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r� � <br /> Form 668(1�(C) ��'47 Department of the Treasury-Internal Revenue Service � <br /> (Rev.August 1997) Notice of Federal Tax Lien <br /> Distrlct Serial Number For Optlonal Use by Recoro/ng Office � <br /> hi I DWE�T ��r'�►��J i��y� ��� � : � <br /> As provided by sectlons 6321, 6322, and. 6323 of the Internal Revenue 1(.�S'791, � <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. � <br /> Name of Taxpayer M 3 C:HAEL A. N I Gk:MAN <br /> � <br /> Residence �{�� CAMPBELL A�ENUE <br /> . � � � <br /> DCENIPHAN� NE r���� . <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 shall, � <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 Perlod Ended Identifying Number Date of Last Day for Unpa(d Balance of � <br /> (a) (b) ��� Assessment Refiling Assessment <br /> (dI (e) (� <br /> tc��t:i 1�'�:ai/�tir�-�� ��r�5-?4-,:,i5� �7:%_�cJ�,fi�'���-� �a:3tis��''��?�a�-� �s:�7"�.c�c:� � <br /> 2t3�c� 12l:�1/1��5 5c�5-7�F--.�:;f5�3: fs�/�vt1`�'R�;� 11/�'�!'�';�{��3 1��7�"�.(:7�:� � ' � . <br /> #.E3�{3 1'�t32li�:>��. ..�i�?�--7�#-�.;15$ 1+3�2�/29?�� �12/�5f'?c:�+3� 1�7'�4.E��5 � <br /> � <br /> " i <br /> • <br /> � , ; ; <br /> • <br /> Place of Filing <br /> Re� i s�er- ��f Dee��s Total � <br /> F#a t i P+.:��+7Y. 1�`.�� $ ;�F�11 w f.'1FJ <br /> Gran�# I� f an��� IVE c�'s�8t:r�--1�,"�b <br /> � <br /> his notice was prepared and signed at MILWAU�::EE, i�i , on this, <br /> � , �.;��,. �� - - . * <br /> he ':�tF�day of riay i�;�� � � �� <br /> , <br /> . � <br /> Signature . Title ��venue Uft i c�r� ;=;�:1-�.7i-i•2:'•� <br /> r �# �tDAIYI.�^.�c ` (�O'�S a'.�i-•:?s�,U-� <br /> � <br /> ( Oe i �cer authorized by 1�o take admow/edgments is not essentia/to the validity o/Notice of Federal Tax lien Rev.Rul.7i-4B6, 1971-2 C.B.409) <br /> Li <br /> PART 1-KEPT BY RECORDIN6 OFflCE Form B68(1�(c) (Rev.8-9� �� <br /> CAT.NO 60025X � ``: <br />