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� � <br /> � <br /> Form 668(l� (C) 59>��+1 Department of theTreasury-Internal Revenue Service <br /> (Rev.August 1997) Notice of Federal Tax Lien ' � <br /> Dlstrict Serial Number For Optlonal Use by Recording Ofylce � <br /> i�#zDt�f�.�2' :39:?:?:3�.4�7k:i ' r , , . <br /> As provided by sections 6321, 6322, and 6323 of the Internal Revenu� - � <br /> Code, we are giving a notice that taxes (including interest and penalties) <br /> have been assessed against the following-named taxpayer.We have made <br /> a demand for payment of this liability, but it remains unpaid. Therefore, � <br /> there is a lien in favor of the United States on all property and rights to <br /> property belonging to this taxpayer for the amount of these taxes, and • <br /> additional penalties, interest,and costs that may accrue. g�_�a�� � <br /> Name of Taxpayer H�R�LD E Ci�uGR I FF <br /> � <br /> Residence �T ,� � , , r <br /> Di]N T PMI�N� NE �ska�::;'�..'�+�c�� • <br /> IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br /> unless notice of lien is refiled by the date given in column (e), this notice shali, . <br /> on the day following such date, operate as a certificate of release as defined in <br /> IRC 6325(a). <br /> Kind of Tax Tax Period Ended Identifying Number Date of Last Day for Unpaid Balance of � <br /> (a) (b) ��� Assessment Reflling Assessment <br /> fd) (e) (� <br /> ?Cf�#C� 1�!�:i.�I"'�'9�� �;L��,��...4�-��'�t•.,x C�..c}:sC�/a����r,=c (:�4J��1�•c;tc_'�;-t q;�t7�:.�r; � <br /> .�C14C) !�l�i111!'d$/4 .�':��:?F.:�..,4$_�7�1 G$f�7l1x'✓�� t'3F.�/�7�+rt:�(:��`..-i �:::'�/�;:��.�(:1 ' ' ' <br /> � <br /> �- <br /> � <br /> � <br /> � 1 , ; <br /> - i <br /> Place of Filing <br /> Reg i �t�r uf Dee�s Total $ � <br /> Ha 1 1 Fc�C+7Y i�,`�2 :3����a�.�s, <br /> .;,_ .,,..y.;, <br /> � <br /> his notice was prepared and signed at -MILWAUt�E�: GtI , on this, <br /> � ._ .. . ��.. ..�.H.... , <br /> � <br /> he�day of May , 1�._._` �`,,� <br /> Signature it�e ! <br /> ' • `�i' Ravenue t3ff icer :a`7_t�I._1•�;;�� <br /> #'o r .A :�OL) 3�5-��i�� � <br /> (NOTE:Certificate of officer authorized by law t e acknow/edgments is not essentia/to the validity of Notice of Federa/Tax Ilen Rev.Rul.71-466, f971-2 C.B.409) <br /> PART�-KEPT BY RECORDINO OFFICE Fortn 668(1�(c) (Rev.8-9� � <br /> CAT.NO 60025X <br />