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<br />. i, , •. -,~'. ~ '~~ f Wpiirtmaiflot tAe Yraesury - 4nta4`nai Revenue Service <br />I Fwm ~ I ~ r..' <br />,~ ~:~ .~„ ____;_~E ~ e ~v1~1`~ Tic leap tl~tlet In~erna! Rye lam <br />~r `t s~rtaa fJurx,aer <br />'fin ,?,t u. ~4] i ~~~-~ is C33il.ii ~ 4 ^, :i <br />I <br />t <br />As vidae~ by sectlona 8321, 6322; and'6323 of theintemaf Revenue-Code, <br />_ not fa. ytven thak taxes including intersst'~anq ~enaltiesj` -have been <br />end ~gainat the tat - Rg-t-amed taxpayer. Demand for payment of <br />8#p haslteen fwt h remains unpaid. Thetefesre; there is a lien <br />M fsvc-T of the tlrtitdd; oci eN'propy asttl•rlghts to property betongiRg <br />fa tti€~taxpayer for the amouat of t ese taxes, grid addit nal pettaNies, <br />interest, and testa that may accrue. <br /> <br />:iS:t. L. .,Grist rkC'Lli; it-, _ ,.. ~ ~~ ...: i')~.~a: ,.. 'd ( - <br /> <br />;~ t <br />nnsruunce r <br />'l n <br />J:l e: .!'~%~ '~~-~.. .. iii( ti ~ ,-.. <br />1r.+~osTaxT aEtense fr~roar~+nriOrt~ vdim reapers to earn aseesa+t~ent hated>uafow. unless <br />notice of lien is rallied. try the dale given in coturtin je), this Waite shaft. on the day fallowing _ . - <br />auch dale, opi,raie as a ccrtihcate oT r®iegse as de[ittea ih-IRC 63251a): - - - __ - <br />--r-`-'---~--- <br />TaxPeripd Datea~t ~ _taatf?aytair tfttpa[dBalnrrce <br />K1nd of Tax Ended identifying Number ~ Aeensetrien6 i R4NNtIg ' nt Aaeesament . <br /> <br /> <br /> <br />