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e�„�. f��,/''3: <br />�'. . � ..�...F1�YY► <br />�� ��^ � � <br /> y � <br />� <br /> t <br />..�,..v� � � . <br /> � Form 668� 9EPAPTNEXT OF TNF THFASURY-INTEANAL BEVEeUE SEBVItE For Op(inna/Use By ReCording ONrce� � � � � <br /> (REV.12-74) NOTICE Uf�FEDERAI TAX LIEN,UNDEfl INTERNAL HEVENUE LAWS �� � � <br /> � DISTHICT SEflIAL NUMBER <br /> � QI713�'l3 !�l�'�T`75'�'.� � � � . . � � � . . <br /> Punuant to the provisions uf Sections 6321,G322,and 6323 of the Intemal Revenue <br /> Code,notice is hereby given that there have been assessed under the Internal Revenue iaws <br /> 'of the United States against the following•named taxpayer,taxes(including interest and <br /> penaltiesi which after demand for payment thereof remain unpaid,and that by virtue of <br /> the above•mentioned statutes the amount of said taxes,to9ether with penalties,inrerest, <br /> and costs thai may accrue in addition thereto,is a lien in favor of the United States upon <br /> alt property and rights to property belonging to said taxpayer. <br /> NAME OF TAXPAYER I <br /> Pei•son,liz�r� �ome�, Ii�c. I <br /> . . � 3 C0:'LOY'3�10ri� I . .. . . <br /> RESlDENCE <br /> F.G. Box '?.�3 <br /> �sran:.a Zs�an:,, '.Fe. n�'�pi <br /> 4" � � UNPAID BALANCE � �- <br /> �KItJD OF TAX l TAX PERIOD ENDED DATE OF ASSESSMENT IDENTIFYING NUA7BER OF ASSESSMENT � � <br /> (al 1 IUI 1c) Idl (el � . . . <br /> � °.'•1 0°—�C�—l� �l—��?-7c �,-7—��,`�1'�1� � � 7^, ^2 � � � <br /> s 94� i?—:1-7'� li—G?-7r, �kr—C�i31s'1+ �'`'''7.21 <br /> ��_ <br /> �; <br /> � I p0��9� <br /> 3 b- <br /> i' <br /> \` : <br /> I <br /> � I � <br /> Y I i <br /> I I <br /> ' PLACE OF FILING <br /> �}[. , ?�Vic�.�7, r�y r:nnr;s . <br /> � ,^.o::nil G� �,l' TOTAlISi7�;;3�..�3 <br /> __3r�.�7�l�nG ?;2. _'�.�'�i� <br /> � <br /> e ' <br /> WITNESSmyhandat GT'=,nd Tslan.� `'Ta (,.'"`�`Cy <br /> - — ,on this, <br /> �� � � the �!'- day of �'O'IBTEI:'�I' . 19 7'� <br /> �: SIGNATURE /� � <br /> �`, //l./Vf ��/�—%�_ ITITLE <br /> � _ �. �. .'�i„i`t',znr i��i�::li: C'�_ _C�1' <br /> �' (NOTE: Ceititipate ol o}tiCer authDrizeq by law to teke aCknOwlBOgmants is nm essential t0 the velidi *^ <br /> ry of Notire oi FMieral TaR Lien G.C.1.:. <br /> 26419.C.O.1950�7,7�5.1 <br /> �i <br /> PART 1—To be relzined by recoraing efiice <br />" Y <br /> i y <br /> .��i.. <br /> .f . �-:.�^'.��:.�:•_' <br /> N '•. <br /> � � � � , . <br /> �5t+'�,.,.. <br />�. � . <br />�, r� <br />;�.. •. <br />,�e <br /> 4n' <br />:4,- <br />�� �� � � <br />''� <br />....� <br /> E � <br />