._ <br /> ; taEv:za�t NOTICE OF FEDERAL TAX LIEN UNOER lNTERMAI REVEI�OE LAWS <br /> k DISTRlCT SERIAL NUMBEA <br /> . ; `"(? -i-,, i•1 • � 319 6 ��M L1�15�6 2 <br /> � Pursuant to the provisions of Sections 6321, 6322,and 6323 of the Intemal Revenue <br /> � Code, notice is hereby given that there have been assessed under the Intemai Reve- <br /> nue laws of the United States against the foltowing-named taxpayer taxes (includ�ng <br /> �. ,I inte(est and penalties) which after demand for payment thereof remain unpaid, and ', <br /> that;by virtue of the above-mentio�ed statutes the amount of said taxes, together with <br /> 4 penalties, interest, and costs that may accrue in addition thereto, is a iien in favor of <br /> � � the United States upon alt property and righis io properiy belonging to sard [axpayer. <br /> a NAME OF"TAXPAYER <br /> Gi.en Gi 1li l.�znd <br /> RESIDENCE <br /> Tdebr�=;1:;: VetF:r•t-.n{ _.c,nae <br /> ^r 7�-, � ;� ?,F' <br /> y <br /> � '.KIND OF TAX Tqx PEHIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUMOER UNPAID BALANCE <br /> . .(a1 �p� � OF�ASSESSMENT. � <br /> ' . (cl Idl le) . . <br /> j <br /> �c��,o �2—.s1-•f'!� 5_�.-77 5or:;—i i_:;-1-' ?s-s ,.5j>3.25 <br /> r <br /> ; �; <br /> � <br /> `,� � � <br /> { <br /> � <br /> � <br /> , <br /> � <br /> ; �;` <br /> � <br /> ,F <br /> 1 PLACE OF FILING <br /> ��.i .. . iZ8: 1;3.+.EY' �:�i'f �@Tt�:l�5 , . <br /> ' Co1�rt'' Of ,;1.( TOTAL $ � <br /> ' 7.,5�3.�} <br /> �� � � � �src�P('t �.�1._.l?f:t� .I��E3't?;t^.�_:�K2. (1c.:<�>�,..�i . <br /> ��. � . � . . � . � � � <br /> � <br /> �R . .WITNESS my hand at `n'`�'`�-��'-`^ i=>>-=,t7t.�.' :dt k;-_r� .,1�;;. . . . � � .. <br /> . on this. <br /> � the i,h day of�F't>te�tl'o�r'19 '77 <br /> i, <br /> � <br /> SIGNATURE TITLE <br /> ����''�� � ��� <br /> I�a�,I rt�L� iZever.,�r? i:�^i'i.C�r� <br /> . � (NOTE: Certificaxo of ofticer au4horizad by lew[o;akp aCknowFedgments is not essential to tha velitliry of Not�ce of Fetlere�Tax Lien G.C.M. � <br /> . . 26479.C.B.1950-i.725.) . � � . ... <br /> PART 9 —To be retained by recording offics <br /> _ <br /> � <br /> � .. � . � . . � � :w � .;,�.. <br /> � .. : �. . � � .. �. .. � . . �� . . <br /> . . : . . . . . . . . .. . . . �`:T w�;' <br />�ik ` .. . , . . . . . . . � . . . �. . . � . . . , <br />� � � . . . . . . . . . . � � . . <br />.� � <br />